March 9, 2023 at 4:58 pm #136412
I live in the US so can’t advise about the UK healthcare system. That said, it is medically possible to do HRT without taking an anti-androgen. This is commonly referred to as monotherapy. The basic idea is to take estradiol (valerate or cypionate) at a dose high enough to suppress testosterone. Injections are the most reliable way to do this. I inject estradiol valerate subcutaneously twice a week. This puts my estrogen and testosterone levels firmly within female ranges. Docs that are firmly adherent to WPATH guidelines may balk at this method. But it does work….and avoids anti-androgen issues. My advice would be to find an endocrinologist that specializes in treating trans patients and tell them your concerns.