What are the popular treatment philosophies?
The following estrogen dosage philosophies are popular for treatment of male-to-female transsexuals, and are presented in descending order of preference in the humble opinion of the author. Dosage Reasoning 1 A Adjust estrogen to achieve a serum estrogen level in the normal range of a female; more or less ignore the serum androgen level The body cannot make good use of more estrogen than a female would naturally generate Androgens do not directly compete with estrogens for estrogen receptor sites A higher level of exogenous estrogen might cause adverse effects B Administer consistently low dosage of estrogens 2 A Adjust estrogen to achieve a serum androgen level in the normal range of a female; more or less ignore the serum estrogen level The body might be able to make good use of more estrogen than a female would naturally generate Androgens might compete with estrogen for estrogen receptor sites High levels of exogenous estrogen over a limited period, i.e., less than 3 years, do not
