Feminizing Hormones

There is no one way to transition, if you choose to take hormones this document outlines different options including medication, short/long term monitoring, costs, side effects and contraindications. Not everyone requires a referral to a specialist to begin a medical transition and your Primary Care Provider would be a great place to start. 

The main goal of hormone treatments is to facilitate physical changes  to better match your gender identity. This process is different for each individual and your Primary Care Provider will work with you to help you meet those goals.


Your Primary Care Provider will want to ensure you have a thorough understanding of the medication, anticipated changes, irreversible changes, risks & benefits and fertility preservation options. You will be required to provide informed consent and review consent documents with your provider. 

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Hormone Effects

Hormones affect everyone differently and the rate/degree in which your body changes will vary. It is important to note that some changes caused by hormone therapy are irreversible, while others may be reversible over time.

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Starting Doses and Costs

There are many different estrogen options available, your Primary Care Provider will discuss these options with you to determine which is the best fit. As with all medications, it is important to follow the prescribed dosing and administration schedule. It is also important to note that the starting doses of hormones will vary from one individual to the next based on health history, bloodwork results and desire for physical changes. The options are outlined in this section.

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Hormone Therapy Monitoring

Bloodwork will be required more frequently during the first year of therapy than it will be afterwards. It is very important to complete routine bloodwork to ensure the selected therapies are safe as well as effective for you.

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Feminizing Hormone Considerations

Hormones will impact you in many ways, this section will explore considerations for contraception, surgery, and for non-binary individuals.

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