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submitted 1 day ago by Kayday@lemmy.world to c/mtf

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I've been on HRT for 6 months, with 5mg weekly injections for the last 3 of those months.
3 months ago, my E was 22 pg/ml, now it is 333 pg/ml.
Doctor says that is too high and is going to to reduce me to a "maintenance dose". Just wanted to check with other people if this is consistent with their experiences. Thanks!

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[-] irotsoma@piefed.blahaj.zone 2 points 1 day ago

Make sure to do a test during peak and a test during trough.

I do that and then average them. They are always significantly different and i use patches which give a more steady dose than injections.

Also, I'm not entirely convinced that the values most doctors who are not specialists use are correct for trans people. If you aren't seeing an endocrinologist with at least a little specialty in sex hormones, I'd do that and see if they can recommend the right levels for your body rather than the general numbers that were always very conservative, and came from cis women's levels rather than what trans people need since there's usually no funding to research trans people.

I was lucky enough to start HRT with a general practitioner with a lot of experience with trans people during her residency and most of her career. But she moved on to another specialty due to the difficulty making ends meet as a good doctor. I'm on the lookout myself for an endo with good experience to consult one of these days.

this post was submitted on 02 Oct 2025
24 points (100.0% liked)

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