Hormones before blood work?

[Tiffanyofhyrule]

Is it normal for your endo to give you a prescription for hrt before your blood work is in, mine gave me a prescription on my first visit. He put me on t blockers progesterone and estrogen.

[KayXo]

To each their own, I guess. Unusual but can happen...

[Alanna1990]

It's weird, to say the least, mine made me go through 4 different blood tests for 4 months to be sure I could take HRT

[Tiffanyofhyrule]

should i put off taking them then until i hear back? Just to be safe?

[Alanna1990]

should i put off taking them then until i hear back? Just to be safe?

If you don't trust your endo look for another

[Dena]

Often people are started on a lower dosage which is relatively safe if there aren't any indications of other health conditions. When the endo starts ramping up the dosage, the blood test results will become more critical. I received my first prescription before the test results where in however when I restarted HRT I was a good deal older and I had to wait for the test results.

The other argument is a weeks worth of HRT while you wait for the test results isn't likely to cause much if any additional harm. If the doctor says to stop, then you should. For now, I think there is little danger.

[Tiffanyofhyrule]

Thank you all for taking the time to read and post, your responses have made me feel better about his decision. He probably thought it would be fine because of my age I just recently turned 30.

[natalie.ashlyne]

my doctor did the same thing. Estradiol progesterone Suprafact 

[AnonyMs]

Its good to get the test before starting HRT so you have a baseline. If there's anything wrong with your blood test results you'll know it wasn't caused by the HRT.

I'd guess the chance of anything turning up that would stop you taking HRT would be low. Seems like it would be slightly safer to wait though.

[Eleonore]

Mine did the same - got androcour, patches and gel at the first visit...


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[judithlynn]

Although I had transitioned one before (some 30 years previously) living full time for over 2 years when I went to see my Doctor again (whilst I had my previous letters indicating I was a transsexual), my doctor wisely insisted on the blood tests first.

This indicated my T was well under normal male levels. Since then having been on HRT for over 4 years now and although I was started on a very lower dosage which was relatively safe as there  were not any indications of other health conditions. However over the four years my GP has ramped up the dosage,so the quarterly blood test results are more critical. Mind you they also allowed me to watch the progress to where I am today of T under 0.95 and Oestrogen in the band of 240 to 260. Effectively hormonally female
Judith

[Rambler]

Mine took my blood work at the visit and sent me out the door with prescriptions for estradiol and spiro and a refill on Finasteride after taking blood work, but they definitely wouldn't have had time to run the tests and go over them first. I'm also 26, active, basically no family history to indicate concern, 150lbs at 5'9", all in all, very low risk. I would imagine that had something to do with it them starting me off at a standard dose.

[Tiffanyofhyrule]

I got 7 prescriptions! The 3 you always hear about, estrogen progesterone and spiro. Then theres finasteride, ic vit d2, and levothyroxine. Is all this really nessesary?

[AnonyMs]

I got 7 prescriptions! The 3 you always hear about, estrogen progesterone and spiro. Then theres finasteride, ic vit d2, and levothyroxine. Is all this really nessesary?

Levothyroxine is not hrt. Do you have some other medical problem?

My endo gives me vitamin D3 injections because I tend to get deficiencies due to lack of sun. When I was using tablets he told me to make sure I got D3, not D2. I can't recall why.

[JeanetteLW]

I got 7 prescriptions! The 3 you always hear about, estrogen progesterone and spiro. Then theres finasteride, ic vit d2, and levothyroxine. Is all this really necessary?

   I take about 10 meds but only 2 are HRT  Spiro and estradiol. The rest are either vitamin supplements or heart related meds. I take D3 for a vitamin D deficiency due to lakt of sun. It is common up here in the PNW. D3 is more efficient and lasts longer than D2 due to it's binding properties (I think) but D2 can be gotten in a lot higher does than D3 and that could be why it was prescribed. These days I thing D3 is more common.
   Levothyroxine is used to treat low thyroid activity and to treat or suppress different types of goiters.
   I have no idea what "ic" or "vit" stand for.

  Hugs,
   Jeanette

[Alanna1990]

I got 7 prescriptions! The 3 you always hear about, estrogen progesterone and spiro. Then theres finasteride, ic vit d2, and levothyroxine. Is all this really nessesary?

maybe you're low on something, sometimes they mix spiro with finasteride, so that's not weird.

For example, here in mexico pure estrogen is very rare to come by, so my endo sent me this prescription:

Finasteride
Ethynilestradiol
Drospirenone

no spiro because I'm so thin He worries about my blood pressure going to the floor.
I know, It's not standard but that's how stuff is done here :/ (also, my endo is super weird but He has a very good reputation with the transgender community in my city, no reason to doubt him)

[kat69]

The biggest issue an endocrinologist is looking for negative effects associated with changes to the levels of potassium caused by spirolactalone.  Although I haven't seen an endo prescribe before blood results, if you're healthy and have no other issues then perhaps they are going to verify based on the changes you will go through.

[Tiffanyofhyrule]

I don't have any health problems that I know of other than severe anxiety. When my endo came in to talk to me he asked if I had ever taken hormones before because I look very feminine already, when I told him that I never did he wanted to test me for klinefelters.

[Dena]

maybe you're low on something, sometimes they mix spiro with finasteride, so that's not weird.

For example, here in mexico pure estrogen is very rare to come by, so my endo sent me this prescription:

Finasteride
Ethynilestradiol
Drospirenone

no spiro because I'm so thin He worries about my blood pressure going to the floor.
I know, It's not standard but that's how stuff is done here :/ (also, my endo is super weird but He has a very good reputation with the transgender community in my city, no reason to doubt him)

I find it a bit surprising that estrogens have that problem. In the US, Estrace is the brand name but the generic would be about $40 for a 6 month supply of estradiol. It would be interesting to know why this is because often people from the US go to Mexico to fill prescriptions as the costs are lower on the other side of the border.

[natalie.ashlyne]

wow $40 dollars for 6 months is cheap up here in Canada I pay $54.56 for 1 month