I tend to agree with Joi on this. It is through doing bloodwork to see where your estrogen levels are at. they must do a baseline then reheck the blood again to get an accurate reading. You can not ask individuals on forums for this advice as each individual's body is differentand are not dr's The blood testing for estrogen will tell whether or not you are in the female range. Also, post op you still have to be on estrogen and a DHT blocker becuse it can take a long time for the testosterone to go down. I am still on a small dosage of spirno