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[MrsMitch]

This is completely untrue. Treatment for trans youth has been completely stopped. It’s horrific. It is exactly the same as denying HRT to women in the menopause. It’s all fear mongering.

That was my point and it has only just been stopped.

[Hurdity]

I think it is important to sound a note of caution about the prescribing of testosterone for women - but mainly because there is such ignorance about it by the medical profession, and because we continue to have to be prescribed products designed for men and therefore the potential to take too much is great - especially now there is no longer any 1% gel - when previously there were two brands producing this.

In the past there was the Intrinsa patch which was withdrawn, I understand for commercial reasons, but surely now there is a commerical need for it so why has it not been reintroduced? I don't know the process by which products are brought onto the market by Pharma - who makes the first move? Androfeme is only available privately at great expense so why is the NHS not seeking approval/licensing, rather than giving us Testogel or Tostran?

There have been several instances on here of women being prescribed T on the basis of the NICE Guidelines but in completely wrong dosages which in my view is unforgiveable by a GP. All it needs is a small bit of research - notably the BMS Tools for Clinicians, to prescribe correctly.

Of course also to monitor levels so they remain within the physiological range for women - that should not need to be stated at all.

Finally  the article is correct in saying there are no long term data regarding safety of T supplementation in women which of course is a concern when some could be taking it for 40 years. I've been taking it for 9 years already  but didn't start until age 62....there should be proper trials of properly formulated T in concentrations suitable for women! (Hollow laugh!)

Hurdity x

[orrla]

I was 59..  now 69.

At 63, my whole HRT was cut down in half... because old people should not have hormones..? This produced whole range of issues I am not really getting much of informed help with.. My GPs diagnosing sucks. Waiting times long, I turned to private ...

Problem is NHS Guidance, for, I see, they do not see you, your particular make up, how you feel, etc.. They read guidance and give you whatever it says to give you. Like, for example, that woman my age should not get more  than 50 dose patch..

I could be collapsing in front of them and not get anymore.. in result have prolapse, bladder and rectal issues, possible incontinence, difficulty walking, require spine fusion, will need domestic help, but no! No more HRT!.. guidance says!

Few days ago, my surgery young receptionist tried to question my increased few months ago testo dose....

In process now of checking how GP listen to private Consultant..

I am not sure if I want to continue with such living... It's so ridiculous!

ps: I wonder how many men with Prostate issues are told that that's a natural process and to get on with it..?!🤔

[Hurdity]

Hi orrla

Sorry to hear about your problems with HRT and health issues.

As far as I know there is no guidance that says women over a certain age should not get more than 50 mcg patch. I am 71 and prescribed a 75 mcg - albeit that I cut it down to about 62-65 mcg. There is no longer an age limit provided you do not have any contra-indications to HRT generally. Testosterone is trickier as it is unlicensed for women, so unfortunately it is down to the individual practice, despite the NICE Guidelines, but a good GP should follow the guidance of the private consultant which may mean that only one visit might be needed - as this can be very costly. Not sure whether they are obliged to or not though?

I hope you get your issues sorted!

Hurdity x

[orrla]

Thanks! I am on it..! ..although it might be too late..

I don't know if that's everyone's experience with hormones but, when I am on a too little dose, I become dozy, not terribly bright, slow to connect dots, so it takes a while before I realise what's happening.. as that's what happened.

But, I am deeply disappointed with medical professionals, those whom I went to get help, to maintain reasonable body health shape in my later life, only made things worst...