Transfer of Oestrogen Therapy monitoring to Professionals (UK)

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    Now that you have, finally and with enormous relief, achieved a place in the GIClinic, found that you are totally supported in your given pathway, and have been pleasantly surprised at the lack of recriminations over self-administration, then the hard work starts.

    I have previously outlined the 'History' details, usually required in the GIC, for documentation purposes.

     

    EXAMINATION

     

    Blood Pressure: Height; Weight.

    Breasts: Testes and chest

     

    Blood tests, undertaken and reviewed: SHBG, Testosterone, Prolactin, LH, FSH

    Liver Function, Cholesterol, HDL, total to HDL ratio, PSA

     

    ASSESSMENT:

    the Endocrinologist will undertake to continue your oestrogen therapy, if he/she concurs with a Psychiatric opinion of male to female transsexualism.

    The plan is to dose titrate the Progynova or Climaval ( Oestradiol Valerate 2mgms ), or similar, until you hit the tardet range of 400 to 600 pmol/L. When on 4mgms, if you have not supressed your testosterone into the female rsnge of>3, then they will consider for a GnRH use in the form of Decapeptyl 11.25mgs.

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