Understanding Hormonal Imbalance: Why My Testosterone Increased During MTF Transition

Trans individuals undergoing Male to Female (MTF) transition often experience complex hormonal changes. These changes can be challenging, especially when one is mixing hormones that should not be combined. This article aims to shed light on why and how testosterone levels can increase during MTF transition, and provides insights on managing these fluctuations.

The Basics of Hormones in Biological Males and Females

Biological males from birth have testosterone, while biological females have natural estrogen. When transitioning from male to female, it is crucial to understand the essential balance of these hormones. Any deviation from this natural balance can lead to a wide range of issues, including hormonal imbalances.

Spironolactone and Finasteride: Common Hormonal Misperceptions

The term “100mg finasteride” is a common misconception among trans individuals. Finasteride is primarily used to treat male pattern baldness (MPB), and a typical daily dose is between 0.5mg and 1mg. It works by blocking the conversion of testosterone to dihydrotestosterone (DHT), which is implicated in male pattern baldness. Similarly, “100mg spiro” (likely referring to spironolactone) might not be sufficient as an androgen blocker. A typical dose is 200mg, which is more appropriate for blocking androgens.

For those taking estrogen orally, it is essential to allow the medication to dissolve under the tongue (sublingual) to get it into the bloodstream without going through the liver. This method not only improves estrogen levels but also helps in lowering testosterone levels more effectively.

The Impact of Hormonal Imbalance

Trans individuals who are not carefully managing their hormone levels can experience significant hormonal imbalances. The body is a complex system, and altering its natural state can lead to unintended consequences. For biological males, transitioning to a female state means adding estrogen and blocking testosterone. However, any changes in the amount of testosterone blocker or lifestyle factors can impact hormone levels.

Factors that can affect hormone levels include dietary changes, stress, muscle mass, and the amount of estrogen and hormone blockers one takes. While hormones naturally fluctuate, it is essential to maintain an average within a normal range for females. For many females, this range is typically between 15-85 ng/dL. If the average levels remain within this range, it is considered normal.

Personal Experience: Balancing Hormones During MTF Transition

After starting hormone replacement therapy (HRT) and experiencing increased estrogen levels, I was prescribed finasteride (100mg) and estrogen (2mg) daily. This was a wake-up call for my system, as my body was fighting back severely. It took almost four months for my hormones to stabilize, during which I needed to adjust my hormone blocker dosage to 200mg of spironolactone and 4mg of estradiol.

After five years of successful treatment, I am now doing great. This experience highlights the importance of patience and the need to fine-tune hormone levels over time to achieve a balanced and harmonious transition.

Conclusion

In conclusion, it is crucial to understand the complexities of hormonal transitions, especially when dealing with testosterone and estrogen. Managing these hormones carefully can help prevent unnecessary health issues. If you are experiencing hormonal fluctuations during your transition, be patient, seek the guidance of a healthcare professional, and adjust your hormone blocker dosage as needed.

Frequently Asked Questions

What are the common dosage ranges for estrogen and testosterone blockers during MTF transition?

During MTF transition, estrogen is commonly prescribed in doses between 2-6mg daily, while testosterone blockers such as spironolactone are typically dosed between 100-200mg daily. Dosages may vary based on individual needs and metabolism.

Are there any lifestyle changes that can affect hormone levels during MTF transition?

Yes, lifestyle factors such as diet, stress levels, exercise, and sleep can all impact hormone levels. It is essential to maintain a balanced lifestyle to ensure smooth transition and overall well-being.

How can I ensure I take estrogen sublingually?

To take estrogen sublingually, place the medication under your tongue and allow it to dissolve. This method allows the medication to bypass the digestive system and enter the bloodstream, resulting in more effective absorption and better overall health.