Gender-affirming Hormones - Regular Monitoring
Items and frequency of monitoring are generally arranged by doctors. The following information is for reference only. Please consult your doctor for details.
Group 1
-
Before using hormones.
-
After starting hormones, adjustment of dosage / type of hormones, change of body conditions: Every 3-4 months. Then,
-
After hormonal profile and others aspects become stable: Every 6-12 months.
Item
On estrogen, androgen blocker
On testosterone
Estradiol (E2)
✓
Prolactin (PRL)
✓
Testosterone, total
✓
✓
Complete blood count (CBC)*
✓
*Complete blood count (CBC), including
-
Hemoglobin (Hb)
-
Hematocrit
Group 2
-
Before using hormones.
-
After starting hormones. Then, if no abnormalities before and after starting hormones: Every 6-12 months.
Item
On estrogen, androgen blocker
On testosterone
Blood pressure
✓
✓
Body weight
✓
✓
Liver function: Alanine transaminase (ALT)
✓
✓
Renal function*: Creatinine
✓
✓
Fasting blood glucose / HbA1c
✓
✓
Lipid profile^
✓
✓
*Renal function: if using spironolactone as androgen blocker, also include
-
Sodium (Na)
-
Potassium (K)
^Lipid profile, including
-
Cholesterol, total
-
Triglycerides
-
High-density lipoprotein cholesterol (HDL)
-
Low-density lipoprotein cholesterol (LDL)