HRT (hormone replacement therapy) blood tests are used to monitor and adjust hormone levels in transgender people and those going through menopause. They help ensure hormone therapy is working effectively and safely.
Some key points about HRT blood tests:
- They measure levels of sex hormones like estrogen, testosterone, and progesterone to see if they are in the ideal range.
- Blood counts like hematocrit and lipids are checked to assess side effects and health risks.
- They are done before starting HRT to get baseline hormone levels. Follow-up tests are needed 3-6 months after to adjust medication dosage.
- Testing is then done once or twice per year to keep levels in the right balance long-term.
Typical HRT Labs Done
Below are some common hormone blood tests done for transgender and menopausal patients:
- Total and free testosterone - measures the overall level of testosterone and the amount not bound to proteins. Both influence masculinization.
- Estradiol - the main estrogen that increases during feminization. Measured to avoid excess levels.
- FSH and LH - pituitary hormones that control sex hormone production. Low levels indicate HRT is working.
- Prolactin - ensures estrogen is not overly elevating this hormone made by the pituitary.
Safety-Related Tests
- Complete blood count - checks for anemia and polycythemia which can occur if estrogen/testosterone levels are too high.
- Liver enzymes and lipids - makes sure hormones are not damaging the liver or elevating blood fats like cholesterol.
When Tested
- Before starting: Baseline labs
- Early on: Frequent monitoring, usually every 3 months
- Long-term: Annual checks
More testing may be done if side effects appear or new medications are added.
Your doctor determines what blood tests you need based on your hormones, dosages and overall health.
Interpreting Results
Results are complex with ideal ranges varying by factors like age.
Your healthcare provider compares your results to prior tests and the normal cisgender female/male range - not general reference ranges.
Suboptimal results mean
medication or dosage changes may be needed to reach transition goals while staying safe. Some people see great results quickly, but for many finding the perfect balance takes months. So have patience and communicate openly with your doctor!
If you are exploring or undergoing HRT, I highly recommend getting complete care from
Vitality Hormone Clinic() clinic. Their team of endocrinology & transgender health experts provide safe, precise and convenient hormone therapy nationwide.
Patients get regular follow-up blood tests and medication adjustments to meet their transition goals. The telehealth model allows care from home while advanced AI tools optimize treatment plans. Vitality Hormone Clinic makes getting quality HRT simple!
