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HRT -  Transgender Hormone Replacement Therapy
 

 

(image by transgenderzone)

*For full details and risks associated with HRT please consult your doctor before taking.

 

NO PRESCRIPTION REQUIRED NO RX CERTIFICATE NEEDED

Importation:
Importation of prescription medication is legal in most countries (including the US, UK, France, Spain, Hong Kong, Japan and S. Korea) provided the medication is for personal use and is not a controlled substance.

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Index

  1. Male to female - transsexual hormone information
  2. Antiandrogens - information.
  3. Puberty Blockers - information for adolescents.

 

Introduction

A gender reassignment program for male to female transsexuals normally includes the prescription of feminising hormones, oestrogen and progesterone which develop female secondary sexual characteristics. In addition this may be accompanied before surgery by anti-androgen treatment to reduce the effect of the patient's own male sex hormones. There can be risks attached to hormone therapy in both men and women and therefore it is definitely inadvisable to take any form of hormone product unless it is medically prescribed. 

Hormones are made up of molecules derived from steroids, proteins or tyrosine (an amino acid). They become active only when bound to a specific receptor on or inside a target cell.

Hormones derived from proteins bind to receptors on the outside of the cell membrane; steroid and tyrosine hormones pass inside the cell and bind to receptors in the cytoplasm or the nucleus.

How Hrt is absorbed 

Click to enlarge

The manufacturers of oestrogen and progesterone products specify them for medical use in females and do not acknowledge their use for transsexuals, so there is little clinical data available regarding this usage. The effect of feminising hormones varies between patients, but many experience changes within two to three months such as change in skin tone, development of breasts, expansion of the nipples, redistribution of body fat causing fuller cheeks, a more pronounced waist and fleshier hips and buttocks. Body and scalp hair may change in texture but hormone treatment will not inhibit beard growth or improve male pattern baldness. Emotions may be heightened with a greater tendency to mood swings, but in general the transsexual will feel more comfortable with the new self that is emerging. For this reason hormone therapy can be a useful diagnostic tool, as a male who is not transsexual is unlikely to feel this heightened ease with themselves and may become anxious at the drop in their male sex drive. The transsexual on hormone treatment should receive regular check-ups from their doctor. There are various forms of hormone products available and the following is a review of those commonly in use.

 

Oestrogens

Oestrogens are responsible for the development of female secondary sexual characteristics, so the main component of any hormone regime for a TS patient will be some form of oestrogen. Typically this is obtained either from combined oral contraceptives or oestrogen tablets intended for HRT in postmenopausal women. The principle natural oestrogen produced from the ovaries in a natural-born premenopausal female is 17 beta-oestradiol. Numerous derivatives and metabolites exist and play specific roles in the female body. While some of the metabolites (e.g. oestrogen, oestriol) may be used successfully in treating menopause symptoms in post menopausal women, they are not suitable for transsexual patients; it is necessary to supply 17 beta-oestradiol or a synthetic replacement for it. Oestrogen therapy must be continued for life in a post-operative subject, otherwise numerous problems can occur. In particular, several very severe case of osteoporosis have been reported in post-ops who have discontinued their oestrogen treatment. Menopause-like symptoms also occur if oestrogen is discontinued.

 

Ethinyloestradiol

This drug is a synthetically-produced modification of natural 17 beta-oestradiol. The modified molecule is eliminated only slowly by the liver, giving it a far greater potency and much longer half life that other oestrogens. It is generally well-tolerated, but appears to be less safe in very long-term use that oestradiol valerate. Ethinyloestradiol is widely regarded as the oestrogen of choice in pre-operative subjects. A dose of 100ug daily in two doses) is typical; this can be increased to 150ug if necessary. It`s long half life and potency give it excellent feminising effects. In post-op patients, this drug may still be used, especially for patients whose feminisation has not completed by the time they have GRS. For short-term post-op use, the full pre-op dose of 100ug may be used, this is normally reduced to 50ug after 6-12 months. For long-term post-op use, the full pre-op dose, oestradiol valerate is probably preferable. It should be noted here that oestrogen overdosage may paradoxically cause vasomotor symptoms similiar to those produced by insufficient oestrogen dosage. Post-operative Transsexuals are at high risk osteoporosis estrogen drugs are usually needed to prevent this condition.

This is sometimes seen in post-op patients who are still on pre-op dosage, and if this effect is suspected then the oestrogen dosage should immediately be reduced to a typical post-op level. This effect is more likely with ethinyloestradiol than with other oestrogens due to its high potency, and consideration may be given to an early switch to oestradiol valerate if the problem persists.

Ethinyl Estradiol (The recommended hormone of choice for gender specialists, with 50mcg being a common recommendation)

LYNORAL ( Estinyl, Generic Ethinyl Estradiol ) 10mcg Tabs 100 (10 x 10) INFAR Estrogens (ES-troe-jenz) and progestins (pro-GEST-ins) are female hormones. They are produced by the body and are necessary for the normal sexual development of the female and for the regulation of the menstrual cycle during the childbearing years.

$59.38

LYNORAL ( Estinyl, Generic Ethinyl Estradiol ) 10mcg Tabs 300 ( 30 x 10 ) INFAR Estrogens (ES-troe-jenz) and progestins (pro-GEST-ins) are female hormones. They are produced by the body and are necessary for the normal sexual development of the female and for the regulation of the menstrual cycle during the childbearing years.

$139.52

LYNORAL ( Estinyl, Generic Ethinyl Estradiol ) 50mcg 100 Tablets Infar This medication is a female estrogen hormone and is usually given to women who no longer produce the amount of estrogen they produced before menopause. It is a very effective treatment for reducing a common menopause symptom (intense feelings of warmth and sweating known as hot flashes). If you need treatment only for vaginal menopause symptoms (e.g., vaginal dryness), products applied directly inside the vagina should be considered before medications that are taken by mouth, absorbed through the skin, or injected. Certain estrogen products may also be used to prevent bone loss (osteoporosis) in people at high risk who cannot take non-estrogen drugs - Post-op Transsexuals usually need HRT to prevent this condition. There are several other medications (e.g., raloxifene, bisphosphonates such as alendronate) that are safe and effective to prevent or treat bone loss. These medicines should be considered for use before estrogen treatment.Certain estrogen products may also be used to treat certain cancers in men and women (e.g., certain types of metastatic breast cancer, prostate cancer) and other conditions as determined by your doctor.

$70.35

LYNORAL ( Estinyl, Generic Ethinyl Estradiol ) 50mcg 200 Tablets Infar This medication is a female estrogen hormone and is usually given to women who no longer produce the amount of estrogen they produced before menopause. It is a very effective treatment for reducing a common menopause symptom (intense feelings of warmth and sweating known as hot flashes). If you need treatment only for vaginal menopause symptoms (e.g., vaginal dryness), products applied directly inside the vagina should be considered before medications that are taken by mouth, absorbed through the skin, or injected.Certain estrogen products may also be used to prevent bone loss (osteoporosis) in people at high risk who cannot take non-estrogen drugs. There are several other medications (e.g., raloxifene, bisphosphonates such as alendronate) that are safe and effective to prevent or treat bone loss. These medicines should be considered for use before estrogen treatment.Certain estrogen products may also be used to treat certain cancers in men and women (e.g., certain types of metastatic breast cancer, prostate cancer) and other conditions as determined by your doctor.

$115.38

LYNORAL ( Estinyl, Generic Ethinyl Estradiol ) 50mcg 400 Tablets Infar This medication is a female estrogen hormone and is usually given to women who no longer produce the amount of estrogen they produced before menopause. It is a very effective treatment for reducing a common menopause symptom (intense feelings of warmth and sweating known as hot flashes). If you need treatment only for vaginal menopause symptoms (e.g., vaginal dryness), products applied directly inside the vagina should be considered before medications that are taken by mouth, absorbed through the skin, or injected.Certain estrogen products may also be used to prevent bone loss (osteoporosis) in people at high risk who cannot take non-estrogen drugs. There are several other medications (e.g., raloxifene, bisphosphonates such as alendronate) that are safe and effective to prevent or treat bone loss. These medicines should be considered for use before estrogen treatment.Certain estrogen products may also be used to treat certain cancers in men and women (e.g., certain types of metastatic breast cancer, prostate cancer) and other conditions as determined by your doctor.

$188.53

LYNORAL ( Estrace, Femtrace, Gynodiol, Generic Ethinyl Estradiol ) 0.01mg 400 Tablets Infar This medication is a female estrogen hormone and is usually given to women who no longer produce the amount of estrogen they produced before menopause. It is a very effective treatment for reducing a common menopause symptom (intense feelings of warmth and sweating known as hot flashes). If you need treatment only for vaginal menopause symptoms (e.g., vaginal dryness), products applied directly inside the vagina should be considered before medications that are taken by mouth, absorbed through the skin, or injected.Certain estrogen products may also be used to prevent bone loss (osteoporosis) in people at high risk who cannot take non-estrogen drugs. There are several other medications (e.g., raloxifene, bisphosphonates such as alendronate) that are safe and effective to prevent or treat bone loss. These medicines should be considered for use before estrogen treatment.Certain estrogen products may also be used to treat certain cancers in men and women (e.g., certain types of metastatic breast cancer, prostate cancer) and other conditions as determined by your doctor.

$161.20

LYNORAL ( Estrace, Femtrace, Gynodiol, Generic Ethinyl Estradiol ) 0.01mg 100 Tablets Infar This medication is a female estrogen hormone and is usually given to women who no longer produce the amount of estrogen they produced before menopause. It is a very effective treatment for reducing a common menopause symptom (intense feelings of warmth and sweating known as hot flashes). If you need treatment only for vaginal menopause symptoms (e.g., vaginal dryness), products applied directly inside the vagina should be considered before medications that are taken by mouth, absorbed through the skin, or injected.Certain estrogen products may also be used to prevent bone loss (osteoporosis) in people at high risk who cannot take non-estrogen drugs. There are several other medications (e.g., raloxifene, bisphosphonates such as alendronate) that are safe and effective to prevent or treat bone loss. These medicines should be considered for use before estrogen treatment.Certain estrogen products may also be used to treat certain cancers in men and women (e.g., certain types of metastatic breast cancer, prostate cancer) and other conditions as determined by your doctor.

$65.65

LYNORAL ( Estrace, Femtrace, Gynodiol, Generic Ethinyl Estradiol ) 0.01mg 200 Tablets Infar This medication is a female estrogen hormone and is usually given to women who no longer
produce the amount of estrogen they produced before menopause. It is a very effective treatment for reducing a common menopause symptom (intense feelings of warmth and sweating known as hot flashes). If you need treatment only for vaginal menopause symptoms (e.g., vaginal dryness), products applied directly inside the vagina should be considered before medications that are taken by mouth, absorbed through the skin, or injected.Certain estrogen products may also be used to prevent bone loss (osteoporosis) in people at high risk who cannot take non-estrogen drugs.
There are several other medications (e.g., raloxifene, bisphosphonates such as alendronate) that are safe and effective to prevent or treat bone loss. These medicines should be considered for use before estrogen treatment.Certain estrogen products may also be used to treat certain cancers in men and women (e.g., certain types of metastatic breast cancer, prostate cancer) and other conditions as determined by your doctor.

$101.73

 
Other oestrogens

Estrofem ( Generic Estradiol ) 2mg 84 (3x 28)Tabs Novo Nordisk Medical Information:Estrofem® was especially developed and indicated for the treatment of oestrogen deficiency symptoms in women without a uterus, with effective symptom relief and good tolerability (continuous therapy with calendar pack of 28 tablets containing 1mg 17b-oestradiol). As there is no increased risk of developing cancer of the uterus lining in women without a uterus, they need not to take an additional progestogen. The drug is available in different dosages because a standardised unique dose is not optimal for every woman. Studies have demonstrated that after four weeks of treatment there is a significant reduction in hot flushes and other menopausal complaints. The administration of Estrofem® results in a significant increase of bone density.Estrofem® is an oestrogen only treatment for effective symptom relief and one of the options for osteoporosis prevention in hysterectomised women. Promotes growth and development of female reproductive system and secondary sex characteristics; affects release of pituitary gonadotropins; inhibits ovulation and prevents postpartum breast engorgement; conserves calcium and phosphorous and encourages bone formation; overrides stimulatory effects of testosterone.

$129.04

Estrofem ( Generic Estradiol ) 2mg 28 Tabs Novo Nordisk Medical Information:<P>Estrofem® was especially developed and indicated for the treatment of oestrogen deficiency symptoms in women without a uterus, with effective symptom relief and good tolerability (continuous therapy with calendar pack of 28 tablets containing 1mg 17b-oestradiol). As there is no increased risk of developing cancer of the uterus lining in women without a uterus, they need not to take an additional progestogen. The drug is available in different dosages because a standardised unique dose is not optimal for every woman. Studies have demonstrated that after four weeks of treatment there is a significant reduction in hot flushes and other menopausal complaints. The administration of Estrofem® results in a significant increase of bone density. Estrofem® is an oestrogen only treatment for effective symptom relief and one of the options for osteoporosis prevention in hysterectomised women. Promotes growth and development of female reproductive system and secondary sex characteristics; affects release of pituitary gonadotropins; inhibits ovulation and prevents postpartum breast engorgement; conserves calcium and phosphorous and encourages bone formation; overrides stimulatory effects of testosterone.

$66.64

Estrofem (Generic Estradiol ) 2mg 84 (3x 28)Tabs Novo Nordisk Medical Information: Estrofem® was especially developed and indicated for the treatment of oestrogen deficiency symptoms in women without a uterus, with effective symptom relief and good tolerability (continuous therapy with calendar pack of 28 tablets containing 1mg 17b-oestradiol). As there is no increased risk of developing cancer of the uterus lining in women without a uterus, they need not to take an additional progestogen. The drug is available in different dosages because a standardised unique dose is not optimal for every woman. Studies have demonstrated that after four weeks of treatment there is a significant reduction in hot flushes and other menopausal complaints. The administration of Estrofem® results in a significant increase of bone density.

$129.04

Oestradiol Valerate

This drug is equivalent to natural 17 beta-oestradiol. It is generally well-tolerated, and clinical data from postmenopausal women suggest it is safer than ethinyloestradiol for long-term use, with less risk of breast cancer, thromboembolic events, or liver problems. It is not certain whether this improved safety applies in the high doses necessary for pre-op transsexuals. This is widely regarded as the oestrogen of choice for long-term maintenance in post-op TS patients due to its good safety record; typical post-op dose would be 1-2mg daily, ideally divided into two doses. Oestradiol Valerate appears to be less effective at inducing feminisation in pre-op subjects than ethinyloestradiol, probably due to it`s short serum half life-particularly, as it appears tp fare poorly when "in competition" with endogenous male hormones; adequate results have been obtained with oestradiol valerate combined with an effective anti androgen. Typical pre-op dose would be 4-6mg daily in divided doses (1 or 2mg per dose); if menopause-type symptoms appear (hot flushes, night sweats, etc) this can often be a sign that the dose is not sufficient to overcome the endogenous male hormones and a switch to ethinyloestradiol would probably be advisable.

Hormone replacement therapy to relieve symptoms of the menopause. Second-line option for preventing osteoporosis in postmenopausal women who are at high risk of fractures and cannot take other medicines licensed for preventing osteoporosis.

Progynova ( Ovestin, Generic Estradiol ) Product Origin: New Zealand 1mg 84 Tablets Schering-Plough This medication is a female estrogen hormone and is usually given to women who no longer produce the amount of estrogen they produced before menopause. It is a very effective treatment for reducing a common menopause symptom (intense feelings of warmth and sweating known as hot flashes). If you need treatment only for vaginal menopause symptoms (e.g., vaginal dryness), products applied directly inside the vagina should be considered before medications that are taken by mouth, absorbed through the skin, or injected.Certain estrogen products may also be used to prevent bone loss (osteoporosis) in people at high risk who cannot take non- estrogen drugs. There are several other medications (e.g., raloxifene, bisphosphonates such as alendronate) that are safe and effective to prevent or treat bone loss. These medicines should be considered for use before estrogen treatment. Certain estrogen products may also be used to treat certain cancers in men and women (e.g., certain types of metastatic breast cancer, prostate cancer) and other conditions as determined by your doctor. How to use Estradiol Oral Read the Patient Information Leaflet provided by your pharmacist before you start using this medication and each time you get a refill. If you have any questions, consult your doctor or pharmacist. Take this medication by mouth as directed by your doctor. It may be taken with or without food. You may take it with food or immediately after a meal to prevent stomach upset. Take this medication regularly in order to get the most benefit from it. Remember to take it at the same time each day as directed. Dosage is based on your medical condition and response to treatment. Follow your dosing schedule carefully. Inform your doctor if your condition does not improve or worsens.

$51.81

Progynova ( Ovestin, Generic Estradiol ) Product Origin: New Zealand 1mg 84 Tablets Schering-Plough This medication is a female estrogen hormone and is usually given to women who no longer produce the amount of estrogen they produced before menopause. It is a very effective treatment for reducing a common menopause symptom (intense feelings of warmth and sweating known as hot flashes). If you need treatment only for vaginal menopause symptoms (e.g., vaginal dryness), products applied directly inside the vagina should be considered before medications that are taken by mouth, absorbed through the skin, or injected.Certain estrogen products may also be used to prevent bone loss (osteoporosis) in people at high risk who cannot take non- estrogen drugs. There are several other medications (e.g., raloxifene, bisphosphonates such as alendronate) that are safe and effective to prevent or treat bone loss. These medicines should be considered for use before estrogen treatment. Certain estrogen products may also be used to treat certain cancers in men and women (e.g., certain types of metastatic breast cancer, prostate cancer) and other conditions as determined by your doctor. How to use Estradiol Oral Read the Patient Information Leaflet provided by your pharmacist before you start using this medication and each time you get a refill. If you have any questions, consult your doctor or pharmacist. Take this medication by mouth as directed by your doctor. It may be taken with or without food. You may take it with food or immediately after a meal to prevent stomach upset. Take this medication regularly in order to get the most benefit from it. Remember to take it at the same time each day as directed. Dosage is based on your medical condition and response to treatment. Follow your dosing schedule carefully. Inform your doctor if your condition does not improve or worsens.

$92.06

Progynova ( Ovestin, Generic Estradiol ) Product Origin: New Zealand 1mg 168 Tablets Schering-Plough This medication is a female estrogen hormone and is usually given to women who no longer produce the amount of estrogen they produced before menopause. It is a very effective treatment for reducing a common menopause symptom (intense feelings of warmth and sweating known as hot flashes). If you need treatment only for vaginal menopause symptoms (e.g., vaginal dryness), products applied directly inside the vagina should be considered before medications that are taken by mouth, absorbed through the skin, or injected. Certain estrogen products may also be used to prevent bone loss (osteoporosis) in people at high risk who cannot take non- estrogen drugs. There are several other medications (e.g., raloxifene, bisphosphonates such as alendronate) that are safe and effective to prevent or treat bone loss. These medicines should be considered for use before estrogen treatment. Certain estrogen products may also be used to treat certain cancers in men and women (e.g., certain types of metastatic breast cancer, prostate cancer) and other conditions as determined by your doctor. How to use Estradiol Oral Read the Patient Information Leaflet provided by your pharmacist before you start using this medication and each time you get a refill. If you have any questions, consult your doctor or pharmacist. Take this medication by mouth as directed by your doctor. It may be taken with or without food. You may take it with food or immediately after a meal to prevent stomach upset. Take this medication regularly in order to get the most benefit from it. Remember to take it at the same time each day as directed. Dosage is based on your medical condition and response to treatment. Follow your dosing schedule carefully. Inform your doctor if your condition does not improve or worsens.

$148.22


Progynova ( Ovestin, Generic Estradiol ) Product Origin: New Zealand 2mg 84 Tablets Schering-Plough This medication is a female estrogen hormone and is usually given to women who no longer produce the amount of estrogen they produced before menopause. It is a very effective treatment for reducing a common menopause symptom (intense feelings of warmth and sweating known as hot flashes). If you need treatment only for vaginal menopause symptoms (e.g., vaginal dryness), products applied directly inside the vagina should be considered before medications that are taken by mouth, absorbed through the skin, or injected. Certain estrogen products may also be used to prevent bone loss (osteoporosis) in people at high risk who cannot take non- estrogen drugs. There are several other medications (e.g., raloxifene, bisphosphonates such as alendronate) that are safe and effective to prevent or treat bone loss. These medicines should be considered for use before estrogen treatment. Certain estrogen products may also be used to treat certain cancers in men and women (e.g., certain types of metastatic breast cancer, prostate cancer) and other conditions as determined by your doctor. How to use Estradiol Oral Read the Patient Information Leaflet provided by your pharmacist before you start using this medication and each time you get a refill. If you have any questions, consult your doctor or pharmacist. Take this medication by mouth as directed by your doctor. It may be taken with or without food. You may take it with food or immediately after a meal to prevent stomach upset. Take this medication regularly in order to get the most benefit from it. Remember to take it at the same time each day as directed. Dosage is based on your medical condition and response to treatment. Follow your dosing schedule carefully. Inform your doctor if your condition does not improve or worsens.

$113.18

Progynova ( Ovestin, Generic Estradiol ) Product Origin: New Zealand 2mg 168 Tablets Schering-Plough This medication is a female estrogen hormone and is usually given to women who no longer produce the amount of estrogen they produced before menopause. It is a very effective treatment for reducing a common menopause symptom (intense feelings of warmth and sweating known as hot flashes). If you need treatment only for vaginal menopause symptoms (e.g., vaginal dryness), products applied directly inside the vagina should be considered before medications that are taken by mouth, absorbed through the skin, or injected. Certain estrogen products may also be used to prevent bone loss (osteoporosis) in people at high risk who cannot take non-estrogen drugs. There are several other medications (e.g., raloxifene, bisphosphonates such as alendronate) that are safe and effective to prevent or treat bone loss. These medicines should be considered for use before estrogen treatment. Certain estrogen products may also be used to treat certain cancers in men and women (e.g., certain types of metastatic breast cancer, prostate cancer) and other conditions as determined by your doctor.How to use Estradiol Oral Read the Patient Information Leaflet provided by your pharmacist before you start using this medication and each time you get a refill. If you have any questions, consult your doctor or pharmacist. Take this medication by mouth as directed by your doctor. It may be taken with or without food. You may take it with food or immediately after a meal to prevent stomach upset. Take this medication regularly in order to get the most benefit from it. Remember to take it at the same time each day as directed. Dosage is based on your medical condition and response to treatment. Follow your dosing schedule carefully. Inform your doctor if your condition does not improve or worsens.

$150.34

 

Conjugated Natural Oestrogens (Premarin)

Premarin remains one of the world's best selling hormones. This drug is a mixture of various oestrogenic substances extracted from the urine of pregnant mares - so some may have ethical concerns over its use. It is increasingly regarded as an outmoded treatment for TS patients, however it is produced from a natural source so some prefer this. It is more expensive than the synthetically-manufactured drugs above. A typical pre-op dose would be 5-7.5mg daily in divided doses, reducing to 1-2.5mg daily post up.

Premarin ( Cenestin, Enjuvia, Ogen, Generic Conjugated Estrogens ) Product Origin: New Zealand 0.3mg 28 Tablets Wyeth PREMARIN is indicated as replacement therapy for oestrogen deficiency states associated with climacteric manifested by:Moderate to severe vasomotor symptoms associated with the oestrogen deficiency in natural and surgical menopause (sweating, hot flushes). Atrophic vaginitis. When prescribing solely for the treatment of symptoms of vaginal atrophy, topical vaginal products should be considered. here is no evidence that oestrogens are effective for anxiety or depression without associated vasomotor symptoms, and they should not be used to treat such conditions.For the prevention of postmenopausal osteoporosis. When prescribing solely for the prevention of postmenopausal osteoporosis, therapy should only be considered for women at significant risk of osteoporosis, in whom non-oestrogen medications are not considered appropriate. Hypoestrogenic states e.g. female hypogonadism, primary ovarian failure or female castration.

$61.82

Premarin ( Cenestin, Enjuvia, Ogen, Generic Conjugated Estrogens ) Product Origin: New Zealand 0.3mg 84 (3 x 28) Tablets Wyeth Oestrogens with or without progestogens should be prescribed at the lowest effective doses and for the shortest duration consistent with treatment goals and risks for the individual woman. PREMARIN is indicated as replacement therapy for oestrogen deficiency states associated with climacteric manifested by:Moderate to severe vasomotor symptoms associated with the oestrogen deficiency in natural and surgical menopause (sweating, hot flushes). Atrophic vaginitis. When prescribing solely for the treatment of symptoms of vaginal atrophy, topical vaginal products should be considered.There is no evidence that oestrogens are effective for anxiety or depression without associated vasomotor symptoms, and they should not be used to treat such conditions. For the prevention of postmenopausal osteoporosis. When prescribing solely for the prevention of postmenopausal osteoporosis, therapy should only be considered for women at significant risk of osteoporosis, in whom non-oestrogen medications are not considered appropriate. Hypoestrogenic states e.g. female hypogonadism, primary ovarian failure or female castration.

$127.87

Premarin ( Cenestin, Enjuvia, Ogen, Generic Conjugated Estrogens ) Product Origin: New Zealand 0.3mg 168 (6 x 28) Tablets Wyeth Oestrogens with or without progestogens should be prescribed at the lowest effective doses and for the shortest duration consistent with treatment goals and risks for the individual woman.PREMARIN is indicated as replacement therapy for oestrogen deficiency states associated with climacteric manifested by:Moderate to severe vasomotor symptoms associated with the oestrogen deficiency in natural and surgical menopause (sweating, hot flushes). Atrophic vaginitis. When prescribing solely for the treatment of symptoms of vaginal atrophy, topical vaginal products should be considered.There is no evidence that oestrogens are effective for anxiety or depression without associated vasomotor symptoms, and they should not be used to treat such conditions.For the prevention of postmenopausal osteoporosis. When prescribing solely for the prevention of postmenopausal osteoporosis, therapy should only be considered for women at significant risk of osteoporosis, in whom non-oestrogen medications are not considered appropriate. Hypoestrogenic states e.g. female hypogonadism, primary ovarian failure or female castration.

$198.14

Premarin ( Cenestin, Enjuvia, Ogen, Generic Conjugated Estrogens ) Product Origin: United Kingdom 0.625mg 84 Tablets Wyeth PREMARIN is indicated as replacement therapy for oestrogen deficiency states associated with climacteric manifested by:Moderate to severe vasomotor symptoms associated with the oestrogen deficiency in natural and surgical menopause (sweating, hot flushes). Atrophic vaginitis. When prescribing solely for the treatment of symptoms of vaginal atrophy, topical vaginal products should be considered.There is no evidence that oestrogens are effective for anxiety or depression without associated vasomotor symptoms, and they should not be used to treat such conditions.For the prevention of postmenopausal osteoporosis. When prescribing solely for the prevention of postmenopausal osteoporosis, therapy should only be considered for women at significant risk of osteoporosis, in whom non-oestrogen medications are not considered appropriate. Hypoestrogenic states e.g. female hypogonadism, primary ovarian failure or female castration.

$71.25

Premarin ( Cenestin, Enjuvia, Ogen, Generic Conjugated Estrogens ) Product Origin: United Kingdom 0.625mg 504(6 x 84) Tablets Wyeth PREMARIN is indicated as replacement therapy for oestrogen deficiency states associated with climacteric manifested by:Moderate to severe vasomotor symptoms associated with the oestrogen deficiency in natural and surgical menopause (sweating, hot flushes). Atrophic vaginitis. When prescribing solely for the treatment of symptoms of vaginal atrophy, topical vaginal products should be considered.There is no evidence that oestrogens are effective for anxiety or depression without associated vasomotor symptoms, and they should not be used to treat such conditions.For the prevention of postmenopausal osteoporosis. When prescribing solely for the prevention of postmenopausal osteoporosis, therapy should only be considered for women at significant risk of osteoporosis, in whom non-oestrogen medications are not considered appropriate. Hypoestrogenic states e.g. female hypogonadism, primary ovarian failure or female castration.

$392.62

Premarin ( Cenestin, Enjuvia, Ogen, Generic Conjugated Estrogens ) Product Origin: United Kingdom 0.625mg 252(3 x 84) Tablets Wyeth Oestrogens with or without progestogens should be prescribed at the lowest effective doses and for the shortest duration consistent with treatment goals and risks for the individual woman.PREMARIN is indicated as replacement therapy for oestrogen deficiency states associated with climacteric manifested by:Moderate to severe vasomotor symptoms associated with the oestrogen deficiency in natural and surgical menopause (sweating, hot flushes). Atrophic vaginitis. When prescribing solely for the treatment of symptoms of vaginal atrophy, topical vaginal products should be considered.There is no evidence that oestrogens are effective for anxiety or depression without associated vasomotor symptoms, and they should not be used to treat such conditions.For the prevention of postmenopausal osteoporosis. When prescribing solely for the prevention of postmenopausal osteoporosis, therapy should only be considered for women at significant risk of osteoporosis, in whom non-oestrogen medications are not considered appropriate. Hypoestrogenic states e.g. female hypogonadism, primary ovarian failure or female castration.

$133.74

Premarin ( Cenestin, Enjuvia, Ogen, Generic Conjugated Estrogens ) Product Origin: United Kingdom 1.25mg 84 tablets Wyeth PREMARIN is indicated as replacement therapy for oestrogen deficiency states associated with climacteric manifested by:Moderate to severe vasomotor symptoms associated with the oestrogen deficiency in natural and surgical menopause (sweating, hot flushes). Atrophic vaginitis. When prescribing solely for the treatment of symptoms of vaginal atrophy, topical vaginal products should be considered.There is no evidence that oestrogens are effective for anxiety or depression without associated vasomotor symptoms, and they should not be used to treat such conditions.For the prevention of postmenopausal osteoporosis. When prescribing solely for the prevention of postmenopausal osteoporosis, therapy should only be considered for women at significant risk of osteoporosis, in whom non-oestrogen medications are not considered appropriate. Hypoestrogenic states e.g. female hypogonadism, primary ovarian failure or female castration.

$111.20

Premarin ( Cenestin, Enjuvia, Ogen, Generic Conjugated Estrogens ) Product Origin: United Kingdom 1.25mg 168(2 x 84 tablets) Wyeth PREMARIN is indicated as replacement therapy for oestrogen deficiency states associated with climacteric manifested by:Moderate to severe vasomotor symptoms associated with the oestrogen deficiency in natural and surgical menopause (sweating, hot flushes). Atrophic vaginitis. When prescribing solely for the treatment of symptoms of vaginal atrophy, topical vaginal products should be considered.There is no evidence that oestrogens are effective for anxiety or depression without associated vasomotor symptoms, and they should not be used to treat such conditions.For the prevention of postmenopausal osteoporosis. When prescribing solely for the prevention of postmenopausal osteoporosis, therapy should only be considered for women at significant risk of osteoporosis, in whom non-oestrogen medications are not considered appropriate. Hypoestrogenic states e.g. female hypogonadism, primary ovarian failure or female castration.

$164.35

Premarin ( Cenestin, Enjuvia, Ogen, Generic Conjugated Estrogens ) Product Origin: United Kingdom 1.25mg 252(3 x 84 tablets) Wyeth PREMARIN is indicated as replacement therapy for oestrogen deficiency states associated with climacteric manifested by:Moderate to severe vasomotor symptoms associated with the oestrogen deficiency in natural and surgical menopause (sweating, hot flushes). Atrophic vaginitis. When prescribing solely for the treatment of symptoms of vaginal atrophy, topical vaginal products should be considered.There is no evidence that oestrogens are effective for anxiety or depression without associated vasomotor symptoms, and they should not be used to treat such conditions.For the prevention of postmenopausal osteoporosis. When prescribing solely for the prevention of postmenopausal osteoporosis, therapy should only be considered for women at significant risk of osteoporosis, in whom non-oestrogen medications are not considered appropriate. Hypoestrogenic states e.g. female hypogonadism, primary ovarian failure or female castration.

$245.01

PREMARIN ( Cenestin, Enjuvia, Ogen, Gynodiol, Femtrace, Menest, Generic Estrogen ) 0.3mg 84 tabs Wyeth Ayerst Estrogen is used to treat hot flushes ('hot flashes'; sudden strong feelings of heat and sweating) in women who are experiencing menopause ('change of life', the end of monthly menstrual periods). Some brands of estrogen are also used to treat vaginal dryness, itching, or burning, or to prevent osteoporosis (a condition in which the bones become thin and weak and break easily) in women who are experiencing or have experienced menopause. However, women who need a medication only to treat vaginal dryness or only to prevent osteoporosis should consider a different treatment. Some brands of estrogen are also to relieve symptoms of low estrogen in young women who do not produce enough estrogen naturally. Some brands of estrogen are also used to relieve the symptoms of certain types of breast and prostate (a male reproductive gland) cancer. Estrogen is in a class of medications called hormones. It works by replacing estrogen that is normally produced by the body.How should this medicine be used? Estrogen comes as a tablet to take by mouth. It is usually taken with or without food once a day. Estrogen is sometimes taken every day and sometimes taken according to a rotating schedule that alternates a period of time when estrogen is taken every day with a period of time when estrogen is not taken. When estrogen is used to relieve the symptoms of cancer, it is usually taken three times a day. Take estrogen at around the same time(s) every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take estrogen exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.Your doctor may start you on a low dose of estrogen and gradually increase your dose if your symptoms are still bothersome, or decrease your dose if your symptoms are well-controlled. Talk to your doctor about how well estrogen works for you.

$72.94

 

Estrin

Estrin ( Cenestin, Enjuvia, Ogen, Premarin, Generic Conjugated Estrogen ) 0.625mg 30 Tablets Cipla Pharmaceuticals Ltd This medication is a female hormone and is usually given to women who no longer produce the amount of estrogen they produced before menopause. It is a very effective treatment for reducing a common menopause symptom (intense feelings of warmth and sweating known as hot flashes). If you need treatment only for vaginal menopause symptoms (e.g., vaginal dryness), products applied directly inside the vagina should be considered before medications that are taken by mouth, absorbed through the skin, or injected. Certain estrogen products may also be used to prevent bone loss (osteoporosis) in people at high risk who cannot take non-estrogen drugs. There are several other medications (e.g., raloxifene, bisphosphonates such as alendronate) that are safe and effective to prevent or treat bone loss. These medicines should be considered for use before estrogen treatment. Certain estrogen products may also be used to treat certain cancers in men and women (e.g., certain types of metastatic breast cancer, prostate cancer) and other conditions as determined by your doctor. How to use Conjugated Estrogens Oral Read the Patient Information Leaflet provided by your pharmacist before you start using this medication and each time you get a refill. If you have any questions, consult your doctor or pharmacist. Take this medication by mouth as directed by your doctor. It may be taken with or without food. You may take it with food or immediately after a meal to prevent stomach upset. Take this medication regularly in order to get the most benefit from it. Remember to take it at the same time(s) each day as directed. Dosage is based on your medical condition and response to treatment. Follow your dosing schedule carefully. Inform your doctor if your condition does not improve or worsens. Conjugated Estrogens Oral is used to treat the following: Breast Cancer that has Spread to Another Part of the Body, Cancer of the Prostate Gland, Defective Internal Secretion of Ovaries, Primary Ovarian Failure, Low Estrogen After Operation to Remove Ovaries, Wasting of Tissues of the Vulva, "Change of Life" Signs, Vaginal Inflammation due to Loss of Hormone Stimulation, Post-Menopausal Osteoporosis Prevention Conjugated Estrogens Oral may also be used to treat: Softening of the Bones Before Menopause

$48.21

Estrin ( Cenestin, Enjuvia, Ogen, Premarin, Generic Conjugated Estrogen ) 0.625mg 84 Tablets Cipla Pharmaceuticals Ltd This medication is a female hormone and is usually given to women who no longer produce the amount of estrogen they produced before menopause. It is a very effective treatment for reducing a common menopause symptom (intense feelings of warmth and sweating known as hot flashes). If you need treatment only for vaginal menopause symptoms (e.g., vaginal dryness), products applied directly inside the vagina should be considered before medications that are taken by mouth, absorbed through the skin, or injected. Certain estrogen products may also be used to prevent bone loss (osteoporosis) in people at high risk who cannot take non-estrogen drugs. There are several other medications (e.g., raloxifene, bisphosphonates such as alendronate) that are safe and effective to prevent or treat bone loss. These medicines should be considered for use before estrogen treatment. Certain estrogen products may also be used to treat certain cancers in men and women (e.g., certain types of metastatic breast cancer, prostate cancer) and other conditions as determined by your doctor. How to use Conjugated Estrogens Oral Read the Patient Information Leaflet provided by your pharmacist before you start using this medication and each time you get a refill. If you have any questions, consult your doctor or pharmacist. Take this medication by mouth as directed by your doctor. It may be taken with or without food. You may take it with food or immediately after a meal to prevent stomach upset. Take this medication regularly in order to get the most benefit from it. Remember to take it at the same time(s) each day as directed. Dosage is based on your medical condition and response to treatment. Follow your dosing schedule carefully. Inform your doctor if your condition does not improve or worsens. Conjugated Estrogens Oral is used to treat the following: Breast Cancer that has Spread to Another Part of the Body, Cancer of the Prostate Gland, Defective Internal Secretion of Ovaries, Primary Ovarian Failure, Low Estrogen After Operation to Remove Ovaries, Wasting of Tissues of the Vulva, "Change of Life" Signs, Vaginal Inflammation due to Loss of Hormone Stimulation, Post-Menopausal Osteoporosis PreventionConjugated Estrogens Oral may also be used to treat: Softening of the Bones Before Menopause

$89.47

Estrin ( Cenestin, Enjuvia, Ogen, Premarin, Generic Conjugated Estrogen ) 0.625mg 168(6 x 28 Tablets) Cipla Pharmaceuticals Ltd This medication is a female hormone and is usually given to women who no longer produce the amount of estrogen they produced before menopause. It is a very effective treatment for reducing a common menopause symptom (intense feelings of warmth and sweating known as hot flashes). If you need treatment only for vaginal menopause symptoms (e.g., vaginal dryness), products applied directly inside the vagina should be considered before medications that are taken by mouth, absorbed through the skin, or injected. Certain estrogen products may also be used to prevent bone loss (osteoporosis) in people at high risk who cannot take non-estrogen drugs. There are several other medications (e.g., raloxifene, bisphosphonates such as alendronate) that are safe and effective to prevent or treat bone loss. These medicines should be considered for use before estrogen treatment. Certain estrogen products may also be used to treat certain cancers in men and women (e.g., certain types of metastatic breast cancer, prostate cancer) and other conditions as determined by your doctor.How to use Conjugated Estrogens Oral Read the Patient Information Leaflet provided by your pharmacist before you start using this medication and each time you get a refill. If you have any questions, consult your doctor or pharmacist.Take this medication by mouth as directed by your doctor. It may be taken with or without food. You may take it with food or immediately after a meal to prevent stomach upset. Take this medication regularly in order to get the most benefit from it. Remember to take it at the same time(s) each day as directed. Dosage is based on your medical condition and response to treatment. Follow your dosing schedule carefully. Inform your doctor if your condition does not improve or worsens. Conjugated Estrogens Oral is used to treat the following: Breast Cancer that has Spread to Another Part of the Body, Cancer of the Prostate Gland, Defective Internal Secretion of Ovaries, Primary Ovarian Failure, Low Estrogen After Operation to Remove Ovaries, Wasting of Tissues of the Vulva, "Change of Life" Signs, Vaginal Inflammation due to Loss of Hormone Stimulation, Post-Menopausal Osteoporosis Prevention Conjugated Estrogens Oral may also be used to treat: Softening of the Bones Before Menopause

$150.75

 

Other Oestrogens

NOVELON ( Ortho-Cept, Primera, Desogen, Generic Estrogen/Progestogen ) 0.15/.03mg 63 (3 x 21) INFAR Oral contraceptives (birth-control pills) are used to prevent pregnancy. Estrogen and progestin are two female sex hormones. Combinations of estrogen and progestin work by preventing ovulation (the release of eggs from the ovaries). They also change the lining of the uterus (womb) to prevent pregnancy from developing and change the mucus at the cervix (opening of the uterus) to prevent sperm (male reproductive cells) from entering. Oral contraceptives are a very effective method of birth control, but they do not prevent the spread of human immunodeficiency virus [HIV, the virus that causes acquired immunodeficiency syndrome (AIDS)] and other sexually transmitted diseases. Some brands of oral contraceptives are also used to treat acne in certain patients. Oral contraceptives treat acne by decreasing the amounts of certain natural substances that can cause acne. One type of oral contraceptives (Yaz) is also used to relieve the symptoms of premenstrual dysphoric disorder (physical and emotional symptoms that occur before the menstrual period each month) in women who have chosen to use an oral contraceptive to prevent pregnancy. Oral contraceptives come in packets of 21, 28, or 91 tablets to take by mouth once a day, every day or almost every day of a regular cycle. To avoid nausea, take oral contraceptives with food or milk. Take your oral contraceptive at the same time every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take your oral contraceptive exactly as directed. Do not take more or less of it, take it more often, or take it for a longer time than prescribed by your doctor. Oral contraceptives come in many different brands. Different brands of oral contraceptives contain slightly different medications or doses, are taken in slightly different ways, and have different risks and benefits. Be sure that you know which brand of oral contraceptives you are using and exactly how you should use it. Ask your doctor or pharmacist for a copy of the manufacturer's information for the patient and read it carefully.If you have a 21- tablet packet, take one tablet daily for 21 days and then none for 7 days. Then start a new packet.If you have a 28-tablet packet, take one tablet daily for 28 days. The last set of tablets in most 28 day packets are a different color. These tablets are reminder tablets. They do not contain any active ingredients but may contain iron. Taking one of these tablets every day will help you remember to start your next packet of birth control pills on time. One type of 28-tablet packet contains tablets that are all the same color. All of the tablets in this type of packet contain active ingredients. Whether your packet includes reminder tablets or only active tablets, you should take one tablet daily continuously for 28 days in the order specified in your packet. Start a new packet the day after you take your 28th tablet.

$74.29

NOVELON ( Ortho-Cept, Primera, Desogen, Generic Estrogen/Progestogen ) 0.15mg/0.03mg 63 (3 x 21) Tablets INFAR Oral contraceptives (birth-control pills) are used to prevent pregnancy. Estrogen and progestin are two female sex hormones. Combinations of estrogen and progestin work by preventing ovulation (the release of eggs from the ovaries). They also change the lining of the uterus (womb) to prevent pregnancy from developing and change the mucus at the cervix (opening of the uterus) to prevent sperm (male reproductive cells) from entering. Oral contraceptives are a very effective method of birth control, but they do not prevent the spread of human immunodeficiency virus [HIV, the virus that causes acquired immunodeficiency syndrome (AIDS)] and other sexually transmitted diseases. Some brands of oral contraceptives are also used to treat acne in certain patients. Oral contraceptives treat acne by decreasing the amounts of certain natural substances that can cause acne. One type of oral contraceptives (Yaz) is also used to relieve the symptoms of premenstrual dysphoric disorder (physical and emotional symptoms that occur before the menstrual period each month) in women who have chosen to use an oral contraceptive to prevent pregnancy. Oral contraceptives come in packets of 21, 28, or 91 tablets to take by mouth once a day, every day or almost every day of a regular cycle. To avoid nausea, take oral contraceptives with food or milk. Take your oral contraceptive at the same time every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take your oral contraceptive exactly as directed. Do not take more or less of it, take it more often, or take it for a longer time than prescribed by your doctor. Oral contraceptives come in many different brands. Different brands of oral contraceptives contain slightly different medications or doses, are taken in slightly different ways, and have different risks and benefits. Be sure that you know which brand of oral contraceptives you are using and exactly how you should use it. Ask your doctor or pharmacist for a copy of the manufacturer's information for the patient and read it carefully. If you have a 21- tablet packet, take one tablet daily for 21 days and then none for 7 days. Then start a new packet. If you have a 28-tablet packet, take one tablet daily for 28 days. The last set of tablets in most 28 day packets are a different color. These tablets are reminder tablets. They do not contain any active ingredients but may contain iron. Taking one of these tablets every day will help you remember to start your next packet of birth control pills on time. One type of 28-tablet packet contains tablets that are all the same color. All of the tablets in this type of packet contain active ingredients. Whether your packet includes reminder tablets or only active tablets, you should take one tablet daily continuously for 28 days in the order specified in your packet. Start a new packet the day after you take your 28th tablet.

$66.53

NOVELON ( Ortho-Cept, Primera, Desogen, Generic Estrogen/Progestogen ) 0.15mg/0.03mg 126 (6 x 21) Tablets INFAR Oral contraceptives (birth-control pills) are used to prevent pregnancy. Estrogen and progestin are two female sex hormones. Combinations of estrogen and progestin work by preventing ovulation (the release of eggs from the ovaries). They also change the lining of the uterus (womb) to prevent pregnancy from developing and change the mucus at the cervix (opening of the uterus) to prevent sperm (male reproductive cells) from entering. Oral contraceptives are a very effective method of birth control, but they do not prevent the spread of human immunodeficiency virus [HIV, the virus that causes acquired immunodeficiency syndrome (AIDS)] and other sexually transmitted diseases. Some brands of oral contraceptives are also used to treat acne in certain patients. Oral contraceptives treat acne by decreasing the amounts of certain natural substances that can cause acne.One type of oral contraceptives (Yaz) is also used to relieve the symptoms of premenstrual dysphoric disorder (physical and emotional symptoms that occur before the menstrual period each month) in women who have chosen to use an oral contraceptive to prevent pregnancy. Oral contraceptives come in packets of 21, 28, or 91 tablets to take by mouth once a day, every day or almost every day of a regular cycle. To avoid nausea, take oral contraceptives with food or milk. Take your oral contraceptive at the same time every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take your oral contraceptive exactly as directed. Do not take more or less of it, take it more often, or take it for a longer time than prescribed by your doctor. Oral contraceptives come in many different brands. Different brands of oral contraceptives contain slightly different medications or doses, are taken in slightly different ways, and have different risks and benefits. Be sure that you know which brand of oral contraceptives you are using and exactly how you should use it. Ask your doctor or pharmacist for a copy of the manufacturer's information for the patient and read it carefully. If you have a 21- tablet packet, take one tablet daily for 21 days and then none for 7 days. Then start a new packet. If you have a 28-tablet packet, take one tablet daily for 28 days. The last set of tablets in most 28 day packets are a different color. These tablets are reminder tablets. They do not contain any active ingredients but may contain iron. Taking one of these tablets every day will help you remember to start your next packet of birth control pills on time. One type of 28-tablet packet contains tablets that are all the same color. All of the tablets in this type of packet contain active ingredients. Whether your packet includes reminder tablets or only active tablets, you should take one tablet daily continuously for 28 days in the order specified in your packet. Start a new packet the day after you take your 28th tablet.

$97.44

NOVELON ( Ortho-Cept, Primera, Desogen, Generic Estrogen/Progestogen ) 0.15mg/0.03mg 252 (12 x 21)Tablets INFAR Oral contraceptives (birth-control pills) are used to prevent pregnancy. Estrogen and progestin are two female sex hormones. Combinations of estrogen and progestin work by preventing ovulation (the release of eggs from the ovaries). They also change the lining of the uterus (womb) to prevent pregnancy from developing and change the mucus at the cervix (opening of the uterus) to prevent sperm (male reproductive cells) from entering. Oral contraceptives are a very effective method of birth control, but they do not prevent the spread of human immunodeficiency virus [HIV, the virus that causes acquired immunodeficiency syndrome (AIDS)] and other sexually transmitted diseases. Some brands of oral contraceptives are also used to treat acne in certain patients. Oral contraceptives treat acne by decreasing the amounts of certain natural substances that can cause acne. One type of oral contraceptives (Yaz) is also used to relieve the symptoms of premenstrual dysphoric disorder (physical and emotional symptoms that occur before the menstrual period each month) in women who have chosen to use an oral contraceptive to prevent pregnancy. Oral contraceptives come in packets of 21, 28, or 91 tablets to take by mouth once a day, every day or almost every day of a regular cycle. To avoid nausea, take oral contraceptives with food or milk. Take your oral contraceptive at the same time every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take your oral contraceptive exactly as directed. Do not take more or less of it, take it more often, or take it for a longer time than prescribed by your doctor. Oral contraceptives come in many different brands. Different brands of oral contraceptives contain slightly different medications or doses, are taken in slightly different ways, and have different risks and benefits. Be sure that you know which brand of oral contraceptives you are using and exactly how you should use it. Ask your doctor or pharmacist for a copy of the manufacturer's information for the patient and read it carefully. If you have a 21- tablet packet, take one tablet daily for 21 days and then none for 7 days. Then start a new packet. If you have a 28-tablet packet, take one tablet daily for 28 days. The last set of tablets in most 28 day packets are a different color. These tablets are reminder tablets. They do not contain any active ingredients but may contain iron. Taking one of these tablets every day will help you remember to start your next packet of birth control pills on time. One type of 28-tablet packet contains tablets that are all the same color. All of the tablets in this type of packet contain active ingredients. Whether your packet includes reminder tablets or only active tablets, you should take one tablet daily continuously for 28 days in the order specified in your packet. Start a new packet the day after you take your 28th tablet.

$173.76

HORMONE PATCHES

Estraderm

Many transsexuals can find that oral HRT is too strong or they may simply feel unwell taking medications orally. This is a great solution for them, A topical patch is placed on the arm or upper thigh/buttocks and this is gently absorbed into the system over 24hrs.

Estradot/Estraderm TTS 50 ( Generic Estradiol ) - Product Origin: New Zealand 50mcg/24 Hour 8 Patches Novartis Medical Information:Estraderm, estradiol transdermal system, is designed to release estradiol through a rate-limiting membrane continuously upon application to intact skin. Estraderm® (estradiol transdermal system) is indicated in: 1. Treatment of moderate to severe vasomotor symptoms associated with the menopause. 2. Treatment of moderate to severe symptoms of vulvar and vaginal atrophy associated with the menopause. When prescribing solely for the treatment of symptoms of vulvar and vaginal atrophy, topical vaginal products should be considered. 3. Treatment of hypoestrogenism due to hypogonadism, castration, or primary ovarian failure. 4. Prevention of postmenopausal osteoporosis. When prescribing solely for the prevention of postmenopausal osteoporosis, therapy should only be considered for women at significant risks of osteoporosis and non-estrogen medications should be carefully considered. The mainstays for decreasing the risk of postmenopausal osteoporosis are weight-bearing exercise, adequate calcium and vitamin D intake, and when indicated, pharmacologic therapy. Postmenopausal women require an average of 1500 mg/day of elemental calcium. Therefore, when not contraindicated, calcium supplementation may be helpful for women with suboptimal dietary intake. Vitamin D supplementation of 400-800 IU/day may also be required to ensure adequate daily intake in postmenopausal women.

$72.86

 

Progestogens

Progestogens administered alone do not produce feminisation in a phenotypic male. However, progestogens are generally quite antiandrogenic and will often promote a useful degree of testosterone suppression in a pre-op patient, and more importantly when administered in conjunction with oestrogen, improve the feminisation attained compared to oestrogen-only therapy, particularly in terms of breast weight and texture. One UK endocrinologist has claimed that progestogens have no effect in transsexual patients, however numerous studies both in the UK and elsewhere have demonstrated that this claim is false. Progestogens are now very widely used in conjunction with oestrogens in the treatment of male-to-female transsexualism. Progestogens may also lessen the risk of cancer associated with long-term oestrogen treatment, according to some studies in natural-born females. In addition, some patients report that progestogens affect them psychologically, particularly in terms of maintaining the libido. For all these reasons, it may well be desirable to continue with a low dose of progestogen post operatively, even though there is no absolute need for it. No reliable data exists regarding the incidence of breast cancer in transsexuals. Many are lost to follow-up and conceal their transsexual past after completing their treatment, and any instances of breast cancer in this group are likely to be recorded as occurring in normal women rather than transsexuals. One researcher has claimed to find a significant excess of breast cancers among certain chromosomally-intersexed patients who have been reassigned to female. A few patients experience androgenic effects from some progestogens, possibly including an increase in body hair. If this occurs, a different progestogen should be tried. Similarly, if fluid retention occurs, a switch to an alternative drug will probably resolve it.

 

Finasteride for Hair Loss

This drug is not suitable as a general antiandrogen, but is mentioned here as it can be useful in countering male-pattern baldness in transsexuals. Classed as an androgen conversion inhibitor, it blocks the conversion of testosterone to DHT. It is generally ftee ftom significant side effects, but does not appear to affect male sex drive. Typical dosage is 5mg daily.

Used for those experiencing hair loss.

Prohair (Propecia, Finpecia, Finast, Fincar, Generic Finasteride) 1mg 100 Tablets Hab Pharmaceuticals Finpecia treating certain types of male pattern hair loss (androgenic alopecia) in men.Finpecia is a steroid reductase inhibitor. It works by reducing the amount of the hormone dihydrotestosterone (DHT) in the body. This may block certain types of hair loss in
men. Finpecia is used for: Treating male pattern baldness on top of the head and the anterior mid-scalp area IN MEN
ONLY.Finpecia is a remedy for baldness in men with mild to moderate hair loss on the top of the head and the front of the mid-scalp area. It increases hair growth, improves hair regrowth, and slows down hair loss. It works only on scalp hair and does not affect hair on other parts of the body.

$48.00

Prohair (Propecia, Finpecia, Finast, Fincar, Generic Finasteride) 1mg 200(2 x 100) Tablets Hab Pharmaceuticals Finpecia treating certain types of male pattern hair loss (androgenic alopecia) in men. Finpecia is a steroid reductase inhibitor. It works by reducing the amount of the hormone dihydrotestosterone (DHT) in the body. This may block certain types of hair loss in men. Finpecia is used for: Treating male pattern baldness on top of the head and the anterior mid-scalp area IN MEN ONLY.Finpecia is a remedy for baldness in men with mild to moderate hair loss on the top of the head and the front of the mid-scalp area. It increases hair growth, improves hair regrowth, and slows down hair loss. It works only on scalp hair and does not affect hair on other parts of the body.

$72.00

Prohair (Propecia, Finpecia, Finast, Fincar, Generic Finasteride) 1mg 400(4 x 100) Tablets Hab Pharmaceuticals Finpecia treating certain types of male pattern hair loss (androgenic alopecia) in men. Finpecia is a steroid reductase inhibitor. It works by reducing the amount of the hormone dihydrotestosterone (DHT) in the body. This may block certain types of hair loss in men. Finpecia is used for: Treating male pattern baldness on top of the head and the anterior mid-scalp area IN MEN ONLY.Finpecia is a remedy for baldness in men with mild to moderate hair loss on the top of the head and the front of the mid-scalp area. It increases hair growth, improves hair regrowth, and slows down hair loss. It works only on scalp hair and does not affect hair on other parts of the body.

$104.00

Propecia ( Proscar, Generic Finasteride ) - Product Origin: EU (Turkey) 1mg 28 Tablets MERCK SHARP DOHME Product Origin: EU (Turkey)This product is able to be sourced and supplied at excellent prices because of favourable cross border currency conversions. All products are authentic brand names and will include a product information insert in English.Medical Information:PROPECIA is indicated for the treatment of male pattern hair loss (androgenetic alopecia) in MEN ONLY. Safety and efficacy were demonstrated in men between 18 to 41 years of age with mild to moderate hair loss of the vertex and anterior mid-scalp area. Propecia is a remedy for baldness in men with mild to moderate hair loss on the top of the head and the front of the mid-scalp area. It increases hair growth, improves hair regrowth, and slows down hair loss. It works only on scalp hair and does not affect hair on other parts of the body.

$104.00

Prosteride (Generic Proscar, Fincar, Finast, Finpecia, Finax, Finara) 5mg 100 Tablets Hab Pharmaceuticals Fincar treating urinary problems caused by an enlarged prostate gland (benign prostatic hyperplasia, BPH). It is also used to lower the risk of needing surgery to treat BPH. It may be used with another medicine (doxazosin) to lower the risk of worsening BPH. Fincar is a type of steroid reductase inhibitor. It works by reducing the amount of the hormone dihydrotestosterone (DHT) in the body. This makes the prostate gland smaller, which helps to relieve urinary problems.

$67.87

Prosteride (Generic Proscar, Fincar, Finast, Finpecia, Finax, Finara) 5mg 200(2 x 100) Tablets Hab Pharmaceuticals Fincar treating urinary problems caused by an enlarged prostate gland (benign prostatic hyperplasia, BPH). It is also used to lower the risk of needing surgery to treat BPH. It may be used with another medicine (doxazosin) to lower the risk of worsening BPH. Fincar is a type of steroid reductase inhibitor. It works by reducing the amount of the hormone dihydrotestosterone (DHT) in the body. This makes the prostate gland smaller, which helps to relieve urinary problems.

$87.68

 

Natural Progesterone

USP This drug. which is probably unavailable in the UK, has a small but vocal group oftranssexual adherents in the USA, who claim that it is superior to other progestogens. The present authors have been unable to find any clinical data to support this claim; while it appears to be free of virilising effects, first-pass effects are liable to make it relatively ineffective relative to dydrogesterone, which is also non-virilising. The main problem with 'Natural Progesterone' is that it is largely destroyed by the digestive tract and liver upon ingestion, so very large doses (hundreds of milligrams) are used. Since the precise percentage of the drug metabolised in this way is variable and unknown, the actual serum levels obtained are unpredictable.

 

Synthetic Progestogens

This heading covers substances such as levonorgestrel and norethisterone, which are usually found in combined contraceptive tablets, usually with ethinyloestradiol. Contraceptive pills provide a useful low-cost source of feminising hormones for patients who have to pay for their own medications, but of course the patient is limited to the combinations of substances available, and cannot 'mix and match' as one can with separate oestrogen and progestogen drugs. Care should be taken with some preparations (for example, Brevinor) as they contain too high a ratio of progestogen to oestrogen, so that taking enough tablets to obtain a suitable dose of oestrogen would result in a dangerously high intake of progestogen.
One combined tablet that has been used widely in the treatment of transsexual patients is Ovran; a typical pre-op dose of two tablets daily gives 100ug of ethinyloestradiol and 500ug of levonorgestrel. Most patients tolerate this well, and it generally produces satisfactory feminisation, but levonorgestrel appears (anecdotally) to give more frequent problems with water retention, hypertension and weight gain than medroxyprogesterone acetate. Safety fears have also been raised in the past about levonorgestrel-based contraceptive implants. Some patients experience virilising effects with norethisterone or levonorgestrel, which may impair the feminising effects of oestrogen. If this is suspected then an alternative progestogen should be tried.

 


 

ANTIANDROGENS, GnRH AGONISTS AND ORCHIDECTOMY 

Hormone treatment in pre-operative male-to-female subjects is normally supplemented by some form of antiandrogen treatment. While oestrogens and progestogens are to some extent antiandrogenic in themselves, a number of other methods exists to suppress the effects of androgens and make the feminising hormones more effective without having to administer the latter in unreasonably high doses. These treatments also, of course, cause a significant reduction in male sex drive (and indeed sexual function), which is generally considered highly desirable by transsexual subjects. There are three approaches to antiandrogen treatment:

1. Antiandrogen drugs.
2. GnRN (Gonadotropin-releasing-hormone) agonists. 3. Bilateral orchidectomy (castration).

These treatments are not applicable to patients who are post-operative, as their bodies will, by definition, be incapable of producing gonadal androgens. Adrenal androgens are produced in small amounts by both sexes, and no attempt should be made to suppress them unless a serum androgen test has indicated significant overproduction, as in cases of adrenal hyperplasia. In general it is considered unwise to administer antiandrogens to post-operative subjects (and indeed to severely hypogonadal subjects such as certain intersexed patients), as the small amount of adrenal androgens remaining in such subjects are necessary for normal functioning.

Antiandrogen Drugs

These drugs either inhibit gonadal androgen production, interfere with androgen receptor sites, or both. Most are likely to produce some side effects in effective doses; some patients cannot tolerate some or all antiandrogen drugs, in which case bilateral orchidectomy is likely to be a preferable treatment. The effect of these drugs on fertility and male sexual function is reversible to an extent, however (like feminising hormones) irreversible infertility may ensue after some months of treatment. All antiandrogen drugs, like feminising hormones, must be withdrawn prior to major surgery This may lead to a degree of reversion towards masculinity, which may be pronounced and disturbing in some patients.

Casodex ( Generic Bicalutamide ) - Product Origin: EU (Turkey) 50mg 28 Tablets ASTRA ZENECA Product Origin: EU (Turkey) Medical Information: Bicalutamide is an antiandrogen. It works in the body by preventing the actions of androgens (male hormones). Bicalutamide is used in the treatment of prostate cancer. Nonsteroidal antiandrogens are used to treat cancer of the prostate gland. The prostate gland is present only in males; therefore, females do not get prostate cancer. CASODEX 50 mg daily is indicated for use in combination therapy with a luteinizing hormone-releasing hormone (LHRH) analogue for the treatment of Stage D2 metastatic carcinoma of the prostate.

$390.72


Androcur Cyproterone Acetate

This drug (brand names Androcur, Cyprostat) is widely regarded as the antiandrogen of choice by practitioners in Europe (it is not approved in the USA). It is an androgen receptor antagonist and weak gonadal androgen production inhibitor;
normal dose is 50mg daily, which may be increased to 100 or in exceptional cases 150mg daily if required. In these doses there are some risks associated with the drug, particularly a heightened risk of thromboembolic disease or liver damage.
Carbohydrate metabolism changes are also reported; patients should receive regular blood tests (LFT and fasting glucose) and BP checks. Possible side effects include severe lassitude, loss of concentration and depression, also weight gain and nausea. Anecdotal reports suggest that the side effects can be lessened by taking the drug after meals; opinions differ as to the best time of day to take a single dose to minimise the tiredness effect: patients are best advised to experiment for themselves, though after lunch or after the evening meal seem to be the usual choices.

 


Puberty Blockers - GnRH analogues

GnRH Agonists 

These drugs take a different approach to antiandrogens: they act on the pituitary, initially overstimulating it and then rapidly desensitising it to GnRH. The effect of this is that over a period of weeks, gonadal androgen production is greatly reduced. Their principal advantages are that they are generally fullly reversible in their effects, which makes them a useful treatment in adolescent subjects where it is desired to stall the changes of puberty but not desired to induce permanent feminisation until the subject is older; and that they do not carry the risks of thromboembolic disease associated with antiandrogens. This can be particularly useful when hormones/antiandrogens are withdrawn prior to surgery - GnRH agonist treatment can be used to minimise the reversion to male biochemistry that many transsexual subjects find deeply disturbing. GnRH agonists do carry risks of significant side effects and should be used with great caution. There is as yet relatively little clinical data on the use of these substances in transsexual subjects, particularly in long-term use.

For more information on Puberty Blockers please visit our library here.

GnRH agonists are useful in:

Transgender:

  • Delaying puberty pending treatment decisions in children with gender incongruency.
  • Suppressing hormone levels in transsexuals, especially trans women.

Puberty Blockers as they are now commonly known are used to withhold puberty in young people. Rather than the risky business of young people taking their mother's or sister's birth control pills, or self-medicating with irreversible Hormone Replacement Therapy, WPATH (World Professional Association for Transgender Health) has now recognised the importance of early intervention. It is therefore essential that this medication be administered by a gender specialist.

This medication is commonly prescribed to allow time for young people to make sure of their decisions before embarking on Hormones.

GnRH analogue such as Zoladex (Goserelin Acetate) or Lupron (Leuprolide Acetate) dramatically reduces and in some cases stops gonadal hormone production, including testosterone, thus preventing the onset of the masculinising changes of adolescence.

Medication are normally administered with a nasal spray, or via a weekly or monthly subcutaneous injection into the abdomen. While this treatment does not promote female physical characteristics in a girl, it does prevent or at least slow a male puberty and its physical effects clinical stidies have proven this is very effective.

However, GnRH analogues are costly, but have far better outcomes in adolescents when compared to cheaper anti-androgens such as Spironolactone and Androcur (Cyproterone Acetate) which are more often prescribed to post-puberty transsexual women.

Caution This medication must be administered under medical supervision and in-line with WPATH guidleines for adolescents. If you are unsure what this means please consult your medical practitioner.

For more information on Puberty Blockers please visit our library here.

Zoladex (Goserelin Acetate) Dosage and contraindications. 

Administered as a depot (i.e. time-release) injection (typically 3.6mg monthly). Reported adverse effects include heart failure, obstructive pulmonary disease and severe allergic reactions as well as more minor side effects such as lethargy and nausea. In view of the fact that it is a depot injection, this drug should be treated with caution as it cannot be rapidly withdrawn should problems occur.

 

Zoladex ( Generic Goserelin ) 3.5mg 1 implant AstraZeneca This medication is used to treat:

  • Delaying puberty pending treatment decisions in children with gender incongruency.
  • Suppressing hormone levels in transsexuals, especially trans women.

It's more common use is to treat prostate cancer endometriosis advanced breast cancer in pre-menopausal and pre-menopausal women This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for information. Goserelin is a synthetic hormone. In men, it stops the production of the hormone testosterone, which may stimulate the growth of cancer cells. In women, goserelin decreases the production of the hormone estradiol (which may stimulate the growth of cancer cells) to levels similar to a postmenopausal state. When the medication is stopped, hormone levels return to normal.

$724.83

Zoladex ( Generic Goserelin ) 10.8mg 1 implant AstraZeneca This medication is used to treat:

  • Delaying puberty pending treatment decisions in children with gender incongruency.
  • Suppressing hormone levels in transsexuals, especially trans women.

It's more common use is to treat prostate cancer endometriosis advanced breast cancer in pre-menopausal and pre-menopausal women This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for information. Goserelin is a synthetic hormone. In men, it stops the production of the hormone testosterone, which may stimulate the growth of cancer cells. In women, goserelin decreases the production of the hormone estradiol (which may stimulate the growth of cancer cells) to levels similar to a postmenopausal state. When the medication is stopped, hormone levels return to normal.

$1,951.49


Flutamide 

This is a relatively new drug which has been used with success in some transsexual patients, particularly those who have experienced unacceptable side effects with cyproterone. There is relatively little clinical data available for this drug in transsexual patients. It is a strong androgen receptor antagonist. Like cyproterone it can be hepatotoxic, it can also have significant adverse haematological effects (reduced platelet, leukocyte or erythrocyte count) or cause hypertension, and it can also produce less serious side effects such as fluid retention. Regular LFTs and blood checks are advisable when using this drug. This drug also produces psychological side effects which can be severe in some patients. Depression, anxiety or nervousness can be extreme, and patients should be made aware of this possibility Lassitude, insomnia and gastrointestinal disturbances have also been reported. Typical dose is 250mg to 750mg daily (one to three 250mg tablets).

Spironolactone 

This drug was originally developed as an antihypertensive/diuretic; it is also a weak androgen receptor antagonist. It is much less effective as an antiandrogen than cyproterone or flutamide, but can find use in patients who have hypertension or severe fluid retention, either pre-existing or as a result of hormone treatment. Side effects may include lassitude, loss of concentration, and various gastrointestinal problems. There is a risk of potassium retention. Doses range typically from 100 to 400mg daily.

ldactazide ( Generic Spironolactone & Hydrochlorothiazide ) Product Origin: EU(Turkey) 25mg 30 Tablets Pfizer Product Origin: EU (Turkey)This product is able to be sourced and supplied at excellent prices because of favourable cross border currency conversions. All products are authentic brand names and will include a product information insert in English. Medical Information: This product is used to treat high blood pressure (hypertension). Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This product is also used to treat swelling/water retention (edema), which can result from conditions such as heart failure, severe liver disease, or severe kidney disease. Reducing swelling/water retention can help to improve symptoms such as trouble breathing. This product contains two medications, spironolactone and hydrochlorothiazide. Both are water pills (diuretics) that work by increasing the amount of urine that you make. This causes your body to get rid of extra salt and water, which is thought to help relax the blood vessels so that blood can flow more easily. Spironolactone also blocks the activity of a certain natural substance made by your body (aldosterone) that may contribute to swelling/fluid retention in certain conditions.

$50.05

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$116.54

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Aldactone ( Novo-Spiroton, Spiractin, Spirotone, Verospiron, Berlactone, Generic Spironolactone )  - Product Origin: EU 100mg 48 ( 3 x 16 )Tabs

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Aldactone ( Novo-Spiroton, Spiractin, Spirotone, Verospiron, Berlactone, Generic Spironolactone ) - Product Origin: EU  100mg 16 Tabs

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Nafarelin 

Acetate Normally administered as a nasal spray (typical dosage 1600l.tg daily). May cause depression, insomnia. skin problems and other side effects. Being administered daily, the drug can easily be withdrawn should side effects occur.

Goserelin Acetate 

Administered as a depot (i.e. time-release) injection (typically 3.6mg monthly). Reported adverse effects include heart failure, obstructive pulmonary disease and severe allergic reactions as well as more minor side effects such as lethargy and nausea. In view of the fact that it is a depot injection, this drug should be treated with caution as it cannot be rapidly withdrawn should problems occur.

Leunrorelin Acetate 

Similar to Goserelin Acetate, with a typical dose of 3.75mg every 4 weeks. This drug has been used to good effect in adolescent subjects. Allergic reactions and other side effects have been reported.

Bilateral Orchidectomy 

Orchidectomy offers several advantages over antiandrogen or GnRH-agonist therapy: After orchidectomy, the patient is endocrinologically equivalent to a post-operative subject. This has clear safety advantages especially in patients thought to be at elevated risk of thromboembolic events. Some patients report transient lethargy as their body adapts to the loss of androgens, but all the side effects associated with antiandrogens or GnRH agonists are eliminated. There are some disadvantages to orchidectomy such as irreversibility and shrinkage of scrotal tissue. Bilateral orchidectomy normally requires a referral from a psychiatrist; some surgeons may require a second opinion from an independent psychiatrist.