HRT Facts - Progesterone
HRT Facts - Progesterone
I’m about to write an email to the corresponding author of the #Progesterone study. This is my current draft:
Dear Koen,Thoughts anyone?
in 2024 you and your team registered a study with BMC Pharmacology and Toxicology in which you declare that you will perform a 1 year study on the effects of progesterone and higher Estradiol-levels in the treatment of transgender individuals. Considering that this was now 1.5 years ago, that you had essentially finished recruiting of participants at the time, and that this is a fully pre-registered study, I am somewhat surprised that you still seem to not have published the results.
I am sure that you are aware that many transgender individuals are awaiting these results not least because many endocrinologists even outside VUMC are refusing to prescribe progesterone, pointing to this supposedly soon to be available study. Naturally this is creating avoidable tension and I am aware of several trans women who have expressed the intention of self-medicating progesterone on top of their officially provided HRT regiments.
It is with this background, that I’d like to know what the current status is and when we can expect the final publication.
Best Regards,
Dr. Fiona Weber
Just got a call from the fuckers in Amsterdam (VUMC) whether they need to keep me on their waiting list. I told them that I’m essentially through the entire process (no thanks to them), and should now be put on Radboud’s surgery waiting-list any day now and that they can remove me from theirs, since I prefer to work with psytrans. (Maybe I should have said “because unlike for you, I do have some trust into those people…”)
I did ask them where in the waiting list they are currently and was told that they are now dealing with people who were referred to them in 2020…
I also asked about the #progesterone study that they should really have published already, but the person who called me claimed to not really know anything about, go figure…
#transition #medicaltransition #DutchHellCare #trans #VUMC
homemade progesterone hrt
I'm looking for some advice on starting progesterone. I've been on IM estradiol injections for awhile. Does anyone have some info or advice? Any input would help. Hard to find info online that looks reputable or actually has concrete guidance and my doctor won't say anything beyond "it's up to you". No dose or method recommendation so it's my call on all fronts apparently.
HRT having, transfem HRT question (progesterone), boosts welcome
https://www.pillowfort.social/posts/5929807
Saheli, a 'non-steroidal non-hormonal contraceptive pill'. Saheli dosage starts 1 pill per half-week for ... (?), then 1 pill weekly. Basically induce a brief, mini-menopause that stops when you stop the pills. https://saheliinfo.com/clinical-evidence
Then! ONE-YEAR vaginal ring Annovera. Unlike monthly-ish vaginal rings, (https://www.medicines.org.uk/emc/product/6449/smpc) this thicker vaginal ring holds enough for 13 cycles with one week bleeding breaks, or 12 if you skip periods. Think "buff NuvaRing". https://www.annoverahcp.com/
Speaking of intra-uterine system / device options: the UK does several! We are no longer stuck with the larger, higher dose Mirena hIUS. https://www.mirena.co.uk/ I want the smaller, lower dose (but shorter duration) Jaydess https://www.fsrh.org/Public/Public/Documents/ceu-product-review-jaydess-apr-14.aspx or Kyleena. https://www.medicines.org.uk/emc/product/769/smpc
(You can fit a non-hormonal IUD copper coil as emergency contraception, within 10 days of unprotected sex. Fitting it as regular birth control anytime otherwise is also fine, when not pregnant.) https://patient.info/sexual-health/long-acting-reversible-contraceptives-larc/intrauterine-contraceptive-device
Finally, vasectomy. New part is "I found multiple cases where doctors did their own vasectomies". This may be helpful for hesitant cis men and AMAB people to know. Vasectomies are reversible ("easily", according to a medical nerd friend, but obv different people's bodies respond to things in weird, cool ways, so everything depends). https://www.baus.org.uk/_userfiles/pages/files/Patients/Leaflets/Vasectomy.pdf
I am not a doctor. Even if I were, I am not YOUR doctor. I do not have access to your medical records.
I'm just infodumping useful info to prevent unwanted pregnancies, minimise unplanned pregnancies, and mitigate risks. https://cks.nice.org.uk/topics/contraception-sterilization/management/male-sterilization-vasectomy/
DIY / homebrew HRT query on behalf of a trans gal we know, who lives in Sweden
How would someone in Sweden, hypothetically, get progesterone (P4) capsules or cream without a prescription, in light of Sweden's restrictive customs?
It goes without saying that this is necessary as Sweden, like the UK and other countries, has incredibly-poor gender-affirming healthcare for trans people
Our current thoughts are:
Thoughts?
important news for aussies taking HRT:
as of march 1st, prometrium (#progesterone), estrogel, and estrogel pro will be added to the PBS - this means you'll be able to get public scripts for them, which will be subsidised. see https://www.abc.net.au/news/2025-02-08/federal-labor-promises-funding-boost-for-womens-health/104914202 for more.
the addition of prometrium is especially good news because progesterone was previously only available via PBS as a vaginal gel, and only under very specific conditions: https://pbs.gov.au/medicine/item/12465C-12598C.html
My Experience with Progesterone in HRT: A Journey
https://janetannelogan.com/2025/02/08/my-experience-with-progesterone-in-hrt-a-journey/
#HRT, #MedicalTmi, #Migraine, #Progesterone, #Spoonie, #Trans, #Transgender
Effective today, I have discontinued progesterone. The side effects and contraindications reached the point where they were outweighing any further benefit I could expect.
Migraines: 4 in the last 3 days.
Sumitriptan is contraindicated for those with arrhythmia.
In case anyone is wondering where the #progesterone study of the #VUMC can be found: Despite their protocol having been accepted over a year ago, they seemingly still haven’t published their results…
Now, the last tests they want to run are supposed to happen 1 year after starting, so I’m not yet calling for torches and pitchforks, it takes a while to actually start testing and you need to write the actual paper, and…
But my patience is very much on borrowed time… If they are not done by the time I have my next endo-appointment, I will assume that the results were that their E-levels are too low and that Prog works in desirable way, going back to DIY, because I’m past the point of not assuming malice with these folks…
If you have questions, the corresponding author is Koen M.A. Dreijerink (k.dreijerink@amsterdamumc.nl).
#hrt #transition #transgender #transfem #HRT #OpenHRT #DIYHRT
Question about progesterone side effects
I thought the limp weak-limbed feeling I wake up with most mornings was just more #perimenopause fuckery, but I think it might be the nightly #progesterone pill.
Because I've forgotten to take it a few times (though I usually remember my twice weekly #estrogen patch) and I seem less deflated when I have.
Fascinating.
Turns out I don't actually have a family history of breast cancer and there are reasons my one relative who had got it rather than just not explainable. Thus, I'm going to try progesterone. It can be purchased over the counter in the US (micronized/bioidentical, the stuff you want), just not prescription strength so I have to use more. Going to use the cream since the other way wouldn't be a good idea for me for reasons and I just don't want to do that.
Transfemmes, what medications do you take for your transition?
Someone give me extra reasons i should give to my doc to convince them to let me take progesterone #trans #hrt #progesterone #transfem
Is it true what my endocrinologist says, that blood tests for progesterone aren’t informative for trans women and that we just have to try what dosage works best?
#transHRT #HRT #endocrinology #progesterone
I would like progesterone but my fear of society and people I know in real life knowing based on its main effect makes me not want to use it, plus I'm already really tired. I'd use the cream since the other way is just too much for me.
An #experimental #pill cut #Hotflashes and improved #sleep for #women in #menopause — without using #hormones
The #drug, called #elinzanetant, works by blocking the #brain #chemicals responsible for #hotflashes and #NightSweats – what doctors call #vasomotor #symptoms – in #women whose #ovaries have slowed #production of the #hormones #estrogen and #progesterone.
#Women #Transgender #LGBTQ #LGBTQIA #Health #Healthcare
https://www.cnn.com/2024/08/22/health/menopause-hot-flash-pill-study