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.

Anti-Androgen & Progestin Therapy

It is common to see a type of medication called an "anti-androgen" combined with feminizing hormones when starting or maintaining a feminizing medication regimen. Anti-androgens act to block the effects of naturally-occurring testosterone (masculinizing hormone found in all bodies), which helps promote feminizing changes. There are a couple different anti-androgen options available in Canada that your primary care provider can discuss with you.

Spironolactone is a very commonly used anti-androgen in Canada and around the world. The cost of this medication varies depending on the dose that works for you. Pricing in Alberta can range from $20 - $50 / month without any kind of drug coverage/insurance.

Progestins are another drug therapy that helps reduce naturally-occurring testosterone levels and may be considered in a feminizing therapy regimen. The use of this type of medication varies depending on the desired outcomes, patient risk factors, and prescriber comfort level. If used, it is often initiated with the intention of being a short-term medication (maximum 2 years)

Estrogen Preparations and Starting Doses

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 below:

Table3.png


More Topics

Consent

Your Primary Care Provider will want to ensure you have a thorough understanding of the medication, anticipated changes, irreversible changes,...

Read more

Hormone Effects

Hormones affect everyone differently and the rate/degree in which your body changes will vary. It is important to note...

Read more

Hormone Therapy Monitoring

Bloodwork will be required more frequently during the first year of therapy than it will be afterwards. It is very important...

Read more

Feminizing Hormone Considerations

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

Read more