How to Start Hormone Replacement Therapy (Male to Female)

Intermediate 30 min 22 steps 31915 views Rating: 4.9/5 Published: 2026-02-21

Find an endocrinologist or another local healthcare provider.. Provide informed consent about the transition process.. Demonstrate that you are capable and willing to undergo HRT.

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Steps

1

Find an endocrinologist or another local healthcare provider.

Step 1

Find an endocrinologist or another local healthcare provider.

2

Provide informed consent about the transition process.

Step 2

Provide informed consent about the transition process.

3

Demonstrate that you are capable and willing to undergo HRT.

Step 3

Demonstrate that you are capable and willing to undergo HRT.

4

Tell your doctor about your medical history.

Step 4

Tell your doctor about your medical history.

5

Undergo blood tests to determine your health.

Step 5

Undergo blood tests to determine your health.

6

Get a prescription for female hormones and male hormone blockers.

Step 6

Get a prescription for female hormones and male hormone blockers.

7

Save money to pay for the treatment.

Step 7

Save money to pay for the treatment.

8

Apply an estrogen skin patch directly to the skin.

Step 8

Apply an estrogen skin patch directly to the skin.

9

Take a pill according to your doctor's instructions.

Step 9

Take a pill according to your doctor's instructions.

10

Inject estrogen into your buttock or thigh weekly.

Step 10

Inject estrogen into your buttock or thigh weekly.

11

Watch out for side effects as you start therapy.

Step 11

Watch out for side effects as you start therapy.

12

Return to the doctor every 3 months for the first year.

Step 12

Return to the doctor every 3 months for the first year.

13

Quit smoking.

Step 13

Quit smoking.

14

Watch out for a reduced sex drive.

Step 14

Watch out for a reduced sex drive.

15

Exercise to maintain muscle tone.

Step 15

Exercise to maintain muscle tone.

16

Get electrolysis or laser treatment to remove unwanted hair.

Step 16

Get electrolysis or laser treatment to remove unwanted hair.

17

Create a strong support group.

Step 17

Create a strong support group.

18

Wait 2 years before considering plastic surgery.

Step 18

Wait 2 years before considering plastic surgery.

19

Start breast cancer screenings 2 to 3 years after starting hormones.

Step 19

Start breast cancer screenings 2 to 3 years after starting hormones.

20

Talk to your doctor about surgery if you want it.

Step 20

Talk to your doctor about surgery if you want it.

21

Save up money for the surgery.

Step 21

Save up money for the surgery.

22

Discuss if you will need to stop taking hormones before surgery.

Step 22

Discuss if you will need to stop taking hormones before surgery.

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