For many, MtF hormones (also called hormone replacement therapy or HRT) is one of the first steps in the transition. If the patient is a transgender woman, she is given female hormones while at the same time reducing the production of male hormones. For transgender men, it is exactly the opposite. It is possible to start with hormone treatment via 2pass Clinic.
MtF hormones is a major therapy. Before the endocrinologist (hormone specialist) prescribes hormones, it is first determined whether genetic dysfunction actually occurs. In addition, you have to answer some questions about your health and you may have to undergo a short medical examination.
MtF hormones is not recommended for transgender women with untreated high blood pressure, who have a thrombosis (blood clot) or cerebral hemorrhage, or who are known to be at risk of thrombosis, and transgender women with severe liver disease.
In addition, you must be at least 16 years old. People below 16 years of age cannot get puberty inhibitors. These inhibit the development of gender characteristics. There are conditions attached to this.
Are you considering gender-change surgery (sexual reassignment surgery)? During the operation, the testicles are removed. This eliminates the source of testosterone production. After surgery, only estrogens are necessary.
For MtF hormones of transgender women, two types are used:
The main difference between these species is that synthetic hormones are much stronger. They give faster results, but also have more side effects.
It is possible to buy hormone preparations for trans women via the Internet. We do not recommend that. Self-medication increases the risk of health damage, side effects and other unwanted effects. In addition, the quality of products sold through the Internet is not guaranteed.
MtF hormones inhibit the production of the male hormone testosterone in transgender women. This is achieved with anti-androgens such as cyproterone acetate. To this is added estrogens, which are provided both in tablet form and in patches. A number of male gender characteristics gradually disappear into the background.
People respond differently to MtF hormones In some people, the effects are more pronounced or may present quicker than in others. This is normal.
MtF hormones ensure that you feminize sooner. However, there are cases where hormones have little or no effect.
MtF hormones affect your fertility. If you are treated with hormones for a long time, there is a strong possibility you will not be able to produce any more children. Do you nevertheless want a child in the future? Trans-gender women can freeze seed cells before hormone treatment. The endocrinologist can tell you more about this.
In the first year there are quarterly controls by the endocrinologist; in the second year of hormone treatment, semi-annually. After gender-adjusting operations, follow-ups are often done annually.
In most cases, your health insurance will reimburse you for hormone preparations. This usually happens after approval by the physician and after submitting a statement from the psychologist and endocrinologist.