Ovulation and the menstrual cycle not being consider for transgender women is strange.

Your knee-jerk reaction might be something like: "What? I don't have any eggs inside of me!"

It's not about the egg cells.
We're interested in the hormonal changes, that come with the menstrual cycle.

Right now it seems everyone got their own idea of where your hormone levels should be at.
Some use the numbers from menopausal cis women, others get them from the luteal phase of the menstrual cycle, some might even take an average of the entire menstrual cycle and say that's good enough.

It makes everything very confusing and hard to digest.
Which numbers are right? Might be tricky to answer.

One could assume that taking a single large monotherapy dose, once a month would be enough.
But if one doesn't have ovaries or a uterus, would this make sense?
Simulating a menstrual cycle when one cannot menstruate.

There are cis women without ovaries and uterus, maybe they have the right levels for us? However, they too would be subject to similar issues, regarding where hormone levels should be at.

Women's bodies aren't this hyper complicated thing but women's health is often an afterthought and more research would be appreciated.

#trans #transfem #transdiy #hrt #TransMeds
@Tengu well, the regimen will depend on the half life in the body. one reason there's is much skepticism with progesterone is that it's half life is quite short compared to estradiol. some believe it's main value is in it's anti-androgen effect.
we need more research and studies but i don't think there will ever be a one-size fits all. i just agree that understanding the mechanisms better and the effects of the regimen would be best.
what's difficult to know is if your hormone level is right for your body. it's still quite a lot of trial and error when we can't land on the right regimen.
i might try progesterone myself (if my doctor will agree to try) simply because i can't tolerate an average dose of spiro.