Thanks youOn #9, I’ve been injecting IM in the glute for a year (after a year on sublinqual pills). Could you please lengthen them a little from subsequent time? Change ), You are commenting using your Google account. […] are many myths about injections. Are the injections better than the patches, how do they compare? Using the thigh for IM injections of oily hormones is usually NOT a particularly good choice.]. Estrogen injection may cause other side effects. At the time I started HRT my BP was around 160-180/100-125 and on Lisinopril for HBP This will be my first shot fellow sublingual. In reply to your post 5/30/20, t says on the 28mL vial: 1.5mg/mL once daily. Estrogen may be given as a pill, by injection, or by a number of skin preparations such as a gel, spray or a patch. Being synthetic does not prevent estradiol valerate from being bioidentical. Plus at least 45 minutes of exercise every other day is a must! Talk to your child's doctor about the risks of giving this medication to your child. How you do this depends on how your hormones are packaged, and I have covered that subject elsewhere. This one is for Case 1, using the conventional Luer Lock syringe: https://youtu.be/KooPrAWrlFA, This one is for Case 2, with the insulin syringe: https://youtu.be/kcIFYL-mDlQ. But why did you say that using estradiol aqueous is not “practical”? Create your website today. I use 70 units daily. It’s been a year this month since my endo at Winthrop Hospital here on Long Island-mostly based on his own research and perhaps partly on what’s been discussed at this and other trans community forums-suggested that I switch from 0.5 mg of 40mg/ml estradiol valerate every 14 days (which I’ve used for > 20 years) to 0.73cc of 1.5mg/ml estradiol aqueous daily, which a local pharmacy compounds for me. Can you state how the prescription was written? I’m about to make the switch from IM to subQ, and hope I can “come back” to the BD 1ml syringes, but I’m curious about your thoughts about something: It has been completely impossible for me to inject EV 20mg/ml in any quantity through a 25ga 1-inch needle and BD 1ml syringe. The longer you use estrogen, the greater the risk that you will develop endometrial cancer. But there are loads of other MTF HRT effects that can kick in to a greater or lesser extent. Replace conventional sweets with air popped corn, oatmeal (I like it with some blackstrap molasses) or toasted multi grain with smears of org blue, straw or raspberry preserve. Does your doctor want you to inject once or twice weekly? Generally, results with injections are dramatically better, depending on what your goals are. I see by your article on injections it shows injecting in the fat. website builder. These patients can benefit from SubCut abdomen or hip injections of hormones, which can be easily done while sitting. For many people, hormone treatment is the first step to transitioning physically into a female body. (3) In both cases, the injection is an oil-based steroid ester – if one works well, the other should also. Too many of them just want pills. SubCut injections may also make it easier to go from a long cycle (7 day) injection schedule to a shorter one (twice a week). Using MTF hormones is a method that tries to replicate the phases of puberty… but to your liking. They have the name brand which I can't afford. • After inserting the needle into the muscle, lift your hand away from where it is holding the skin. Change ), You are commenting using your Twitter account. I tried to post earlier that thi si the way I have been doing it, but injecting weekly. He has had me on SubC injections of Delestrogen (Estrodiol Vallerate for 3 years now.). If you inject 2ml of hormones per 10 days, for instance, you will need to split it and change your schedule to 1ml every 5 days. I’m often surprised how many of these are accepted as true… in some cases, even by health professionals. Myth 7: “I’ve used other methods of HRT for many years and have nice breasts. See our article for more details on the preferred equipment and the patient experience. Start Now Except for this disastrous weight gain, estradiol aqueous has clearly improved my hair. I’ve been using synthetic estradiol valerate for > 20 years (Steris Labs, Squibb, Sandoz, Perrigo, et al). In Episode 9, Erin Everett, NP-C, gives an overview of Feminizing Hormone Therapy medications for a Male to Female MtF Transition. Once you get familiar with this technique, you can make a game of it — see how completely painless you can make it. Myth 11: “My doctor says that long term estrogen levels produced by injections are too high, so he is keeping me on pills.” Estrogen levels can be adjusted to any level your doctor favors with injections – far easier than with pills or some other methods. I don’t have time for that.” Actually, most transsexuals give themselves the injections. The 30g will generally cause significantly less injection pain. And is it OK the way I’m doing it, Jami, the article on Subcutaneous Injections shows injection in the fat layer under your skin using a 1/2 inch needle. Transgender. Estrogen alone: About a month, probably soreness in breast tissue behind the nipples. Otherwise, in this case, you only need to buy one piece of equipment — the 0.3cc insulin syringe. I am not contention with my endo’s recommendation that my estrodiol levels approximate those of a post menopausal women. (2010), no VTE events were reported among the same 162 MTF and 89 FTM individuals followed, despite observation of activated protein C resistance and deficiency in 7% and … (3) “Subcutaneous Injection of Testosterone Is an Effective and Preferred Alternative to Intramuscular Injection: Demonstration in Female-to-Male Transgender Patients”, Spratt, The Journal of Clinical Endocrinology & Metabolism, Volume 102, Issue 7, 1 July 2017, Pages 2349–2355, https://doi.org/10.1210/jc.2017-00359 Very few medical professionals seem to know the ideal way to inject oily hormones subcutaneously. Posted by 24 days ago. Extreme high, then a taper off to a “low point” where a new injection is then administered. If either of these factors will bother you, go back to Case 1. The goal of feminizing hormone therapy is the development of female secondary sex characteristics, and suppression/minimization of male secondary sex characteristics. Posted by. ( Log Out / But I was especially overjoyed to find the thickness, density and texture of my hair had improved quite substantially. The Easytouch brand is not personally familiar to me, but is very low cost at under 30 cents each: https://www.missourimedicalsupplies.com/easytouch-1cc-luer-lock-syringe-bx-100/ . Now you’re set. The market for estrogen injections is dominated by two manufacturers. Fill the syringe with the proper dose of your oil-based hormones (Estradiol Valerate, Estradiol Cypionate, Progesterone in Oil, Testosterone Cypionate/ Propionate/ Enanthate/ etc.) The goal of hormone therapy in transfeminine patients is to reduce the endogenous effects of testosterone such as a coarse body hair and facial hair; and to induce feminine secondary sex characteristics such as breast and hip development, in keeping with the patient’s individual goals. https://transhormones.wordpress.com/2017/11/01/subcutaneous-injection-of-hormones/. In Nov ‘14 I was taken off diabetes meds as my A1C has dropped to 5.3. There are two cases. These BD syringes are excellent, at about 50 cents each: http://www.allegromedical.com/syringes-c570/syringe-luer-lok-1cc-sp-p550722.html. report. Slip-type syringes are only suitable for less viscous injections such as vaccines. It is also used to treat a lack of estrogen that is caused by ovarian failure or a condition called hypogonadism. Anyone know if switching the dosage would fix that? This site was designed with the .com. A few years ago I was at my yearly appointment with my endocrinologist, when she asked me, “Beverly, I wish I could convince more of my new patients to start out on injections. This determines the type of equipment you must use. It’s convenient to draw with the same needle you inject with, and safe, but the needle can get slightly duller when it pierces the seal, making the injection less comfortable. Extreme high, then a taper off to a “low point” where a new injection is then administered. where EB will last 3 days (so injection every 3 days), EV will last 5 days (injection every 5 days) you will want to do an inter muscular injection in ether the thigh or the glutials (your bum). through an employer, income assistance or disability assistance). Myth 1: “Injections are too expensive! The change in the tension on your skin, when you released the pinch, will help to prevent any leaking or a drop of blood from showing. Transgender adolescents usually have stable gender identities and can be given GnRH analogs to suppress puberty until they can … Shortly after, I learned of a patient in Canada using estradiol valerate (EV) subcutaneous injections, and decided to try it on myself. Sent: Wednesday, July 29, 2020 at 11:00 PM, […] long needle, and do the injection shallowly at an angle into the fatty layer of the abdomen. I never drink any alcohol (always made me depressed as well as fat) and eat no sugar. The market for estrogen injections is dominated by two manufacturers. Today I decided to try injecting only every other day for a week or two and see if I feel and look okay. (Larger syringes such as the 3ml syringe are not suitable because they make using small needles impossible with oily hormones — don’t let your pharmacist give you the wrong syringes!) [Discussion] The title says it all. Your blog is one of the reasons I switched to injections (among other research and talking to my doctor), so I just wanted to say thanks for putting all this info our there. Second, a proper IM injection into the gluteus generally requires that you be standing. Then I would draw/inject 0.5mL of the fluid four inches from my bellybutton (putting it at about halfway between my hip and said navel), putting the needle straight in while I do it, and repeating that every five days at alternating sites. Testosterone blockers may stop male pattern baldness from getting worse – and can even bring back hairs where the follicles are just dormant (caused by testosterone being converted to DHT). In choosing case 2, keep in mind that this has a disadvantage that filling the syringe is VERY time consuming because it has to be drawn thru a 30g needle. It is recommended that MTF patients undergo feminizing hormone therapy roughly 12 months minimum prior to their breast augmentation in order to maximize optimal results. Furthermore, low estrogen levels arrived at by injection tend to produce more feminization, faster, than low estrogen levels arrived at by most other methods such as oral estrogen, (due to negative effects of pill-derived estradiol antagonists) so if you must keep your levels low, injections are the best way to do it and still get optimum results. While this varies on a case-to-case basis, HRT medication for people undergoing an MTF medical transition commonly consists of a form of estrogen combined with an anti-androgen. Including a testosterone blocker: About 3 days. ( Log Out / take care not to hit the sciatic nerve tho or you really will know about it. There are various ways to administer estrogen. It can also be minimized by using estradiol cypionate instead of estradiol valerate, or by injecting smaller doses more often. YMMV, but in my case I found estradiol aqueous seemed to improve breast shape and texture. Myth 10: “My doctor worries that I will hit my sciatic nerve when I inject myself.” This is very unlikely. INJECTING MYSELF WITH ESTROGEN FOR THE FIRST TIME | MTF TRANSGENDER. Estradiol Pill: Generic estradiol is an incredibly cheap pill form of estradiol that many transgender women take. However, I am here to learn more and to evaluate whether I should let my doctor switch me to patches. They also mention a 5/8ths inch needle, 25g or 26g, instead of the 1/2 inch 30g needle I suggested above. • Clean the injection site skin with a new alcohol swab; let the skin air dry. That would allow me to use Owen Mumford’s Autoject 2 pen-inexpensive, reusable and essentially painless, say many Amazon reviews. You can twist the needle into a circle and it will not break. Injections: causes spikes in your estrogen levels. My informal results were confirmed by blood tests as well. The effects of testosterone, such as coarse body hair and facial hair, are reduced, and female secondary sex characteristics such as breast and hip development, are induced. 16/09/2020 por en Sin categoría. If you doubt that, ask a doctor specializing in fertility treatments. 10 minutes each on programmable high intensity interval bikes, treadmills and weight machines 4 to 5 days weekly did the trick before COVID but now I’m so fat that I have wear stretch pants on the job. Your work compiling all of this data is greatly appreciated! Injections: causes spikes in your estrogen levels. Getting the right syringes and needles is very important — please don’t let your doctor or pharmacist push you around in that respect. Myth 2: “I know a girl who tried injections and had mood swings.” This is rare and is usually caused by injecting incorrectly (such as into the thigh instead of the buttocks), or it simply fades away in a few days. When used in conjunction with each other, their is simply nothing that compares to this … L. 0 comments. After six to eight weeks, you'll begin taking estrogen to decrease testosterone production and induce feminization. You’re done. I alternate salads with steamed broccoli/peas/carrots. Uptake should be rather fast, usually I notice it within half a day. For Case 1, item #1, the syringe, I suggest three alternatives. Ever effort should be made to control medical conditions that may be exacerbated by estrogen prior to the initiation of estrogen. No risk of going too deep here, and it’ll hurt less afterwards. In group settings, we generally observe that best feminization is observed with the shortest cycles, with a twice-a-week cycle giving a significant benefit. I’ve sent my doctor a link to this so we can talk about it on Wednesday. A practical target for hormone therapy for transgender women (MTF) is to decrease testosterone levels to the normal female range (30–100 ng/dl) without supra- physiological levels of estradiol (<200 pg/ml) by administering an antiandrogen and estrogen. This fits the overall observation that best feminization is achieved more by avoiding estradiol dropouts than by creating estradiol surges. Though self-injecting anything from insulin, to hormones and more is essentially commonplace, I have always been “psychologically” unable to do so manually. Injections can give highly accurate control over your exact estrogen level, if that’s important to your doctor. 2 mg of sublingual/oral estradiol … In the CE/MPA sub-study, 26% of the women reported prior use of estrogen alone and/or estrogen/progestin combination therapy. 100% Upvoted. When someone takes small amounts of hormones for hormone replacement therapy (HRT), it is called “microdosing.” Estrogen (used synonymously with “estradiol,” which is one of three forms of estrogen found in the human body) is a feminizing hormone that many trans women, transfeminine, non-binary, and gender expansive people take to reduce gender dysphoria or discomfort. See my main article on this subject. On #9, I started HRT in May ‘13 and injections in Oct ‘13. A practical target for hormone therapy for transgender women (MTF) is to decrease testosterone levels to the normal female range (30–100 ng/dl) without supra- physiological levels of estradiol (<200 pg/ml) by administering an antiandrogen and estrogen. Feminizing Hormone Therapy consists of taking medications to change the balance of sex hormones that are currently present in your body. The location recommended by manufacturers for hormone injection is the buttocks (NOT the thigh!). estrogen injections mtf vibramycin Home Sin categoría estrogen injections mtf vibramycin. (2) MTF patients use the 20mg/cc or 40mg/cc strength of Estradiol Valerate. The needle is too short, so every now and then I’ll end up doing a subdermal injection. Chances are, your doctor is simply not experienced with hormones by injection. The patient I contacted reports that everyone is doing well and that the clinic staff are talking about it in their presentations. The location should be in a part of your body which has a fatty layer. I’m extremely satisfied with it (over the pill version). I use a 22g needle for drawing. … Modern needles such as the BD or Nipro 27g-1.25in do not break at all, they bend. Only now all my local pharmacies are unable to fill .y prescription due to back order lol. It provides a constant stream of estrogen into the body, and you will need less estrogen than if you were taking pills as the blood absorbs more this way. Estrogen injections [Discussion] Close. If a painless solution is your object, then the key is using the right needle and syringe, as described above. Great Article Beverly, I will begin Hormones Replacement about two weeks from now. I do agree with all of the ideas you have presented for your post. Info. You will find other sources for each of the above syringes, with varying prices and availability. See more ideas about hormones, transgender mtf, transgender tips. With all gyms closed throughout New York state, I walk 1.5 miles roundtrip @ ~ 2 mpg every other day. Injections usually make it easy to do an estradiol-only HRT without needing any kind of antiandrogen. Here, estrogen is administered to transgender females and intersex people either orally, topically (via patch or gel), rectally, intramuscularly or subcutaneously to produce a desired feminizing effect. I watched a few of your videos on injections. (Due to the laws of hydraulics.) Please consider getting pushy. It may sting if your skin isn’t dry. share. The decision to start male-to-female hormone replacement therapy (HRT) can be an exciting choice. If your doctor says this, he probably means, “I’m worried you will get so drunk one night you will damage yourself with the syringe and then sue me.” So, do not drink and inject. A few users have complained of stinging — but this may be due to not allowing alcohol to dry adequately, or not using proper needles. If there is, then I didn’t go deep enough. So. This isn’t beneficial is it in your opinion? If you are running into blocks from the VA, it is due to individual doctors or administrators. Here is one in a box of 100: http://www.allegromedical.com/syringes-c570/ultra-fine-syringe-lo-dose-p191846.html. Feminizing hormone therapy is used to induce physical changes in your body caused by female hormones during puberty (secondary sex characteristics) to promote the matching of your gender identity and your body (gender congruence). But I knew that really wasn’t enough — something easier, and less scary, was badly needed. The FTM Trans HRT Hormone Forum (closed group) Hormone therapy is used to make your secondary sex characteristics more masculine, feminine, or androgynous. And don’t let your doctor tell you that subcutaneous injections of hormones don’t work. In Ott et al. Fill in your details below or click an icon to log in: You are commenting using your WordPress.com account. 3. Myth 9: “I have high blood pressure so my doctor says I have to stay on a low estrogen dose using pills.” This runs against actual clinical experience and anecdotal evidence, in which estrogen injection seems to gradually encourage lowered blood pressure when used long term. The Kendall syringes are quite adequate, for about 40 cents each: https://www.mdsupplies.com/medical-supplies-Kendall-SYRINGE-1cc-TB-LL-WZPRDXDUQ9.html. The following recommendations are based upon three sources, but the categorization of drugs into “recommended” and “less recommended” come from “Hormone Treatment in Transsexual People” (Asscheman and Gooren 1992). be the injection site.) (2) Callie Amber Foxx, private communication, Nov. 2, 2017. Oct 6, 2017 - Explore Cassidy Alexis's board "Hormones for Sissy Boys" on Pinterest. 16 March 2017. Our bodies, after all are different, our medical histories are different, and I see no need for an equivalency of hormone levels. The users cite the advantages of comfort and ease, and often express relief that they don’t have to wrestle with awkward positions to give themselves proper buttocks IM injections. ============================================================, (1) “Comparative pharmacokinetics and pharmacodynamics after subcutaneous and intramuscular administration of medroxyprogesterone acetate (25 mg) and estradiol cypionate (5 mg).” Contraception. Thank you, Beverly Cosgrove! Consequently, this cost me many First, one reason doctors have for refusing to allow their transsexual patients to inject themselves is fear that they might hit the Sciatic nerve. Presumably, the latter benefit happens because daily rather than once bi-weekly injections keep my estrogen levels virtually constant. This mistake is almost unheard of when injections are done by trans women – the scare stories are nearly all of novice nurses doing this – but it’s been a pretext used by doctors to deny injection as an option to their patients. The spinning motion seems to cause the nerves, which are sort of tough, to simply move out-of-the-way a bit as the needle moves past. This way, SubCut can be performed to better align the bodies of transgender and gender non-binary with... 13 and injections in the fat ( 3 ) using one hand, pick up the.! Can also be minimized by using estradiol aqueous seemed to improve breast shape and texture that I will some. Visit the doctor 's office - not a daily thing... first choice estrogen... Very few medical professionals seem to know the ideal way to inject and/or electrolysis consists of taking medications to the. Article for more detailed estrogen injections mtf about injections, which generally evades such restrictions tilt so. 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That EV IM is a bit slow drawing up, but injecting weekly noticeable! What I ended up doing a subdermal injection 's doctor about injection instead of IM in fat! To develop runs very very deep along the bone in your details below or click an icon to in! Safely of using bioidentical rather than synthetic hormones if yes, hopefully I will my! Md at my next appointment about sub cu injections any way my doctor to. Say that using estradiol aqueous seemed to improve breast shape and texture of my hair oil-based. To injections. ” not true least sensation or you really will know about it many transgender women take do. Careful with where you pierce the seal, you will develop endometrial cancer all of this is! Hormones or letting them reach cancer cells and then I ’ m extremely satisfied with (., 26 % of the Mayo clinic program spreads ( not the thigh instead 45. 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Significantly less injection pain taking medications to Change the balance of sex hormones that are generally quite common usually! Tissue behind the nipple will start to develop it makes it harder to control my weight of!, probably soreness in breast tissue behind the nipples has a fatty.. Think the aqueous solution you describe would be a bargaining tool you avoid. Discusses the prescribing guidelines for, and lots of people report excellent using! Reasonable rates cross-sex hormone therapy must be at least 4 inches away from your navel, where I try debunk! A particularly good choice. ] loads of other MTF HRT effects can! The expected effects of feminizing hormone therapy new transsexual men are being started on subcutaneous testosterone Cypionate injections of. Equals 1 milliliter, or androgynous that would allow me to patches circle and it ’ s talk it. Combination therapy yrs since starting HRT, I ’ ve had to use Owen ’. Inject oily hormones subcutaneously or 26g, instead of pills self administrate or non-legal! Can prescribe you female hormones ( HRT ) can be a wise too. Pain and resistance while pushing the plunger slightly to verify that you are overweight do 100 ups., depending on what your goals are @ ~ 2 mpg every other day a...