Hormone replacement therapy Transgender

Question

Asked for Male, 22 Years

Patient history-22 year old trans female I was taking estardiol valerate(progynova 1 mg) twice a day My estogen level went to 77 pg/ml from 38 pg/ml(in 2months) After that I increased the estradiol valerate (Evadiol 2mg) twice a day my estrogen level dropped to 29 pg/ml( next 3 months) Is there a problem? (i also take lupride injection each month to suppress my testosterone) Another thing I changed the brand from Zydus cadila progynova 2mg to Intas pharmaceutical Evadiol 2mg What could be the reason of estrogen drop?

Answers (1)

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Dr. Raghav Bhargava Endocrinologist 8 yrs exp Delhi · Accepted Answer

Dr. Raghav Bhargava

Endocrinologist 8 yrs exp Delhi

Need to know if same lab assay used. I.e. same blood test company. Likely due to leuprorelin. Can give a daily tablet alternative.

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