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.