23
submitted 4 days ago by birdwing to c/mtf

See title. I'm on HRT for over 11 months now, thoroughly enjoying it. I've a hunch the dose is a bit low, though. I get androgen blockers every 2-3 months, my last one was one month ago.

Normally my arm hairs aren't very visible, so I didn't have much dysphoria from that. However, recently my arm hair seems to be growing a lot and thicker, and I'm concerned. Is this normal?

My mum doesn't really have a lot of arm hair, nor do other gals in my family.

you are viewing a single comment's thread
view the rest of the comments
[-] birdwing 4 points 4 days ago* (last edited 4 days ago)

Ok, so the results are here. Last measure was August (yeah, oops... I got ill around the time I was supposed to have my next test and prolonged it).

Just before starting (March), I had 125 pmol/L for estradiol, and free T was 358.9.
By August, I had 175 pmol/L for estradiol, and free T was 30.5.

Pinging @dandelion@lemmy.blahaj.zone as well for this!

Okay so referring back to other conversations in other posts, it's clear transfemscience is right about lenzetto, and you need something different like injections, gel, or even pills. If they give you something else please come ask us about it or check transfemscience or other resources and make sure the dosages are adequate. If they are not please go somewhere else or go DIY.

[-] birdwing 1 points 3 days ago* (last edited 14 hours ago)

Injections are sadly not an option, with DIY it is. I dislike needles and want to avoid the liver risk w/ pills, and my skin is rather sensitive (so no patches, though those are an option), so maybe I should look into gel, then.

I upped my dose after the last measurement, so I'll get a new blood test asap. Once I get the results, I'll check if the levels are in better ranges. If not, I'll try upping to four doses myself, split into two moments a day.

The next blood test is in mid-April. If by then the results are still low, I'll switch to gel.

Is that a good idea?

[-] WillStealYourUsername@piefed.blahaj.zone 2 points 3 days ago* (last edited 3 days ago)

Injections don't have a liver risk? It is exactly as safe as gel/patches!
Gel then does sound like what you want, or a stronger spray perhaps (I think gels are just gonna be better in general than any spray)

[-] dandelion 2 points 16 hours ago

@birdwing@lemmy.blahaj.zone

+1 for abandoning sprays, gels or patches would probably be better (injections are best, I understand needles are scary, I nearly faint when I get my blood drawn, but subq injections are practically painless with tiny needles - and it's definitely something you can learn to do even with crippling phobia like I have)

[-] birdwing 2 points 16 hours ago* (last edited 13 hours ago)

I scheduled another blood test, this will be in early March actually. After next week I'll see what the results are. If that yields good results, I can continue. If it's getting nearer the 400 pmol/L, but not there, I'll switch to four doses a day, split over two moments (morning and evening), until I can switch to gel.

This is because needles aren't an option here (yet), unless if you go DIY. My skin is sensitive and so patches aren't an option. Spray however dries quickly and my skin doesn't react badly to it. So, gel it is, if spray isn't effective enough.

[-] dandelion 1 points 16 hours ago

is the spray essentially transdermal like gel?

What is the dose "per spray", and how would it compare to gel?

My skin is also sensitive, I don't think I could do patches (this is a big reason I do injections). I think I could do gel now that I'm post-op, but pre-op I really don't think it would have worked well enough for me.

[-] birdwing 2 points 15 hours ago* (last edited 15 hours ago)

The spray is transdermal, yes.

It's 1.53 mg/dose. It dries significantly faster (2 min, vs 10 min for gel).

[-] dandelion 1 points 14 hours ago

it's possible the spray would be just as effective as gel, then - not really sure, but they're both transdermal. I don't know what doses the gel come in, and I also just don't know about how well the skin absorbs estradiol from spray vs gel - I would be really interested to learn more, though!

[-] birdwing 1 points 3 days ago* (last edited 3 days ago)

Oops forgot to add pills in there, that's what I talked about re: the liver risk!

I picked the spray because I find it convenient for its quick drying time, but yeah.

T should be reduced a bit further to like 20ish or less to be within the normal range for cis women. Your estradiol levels are very low. Generally we aim for like 400 pmol/L when on blockers, or 800 without, so you're being massively underdosed. If they refuse to meaningfully up your dose please go somewhere else or do DIY.

I would say the issue is mainly that your estradiol dosage is low. If a higher dose of E can't help with bringing your T down then your dosage of blocker needs to be a bit higher as well, or you need to make sure it's always every two months rather than three, or something like that. I assume you're getting some kind of gnrh agonist injected.

[-] birdwing 2 points 4 days ago

They actually upped it after that last recorded level checkup! Back then I took 2 doses, they recommended 3 after they saw it was low.

So the levels are from 2 spritzes a day? With how short the half life is I suppose it's possible 3 spritzes will make a difference but I'm not sure it will be enough.

[-] birdwing 2 points 3 days ago

They are, yes.

[-] dandelion 2 points 4 days ago

thanks! Looks like good T suppression - but August was a while ago, and your E was pretty low ... what anti-androgen are you taking? It could just be as simple as needing a dose adjustment on your anti-androgen, esp. because those E levels are not likely enough to suppress T on their own.

[-] birdwing 2 points 3 days ago

My antiandrogen injection is Pamorelin, 11.25 mg. One injection every 12 weeks. Also, should I best get that injection before or after the blood test (that will indicate my E and T levels)?

The Lenzetto is 1.53 mg / dose.

this post was submitted on 25 Feb 2026
23 points (100.0% liked)

Transfem

5310 readers
127 users here now

A community for transfeminine people and experiences.

This is a supportive community for all transfeminine or questioning people. Anyone is welcome to participate in this community but disrupting the safety of this space for trans feminine people is unacceptable and will result in moderator action.

Debate surrounding transgender rights or acceptance will result in an immediate ban.

This community is supportive of DIY HRT. Unsolicited medical advice or caution being given to people on DIY will result in moderator action.

Posters may express that they are looking for responses and support from groups with certain experiences (eg. trans people, trans people with supportive parents, trans parents.). Please respect those requests and be mindful that your experience may differ from others here.

Some helpful links:

Support Hotlines:

founded 2 years ago
MODERATORS