Susan's Place Transgender Resources

I'm in Alaska and my doc is not that knowledgable of tran care (but she is learning and very good ). But she said my testerone levels (296 ng/dl <high>) ) are still high so she is upping my spiro to another a day.
My estradiol / estrogen shows as 59 pg/ml so upping my estradiol by another. ... I seriously can't wait to get castrated ... She gave me a therapist number but I'm not with that psycho analyzing crap. I been living as a woman since my name was changed in 1996 and don't feel no need to have to talk to a loony toon on what I want to do with my balls. I just do not adore taken all these pills (this is the longest I ever took mones in my life it's been like maybe 2-3 months ) ... So also if anybody know a castration doc that does not need those type of papers here in the states please tell me or else I'm just going to Mexico and have it done

Check your PM box!  :)

Wow, that is pretty low for the E and high for the T.

Cis women can have an average range from about 149 to over 200, depending on age. Any chance of seeing another doc? Is she an endocrinologist or just a regular GP?

Quote from: ImagineKate on September 28, 2014, 06:30:15 PM
Wow, that is pretty low for the E and high for the T.

Cis women can have an average range from about 149 to over 200, depending on age. Any chance of seeing another doc? Is she an endocrinologist or just a regular GP?

She is regular ... I just started back on mones lol I use to take them one month in every year and stop

Quote from: Jessica Merriman on September 28, 2014, 06:29:43 PM
Check your PM box!  :)

You said in another thread that too high an estrogen level can stop feminisation. Can you elaborate? I have never heard of this.

Quote from: TinaVane on September 28, 2014, 07:12:59 PM
She is regular ... I just started back on mones lol I use to take them one month in every year and stop

Wow. Good luck...

Quote from: kaye on September 28, 2014, 07:25:38 PM
You said in another thread that too high an estrogen level can stop feminisation. Can you elaborate? I have never heard of this.

I have never heard of this either. It was probably someone thinking that E can be metabolized to T which is simply not true, it is the other way around, T can metabolize to E which is the bane of some FTMs. The real risk of too much E is DVT and blood clots but with today's bioidentical estradiol (instead of something like ethinyl estradiol which is dangerous) it's less of a concern.

Here is the latest from Boston University School of Endocrinology.
Practical Guidelines for Transgender Hormone Treatment
Adapted from: Gardner, Ivy and Safer, Joshua D. 2013 Progress on the road to better medical care for transgender patients. Current Opinion in Endocrinology, Diabetes and Obesity 20(6): 553-558.

KEY POINTS

•In order to improve transgender individuals' access to health care, the approach to transgender medicine needs to be generalized and accessible to physicians in multiple specialties.
•A practical target for hormone therapy for transgender men (FTM) is to increase testosterone levels to the normal male physiological range (300–1000 ng/dl) by administering testosterone.
•A practical target for hormone therapy for transgender women (MTF) is to decrease testosterone levels to the normal female range (30–100 ng/dl) without supra- physiological levels of estradiol (<200 pg/ml) by administering an antiandrogen and estrogen.
•Transgender adolescents usually have stable gender identities and can be given GnRH analogs to suppress puberty until they can proceed with hormone therapy as early as age 16.

Yes, too much "E" will have an adverse effect.

Quote from: Drazenko on September 28, 2014, 07:36:25 PM
I had my orchiectomy with Dr. Marc Arnkoff in Southfield, Michigan.
He did not require any letters. I also tried to contact him for a penectomy but no luck.

But I am having a penectomy done at Henry Ford Hospital in Detroit with another doctor.

If you have trouble reaching Arnkoff there are probably other doctors in Michigan who will do it.

What is his cost I plan on paying out of pocket ? I just want that thing gone well those balls lol

Okay looking at my old labs from New York (before moving to Alaska dated April 2nd 2014 ) my testerone levels were at 1056 (I was prescribed all the mones there but I just did not take them lol ) ...

If there is the possibility of SRS in your future you might want to E-mail a few surgeons. Most prefer no orchie before SRS. It gives them much more skin to work with.  :)

Quote from: Jessica Merriman on September 28, 2014, 07:55:54 PM
If there is the possibility of SRS in your future you might want to E-mail a few surgeons. Most prefer no orchie before SRS. It gives them much more skin to work with.  :)

Oh yea I heard about that ... I'm not sure if I want an entire operation if I did I would probably never use the new hole tho because in my head it would still be a inverted penis (I'm a virgin down there never used it to poke/play or anything )...  If I did do it it would be for monetary gain as in an investment to work in strip clubs etc ... I hope nobody attacks me for saying that lol 

Quote from: Jessica Merriman on September 28, 2014, 07:35:42 PM
Yes, too much "E" will have an adverse effect.

Not to derail this too much, but I've seen this said before but always without any elaboration. Do you mean other than the risk of blood clots, etc.? Are you saying that too much would in some way reduce its effects?

Quote from: Jessica Merriman on September 28, 2014, 07:35:42 PM
Here is the latest from Boston University School of Endocrinology.
Practical Guidelines for Transgender Hormone Treatment
Adapted from: Gardner, Ivy and Safer, Joshua D. 2013 Progress on the road to better medical care for transgender patients. Current Opinion in Endocrinology, Diabetes and Obesity 20(6): 553-558.

KEY POINTS

•In order to improve transgender individuals' access to health care, the approach to transgender medicine needs to be generalized and accessible to physicians in multiple specialties.
•A practical target for hormone therapy for transgender men (FTM) is to increase testosterone levels to the normal male physiological range (300–1000 ng/dl) by administering testosterone.
•A practical target for hormone therapy for transgender women (MTF) is to decrease testosterone levels to the normal female range (30–100 ng/dl) without supra- physiological levels of estradiol (<200 pg/ml) by administering an antiandrogen and estrogen.
•Transgender adolescents usually have stable gender identities and can be given GnRH analogs to suppress puberty until they can proceed with hormone therapy as early as age 16.

Yes, too much "E" will have an adverse effect.

Did they say why? If too much e has an adverse effect why aren't pregnant women masculinizing?

I don't think it has to do with feminization as much as it has to do with general health risks such as DVT and cancer as well as cardiovascular risk factors such as high triglycerides, high blood pressure and diabetes (in which case E may actually improve things).

There was just an entire thread about Satinjoy overdosing on E and needing hospitalization. I don't really know the particulars, but it's pretty recent.