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Mayo Clinic, Rochester, Minn. If the informed consent process is properly documented in the chart, consent forms do not likely provide any additional legal protections to the provider. Within the NHS, the route to treatment is for a person to be assessed by local psychiatric services and, if gender identity disorder is present, refer them on to one of the specialist gender identity clinics. Once total testosterone is greater than the midpoint value in the lab reported reference range, it is unclear if an increase in dose will have any positive effect on perceived slow progress, or on mood symptoms or other side effects. When measuring hormone levels in patients using injected forms of estradiol, a mid-cycle level is often sufficient, however if the patient is experiencing cyclic symptoms such as migraines or mood swings, peak days post injection and trough levels of both estradiol and testosterone may reveal wide fluctuations in hormone levels over the dosing cycle; in these cases, consider changing to an oral or transdermal preparation, or reducing the injection interval with concomitant reduction in dose, to maintain the same total dose administered over time. Some patients may desire limited hormone effects or a mix of masculine and feminine sex characteristics. Monitoring for transgender men FTM on hormone therapy:

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Center of Excellence for Transgender Health

Men should be counselled that the treatment will reduce their fertility and offered the chance of sperm storage if desired. Once hormone levels have reached the target range for a specific patient, it is reasonable to monitor levels yearly, or only as needed as described below. If the informed consent process is properly documented in the chart, consent forms do not likely provide any additional legal protections to the provider. The majority of these incidents occur during the first two years of treatment. Estimated turnaround for results is 5 business days. The 5-alpha reductase inhibitor finasteride blocks conversion of testosterone to the potent androgen dihydrotestosterone.

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This often leads to a desire to live in their preferred gender and change their appearance. Mayo Clinic Marketplace Check out these best-sellers and special offers on books and newsletters from Mayo Clinic. Hormone preparations and dosing Grading: Testosterone is available in a number of injected and topical preparations, which have been designed for use in non-transgender men with low androgen levels see table. People with gender identity disorder have normal body appearances and hormone levels for their birth gender.

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