Susan's Place Transgender Resources

Community Conversation => Transitioning => Hormone replacement therapy => Topic started by: lisarenee on November 17, 2015, 01:48:35 PM

Title: C**p -- Wrong Direction
Post by: lisarenee on November 17, 2015, 01:48:35 PM
I just received my 6 month levels. After 3 months everything had gone substantially in the right direction (E +47%, T -45%). The only thing that went in the right direction this time was my Lipids (Total -3%, LDL -8%, HDL +10%, Triglycerides -7%). Everything else is going the wrong way (E -13%, T +36%  :'()

I had noticed that I wasn't feeling as emotional anymore, but had just assumed my body was getting used to being on E instead of T. It was developing a tolerance instead. Hopefully, my Endo will up my dose when I see her next week.
Title: Re: C**p -- Wrong Direction
Post by: Rachel on November 17, 2015, 06:15:07 PM
Hi, can you provide the T + E values with units?

Sometimes getting HRT right takes a while.
Title: Re: C**p -- Wrong Direction
Post by: JLT1 on November 17, 2015, 10:46:21 PM
Hi,

That happens.  Now is a good time to figure out if your endo is a good one or not.  Your body adjusts and the dosages need to be adjusted as well.

Hang in there!

Hugs

Jen
Title: Re: C**p -- Wrong Direction
Post by: jenifer356 on November 18, 2015, 09:27:52 AM
Lots of things factor into the results - The method of intake (oral, injection, patch) can result in varying levels of drugs in the body and then time of day or number of days after intake has an effect based on half life of the particular drugs - patches do tend to have the lowest peaks and valleys so date/time of blood test is not as critical - oral (pills) does have the shortest half life and the difference from taking a blood test 2 hours after ingestion versus 8 hours after can have a greater effect - blood work for injections should be pretty close to the midpoint of time between injections as levels go very high at injection time and then decay continuously until the next injection

be well
jenifer
Title: Re: C**p -- Wrong Direction
Post by: lisarenee on November 18, 2015, 01:35:29 PM

UnitStarting3 Months6 Months
Estrogen(pg/mL)163.2239.3207.3
Estradiol(pg/mL)313136
Estrone(pg/mL)4610893
Testosterone(ng/dL)346191260
Free Testosterone(pg/mL)80.351.661.9

I'm taking pills (oral).
Title: Re: C**p -- Wrong Direction
Post by: iKate on November 18, 2015, 02:58:10 PM
Yikes! I don't think I've ever had T levels that high... even pre transition.
Title: Re: C**p -- Wrong Direction
Post by: Rachel on November 18, 2015, 06:24:17 PM
I recommend talking to your doctor about your T. I had no baseline T but 3months on 2/3 E transitioning dose of E pills and spiro and my T was 26 ng/dl. I am not a doctor; however, your T looks high to me.
Title: Re: C**p -- Wrong Direction
Post by: KarynMcD on November 19, 2015, 01:47:23 PM
Are you taking an anti-androgen?
Title: Re: C**p -- Wrong Direction
Post by: lisarenee on November 19, 2015, 05:19:04 PM
Quote from: KarinMcD on November 19, 2015, 01:47:23 PM
Are you taking an anti-androgen?

Spironolactone (Spiro) + Estradiol + Progesterone
Title: Re: C**p -- Wrong Direction
Post by: KayXo on November 19, 2015, 05:55:00 PM

I find those (E) levels ridiculously low. I don't like pills as estrone levels go way up while estradiol doesn't to the same extent and can even be blocked by the weaker estrone. Thank goodness I switched to injections and you don't even need an anti-androgen anymore cause testosterone levels also plummet on injections.
Title: Re: C**p -- Wrong Direction
Post by: Serenation on November 19, 2015, 05:55:52 PM
Your T is still with in male range (just). I'm sure your endo will sort it out, that's why we get the blood tests.
Title: Re: C**p -- Wrong Direction
Post by: Debra on November 20, 2015, 09:40:37 AM
Wow yeah, maybe your body adjusted to the dose of spyro. Seems like more of an issue of spyro than estorgen.
Title: Re: C**p -- Wrong Direction
Post by: emma-f on November 20, 2015, 12:48:37 PM
I had a similar pattern, and my doctor said it does happen surprisingly often. Something about the body overcompensating and making more T. At 3 and 6 months I was near female range(not quite all the way) but at 12 months it was creeping up. On triptorelin injections now which are pretty much a guarantee re T levels
Title: Re: C**p -- Wrong Direction
Post by: melissa_h on November 20, 2015, 01:39:34 PM
I'm eager to see where mine wind up.  APN seemed really happy that my baseline T was only 150.   

Similar path, relatively low dose so far ... but I've definitely got a little bit of worry that as the body gets used to a dosage, it might be able to fight against the intended effects. :( 



Title: Re: C**p -- Wrong Direction
Post by: lisarenee on November 23, 2015, 12:59:31 PM
My Endo semi-begrudgingly upped my Spiro and Estradiol. Hopefully, things will go back in the right direction.
Title: Re: C**p -- Wrong Direction
Post by: KayXo on November 26, 2015, 04:40:45 PM
T levels fluctuate.