<li><p>Moderators may take action or inaction at their discretion outside of these rules if needed, although we do generally try to stick to them. </p></li>
<li><p>Be kind to yourself and other users<br/>
Hate speech is prohibited. No racism, homophobia, transphobia, and so on for all intrinsic characteristics. Do not personally attack other users.
This includes ironic self deprecation, transmedicalism advocacy, calling people's "transness" into question, and similar lines of comments.
If you think another user has said something incorrect, reply politely or walk away.</p></li>
<li><p>Stay on topic<br/>
We're a subreddit intended to help people with HRT and adjacent medical issues. Social posting and non-medical transition questions should go to more generic trans subreddits such as <ahref="https://old.reddit.com/r/MtF">/r/MtF</a>, <ahref="https://old.reddit.com/r/FtM">/r/FtM</a>, <ahref="https://old.reddit.com/r/AskTransgender">/r/AskTransgender</a> and so on. For non-HRT related medical issues you should be talking to a doctor.</p></li>
<li><p>Be clear, be accurate</p>
<ul>
<li>When asking questions, be clear about what the problem you're facing is and provide clarifying information when requested. Post titles should be informative but brief. Ask for help with the root problem rather then what you think the solution might be wherever reasonable (<ahref="https://en.wikipedia.org/wiki/XY_problem">https://en.wikipedia.org/wiki/XY_problem</a>). Confirm answers with multiple people wherever possible, because sometimes people will say dumb stuff and it doesn't get caught in the moment.</li>
<li>When answering questions, stick to established science wherever possible and have sources for your statements. If you can stick to peer reviewed published work that doesn't have major critiques then perfect, if this doesn't exist then use community resources which have stood up to scrutiny. Anecdotes are generally not sufficient.</li>
</ul></li>
<li><p>Keep discussions in public<br/>
Do not DM other users. Do not ask other users to DM you. Report and block people who DM you, especially if they are trying to sell you anything.
Keeping discussions in public is the primary tool for avoiding misinformation and scams.</p></li>
<li><p>Prohibited/restricted topics<br/>
Some topics are prohibited, either due to reddit site wide ToS issues, because they are effectively unsolvable, or they have a tendency to generate high quantities of rule breaking posts.<br/>
Some topics are restricted, and posts will be removed unless they are of high quality. You might want to poke a mod before posting to check if this is the case.</p></li>
</ul>
<p>THE PROHIBITED TOPICS LIST:</p>
<ul>
<li>Sourcing for Testosterone (Reddit ToS, <ahref="https://support.reddithelp.com/hc/en-us/articles/360043513471">https://support.reddithelp.com/hc/en-us/articles/360043513471</a>)<br/></li>
<li>Circumventing the law in your location (Reddit ToS)<br/></li>
<li>Direct advertisements from storefronts or other sellers (Reddit ToS, drama)<br/></li>
<li>Direct transactions between users, including giveaways (Reddit ToS)<br/></li>
<li>Asking for medication advice while under 18 (Reddit ToS), see wiki for more information<br/></li>
<li>Hiding medication/transition from family (no good answer, drama)<br/></li>
</ul>
<p>Restricted topics: </p>
<ul>
<li>Advocacy for non-pharmacutical medication (IE, herbals and phytoestrogens)<br/></li>
<li>Discussions around medications only tangentially related to transitioning (Pioglitazone, Semaglutide, and similar)<br/></li>
<li>Requests for participants in research will be removed unless prior moderator authorisation is sought.<br/></li>
<li>Requests for interview from journalists will be removed without prior moderator authorisation, and in the current environment authorisation is unlikely to be given.<br/></li>
</ul>
<p><strong>Reviews and recommendations of storefronts or suppliers</strong><br/>
Second party reviews and recommendations are allowed in moderation. Excessive or unprompted promotion will lead to post removal.
Requests for storefronts or suppliers are also permitted within reason.
Storefronts/suppliers may not self-promote. Paid incentives to promote are prohibited.</p>
</div></form><divclass="bottom"><spanclass="age">a community for <timetitle="Thu Apr 24 06:35:53 2014 UTC"datetime="2014-04-24T06:35:53+00:00">9 years</time></span></div></div></div><divclass='spacer'><divclass="sidecontentbox collapsible"id="wikiactions"><divclass="title"><h1>WIKI TOOLS</h1><spanclass="collapse-button">-</span></div><ulclass="content"><li><ulclass="flat-vert icon-menu hover"><li><ahref="https://old.reddit.com/r/TransDIY/wiki/revisions/"data-event-action="pageview"data-type="subreddit"data-event-detail="wikirevisions"class="wikiaction-revisions choice">recent wiki revisions</a></li><li><spanclass="separator"></span><ahref="https://old.reddit.com/r/TransDIY/wiki/pages/"data-event-action="pageview"data-type="subreddit"data-event-detail="wikipages"class="wikiaction-pages choice">wiki page list</a></li></ul></li></ul><script>r.ui.collapsibleSideBox("wikiactions")</script></div></div><divclass='spacer'><divclass="sidecontentbox "><divclass="title"><h1>MODERATORS</h1></div><ulclass="content"><liclass="message-button centered"><aclass="c-btn c-btn-primary login-required"href="https://old.reddit.com/message/compose/?to=/r/TransDIY">message the mods</a></li></ul></div></div></div><aname="content"></a><divclass="content"role="main"><span><h1class="wikititle"><strong>index</strong></h1><spanclass="pageactions"><aclass="wikiaction wikiaction-index wikiaction-current "href="wiki.html"data-type="subreddit"data-event-action="pageview"data-event-detail="wikiview">view</a><aclass="wikiaction wikiaction-revisions/index "href="https://old.reddit.com/r/TransDIY/wiki/revisions/index"data-type="subreddit"data-event-action="pageview"data-event-detail="wikirevisions">history</a><aclass="wikiaction wikiaction-discussions "href="https://old.reddit.com/r/TransDIY/wiki/discussions/index"data-type="subreddit"data-event-action="pageview"data-event-detail="wikidiscussions">talk</a></span></span><divclass="wiki-page-content md-container"><p><divclass="md wiki"><divclass="toc"><ul><liclass="wiki_getting_started"><ahref="wiki.html#wiki_getting_started">Getting Started</a></li><liclass="toc_child"><ul><liclass="wiki_general"><ahref="wiki.html#wiki_general">General</a></li><liclass="wiki_transmasculine"><ahref="wiki.html#wiki_transmasculine">Transmasculine</a></li><liclass="wiki_transfeminine"><ahref="wiki.html#wiki_transfeminine">Transfeminine</a></li></ul></li><liclass="wiki_general_resources"><ahref="wiki.html#wiki_general_resources">General Resources</a></li><liclass="toc_child"><ul><liclass="wiki_resources_to_get_a_doctor"><ahref="wiki.html#wiki_resources_to_get_a_doctor">Resources to get a doctor</a></li><liclass="toc_child"><ul><liclass="wiki_finding_a_doctor_in_the_uk"><ahref="wiki.html#wiki_finding_a_doctor_in_the_uk">Finding a doctor in the UK</a></li><liclass="wiki_finding_a_doctor_in_the_us"><ahref="wiki.html#wiki_finding_a_doctor_in_the_us">Finding a doctor in the US</a></li></ul></li><liclass="wiki_online"><ahref="wiki.html#wiki_online">Online</a></li><liclass="wiki_blood_tests"><ahref="wiki.html#wiki_blood_tests">Blood Tests</a></li><liclass="toc_child"><ul><liclass="wiki_us_blood_tests"><ahref="wiki.html#wiki_us_blood_tests">US blood tests</a></li><liclass="wiki_uk_blood_tests"><ahref="wiki.html#wiki_uk_blood_tests">UK blood tests</a></li><liclass="wiki_finland_blood_tests"><ahref="wiki.html#wiki_finland_blood_tests">Finland Blood Tests</a></li></ul></li><liclass="wiki_bone_density_tests"><ahref="wiki.html#wiki_bone_density_tests">Bone Density Tests</a></li><liclass="wiki_medical_guidelines"><ahref="wiki.html#wiki_medical_guidelines">Medical Guidelines</a></li><liclass="toc_child"><ul><liclass="wiki_major_guidelines"><ahref="wiki.html#wiki_major_guidelines">Major Guidelines</a></li><liclass="toc_child"><ul><liclass="wiki_wpath_standards_of_care"><ahref="wiki.html#wiki_wpath_standards_of_care">WPATH Standards of Care</a></li><liclass="wiki_endocrine_society_clinical_practice_guideline"><ahref="wiki.html#wiki_endocrin
<p>These are good resources to get started learning about HRT and endocrinology.</p>
<h2id="wiki_general">General</h2>
<p><ahref="https://en.wikipedia.org/wiki/Transgender_hormone_therapy"rel="nofollow">Trans HRT Wikipedia Page</a></p>
<p><ahref="https://www.wpath.org/publications/soc"rel="nofollow">WPATH Standards of Care</a></p>
<p><ahref="https://transfemscience.org/articles/transfem-intro/"rel="nofollow">Intro to Hormone Therapy for Transfeminine People by Transfeminine Science</a></p>
<p><ahref="https://transfemscience.org/articles/e2-equivalent-doses/"rel="nofollow">Approximate equivalent doses of different estradiol routes/forms by Transfeminine Science</a></p>
<p><ahref="https://apps.carleton.edu/campus/gsc/assets/hormones_MTF.pdf"rel="nofollow">Trans Care Project - Hormones: A Guide for MTFs</a></p>
<p><ahref="https://www.rainbowhealthontario.ca/TransHealthGuide/gp-femht.html"rel="nofollow">Rainbow Health Transfeminine HRT guidelines</a></p>
<p><ahref="https://en.wikipedia.org/wiki/Feminizing_hormone_therapy"rel="nofollow">Transfeminine HRT Wikipedia Page</a></p>
<p><ahref="https://www.hormonebalance.org/images/documents/Kuhl%2005%20%20Pharm%20Estro%20Progest%20Climacteric_1313155660.pdf"rel="nofollow">Kuhl (2005)—an amazing review about the pharmacology of estrogens and progestogens</a></p>
<h2id="wiki_resources_to_get_a_doctor">Resources to get a doctor</h2>
<p><ahref="https://reddit.com/r/TransWiki/wiki/hrt/australia/"rel="nofollow">HRT in Sydney AU</a></p>
<p><ahref="https://reddit.com/r/AskMtFHRT/comments/f3mqh2/not_a_question_this_is_a_writeup_for_any_trans/"rel="nofollow">Getting HRT in Auckland New Zealand</a></p>
<h3id="wiki_finding_a_doctor_in_the_uk">Finding a doctor in the UK</h3>
<p><ahref="https://docs.google.com/spreadsheets/d/1b5SSnb7LBUlWSjasN2ld7qPGmEchgDG8voUY-SkfAlw"rel="nofollow">List of trans friendly general practitioners</a></p>
<p><ahref="http://bytenoise.co.uk/oh-for-fucks-sake/mascara-and-hope.pdf"rel="nofollow">Mascara and Hope: A guide for trans women navigating the NHS and transition in the UK</a></p>
<h3id="wiki_finding_a_doctor_in_the_us">Finding a doctor in the US</h3>
<p><ahref="https://reddit.com/r/asktransgender/comments/d6p05q/i_compiled_every_single_informed_consent_clinic/"rel="nofollow">List of informed consent clinics in the US</a> (<ahref="https://www.google.com/maps/d/embed?mid=1DxyOTw8dI8n96BHFF2JVUMK7bXsRKtzA&ehbc=2E312F"rel="nofollow">direct link</a>)</p>
<p><ahref="https://southernequality.org/resources/transinthesouth/"rel="nofollow">Trans in the South: guide and interactive map for finding quality trans providers in the southern US</a></p>
<p><ahref="https://thegalap.org"rel="nofollow">GALAP: a group of therapists who write letters for surgery/HRT based on informed consent</a></p>
<p><ahref="https://en.wikipedia.org/wiki/Reference_ranges_for_blood_tests"rel="nofollow">Reference ranges to help interpret blood test results</a> (if these ranges are different than the ones printed on your test results, then trust the ones you got from your lab; every lab has different equipment and different reference ranges)</p>
<p><ahref="https://reddit.com/r/DrWillPowers/comments/f423t7/why_drawing_your_blood_for_hormone_labs_any_time/"rel="nofollow">Dr. Powers: Why drawing your blood for hormone labs any time other than right before your next dose is pointless</a> (but a <ahref="https://transfemscience.org/misc/misc-assorted/#injectables-and-testing-hormone-levels-at-trough"rel="nofollow">rebuttal by Transfeminine Science</a>)</p>
<p><ahref="https://docs.google.com/spreadsheets/d/1b5SSnb7LBUlWSjasN2ld7qPGmEchgDG8voUY-SkfAlw"rel="nofollow">List of trans friendly GPs (can provide blood tests even if they don't prescribe your HRT)</a></p>
<p><ahref="https://reddit.com/r/TransDIY/comments/epoxof/private_bloodwork_guideexperience_finland/"rel="nofollow">Private blood work guide/experience (Finland)</a></p>
<h2id="wiki_bone_density_tests">Bone Density Tests</h2>
<p><ahref="https://dexascan.com/bone-density"rel="nofollow">dexascan.com</a> provides tests for osteoporosis that don't require a prescription. They also do muscle/fat composition scans if you want to track muscle growth/atrophy.</p>
<p>Standards, guidelines, or explainers made by healthcare professionals.</p>
<p><ahref="https://transfemscience.org/articles/transfem-hormone-guidelines/"rel="nofollow">A full list of guidelines is maintained by Transfeminine Science</a></p>
<h4id="wiki_wpath_standards_of_care">WPATH Standards of Care</h4>
<p>The World Professional Association for Transgender Health (WPATH) Standards of Care (SOC) (2022, currently version 8 and known as SOC8) are considered by many to be the go-to international guidelines and best practices for trans healthcare.</p>
<p>There is a free download in many languages here:</p>
<p>Link to the full site homepage: <ahref="https://www.rainbowhealthontario.ca/TransHealthGuide/index.html"rel="nofollow">https://www.rainbowhealthontario.ca/TransHealthGuide/index.html</a></p>
<h4id="wiki_trans_care_project">Trans Care Project</h4>
<p>This is an easy to understand explanation of HRT for trans people:</p>
<ul>
<li><ahref="https://apps.carleton.edu/campus/gsc/assets/hormones_MTF.pdf"rel="nofollow">Hormones: A Guide for MTFs</a></li>
<li><ahref="https://apps.carleton.edu/campus/gsc/assets/hormones_FTM.pdf"rel="nofollow">Hormones: A Guide for FTMs</a></li>
</ul>
<h4id="wiki_royal_college_of_psychiatry_good_practice_guidelines">Royal College of Psychiatry Good Practice Guidelines</h4>
<li><ahref="https://www.gires.org.uk/wp-content/uploads/2014/08/doh-hormone-therapy.pdf"rel="nofollow">NHS explainer for trans patients</a></li>
<li><ahref="https://web.archive.org/web/20190623024018/https://www.lgbthealtheducation.org/wp-content/uploads/COM-2245-The-Medical-Care-of-Transgender-Persons.pdf"rel="nofollow">The Fenway Institute guidelines for trans medical care</a></li>
<li><ahref="http://www.phsa.ca/transcarebc/Documents/HealthProf/BC-Trans-Adult-Endocrine-Guidelines-2015.pdf"rel="nofollow">Endocrine Therapy for Transgender Adults in British Columbia: Suggested Guidelines</a></li>
<li><ahref="http://sherbourne.on.ca/wp-content/uploads/2014/02/Guidelines-and-Protocols-for-Comprehensive-Primary-Care-for-Trans-Clients-2015.pdf"rel="nofollow">Sherbourne Health Center Guidelines</a></li>
<li><ahref="https://www.ippf.org/sites/default/files/ippf_imap_transgender.pdf"rel="nofollow">International Medical Advisory Panel Statement on hormone therapy for transgender people</a></li>
</ul>
<h2id="wiki_crash_course">Crash Course</h2>
<p><ahref="https://www.youtube.com/watch?v=uBGl2BujkPQ&list=PL8dPuuaLjXtOAKed_MxxWBNaPno5h3Zs8"rel="nofollow">Crash course anatomy and physiology</a> is a YouTube video series covering a college level introduction to human biology.</p>
<p>It's a great way to gain a basic general understanding of the human body, which is a great thing to have for self medicating.</p>
<p>The episodes on the endocrine system and reproductive system are especially relevant.</p>
<h2id="wiki_wikipedia_pages">Wikipedia Pages</h2>
<p>Here are Wikipedia pages about relevant topics in trans HRT.</p>
<p>If you don't understand something, click through on the links or google it separately. Don't be afraid to look at the sources that are cited either. Use <ahref="https://sci-hub.se"rel="nofollow">Sci-Hub</a> to view paywalled papers (check the <ahref="https://en.wikipedia.org/wiki/Sci-Hub"rel="nofollow">Wikipedia page</a> if that link doesn't work). Use <ahref="http://libgen.is/"rel="nofollow">LibGen</a> to download paywalled books (also check the <ahref="https://en.wikipedia.org/wiki/Library_Genesis"rel="nofollow">Wikipedia page</a> if that link doesn't work).</p>
<p><ahref="https://bit.ly/trans-papers"rel="nofollow">A massive repository of transgender related scientific studies</a></p>
<p><ahref="https://transfemscience.org/articles/research-trans-literature/"rel="nofollow">A guide for searching and getting access to raw medical research on Transfeminine Science</a></p>
<p>Reddit search is pretty terrible, so it's better to use google. You can search only specific sites using <ahref="https://www.google.com/advanced_search"rel="nofollow">Google's advanced search</a>. For example, put <code>reddit.com/r/TransDIY</code> in the "site or domain" field to only search this subreddit.</p>
<p>Another more advanced way to search Reddit is using <ahref="https://camas.unddit.com/"rel="nofollow">https://camas.unddit.com/</a></p>
<p>Be very skeptical about things you see posted on reddit. It's very useful as a starting point to find what exactly to research in the first place, but be sure to verify everything, <em>especially</em> if it seems obvious or common knowledge.</p>
<p><ahref="https://moderntranshormones.com/2017/11/01/subcutaneous-injection-of-hormones/"rel="nofollow">in-depth and trans-specific guide on subcutaneous oil injections</a></p>
<p><ahref="https://www.youtube.com/watch?v=e0wDPZ0D9Wk"rel="nofollow">Video: "How to do a testosterone or estrogen injection – LGBTQ Clinic"</a></p>
<p><ahref="https://www.youtube.com/watch?v=UH1yTqt1sK8"rel="nofollow">Video: "Dr. John Crisler, SubQ Injection Demonstration"</a></p>
<p><ahref="https://www.youtube.com/watch?v=cBabaGC2Dok"rel="nofollow">Video by planned parenthood: "How to perform an intramuscular (IM) self-injection."</a></p>
<p><ahref="https://www.youtube.com/watch?v=2QrNpqft5zg"rel="nofollow">Video by planned parenthood: "How to perform a subcutaneous self-injection."</a></p>
<p><ahref="https://fenwayhealth.org/wp-content/uploads/2015/07/COM-1880-trans-health_injection-guide_small_v2.pdf"rel="nofollow">Fenway Health trans health injection guide</a></p>
<h2id="wiki_guides_from_this_community">Guides from this community</h2>
<p><ahref="https://transfemscience.org/articles/nonbinary-transfem-overview/"rel="nofollow">An excellent overview of HRT for transfeminine non-binary people (AMAB) on Transfeminine Science</a></p>
<p><ahref="https://transfemscience.org/articles/serms-transfem/"rel="nofollow">A review of selective estrogen receptor modulators and their potential for transfeminine HRT on Transfeminine Science</a></p>
<p><ahref="https://reddit.com/r/TransDIY/comments/7iahj2/guide_for_ftm_peepsnb_transmasc_people/"rel="nofollow">Guide for transmasculine (FtM/non-binary) DIY</a></p>
<p><ahref="https://web.archive.org/web/20210726164047/https://madgenderscience.wiki/wiki/Experimental_feminizing_HRT#Experimental_regimen:_bicalutamide_and_raloxifene"rel="nofollow">Transfeminine regimen without breast growth using bicalutamide and raloxifene</a> (only that section)</p>
<p><ahref="https://www.underworks.com/men-compression-shirts"rel="nofollow">Chest binders sized for AMAB people (originally intended for men dealing with gynecomastia)</a></p>
<p><ahref="http://www.ftmguide.org/"rel="nofollow">http://www.ftmguide.org/</a> (everything under the "testosterone" section)</p>
<p><ahref="https://www.steroidal.com/steroid-profiles"rel="nofollow">Information about various androgen medications</a></p>
<h2id="wiki_guides_from_this_community2">Guides from this community</h2>
<p><ahref="https://reddit.com/r/TransDIY/comments/7iahj2/guide_for_ftm_peepsnb_transmasc_people/"rel="nofollow">Guide for transmasculine (FtM/non-binary) DIY</a></p>
<p><ahref="https://transguys.com/ref/intramuscular-testosterone-injection-pain"rel="nofollow">10 Ways to Make Intramuscular Testosterone Injections Less Painful</a></p>
<li><ahref="https://discord.gg/QpaNPQsstw"rel="nofollow">TransDIY Discord</a> (not affiliated with us even with the name overlap, but a very good place)</li>
<h2id="wiki_guides_from_this_community3">Guides from this community</h2>
<p><ahref="https://transfemscience.org/articles/transfem-intro/"rel="nofollow">An amazing in-depth overview of all the science behind transfeminine HRT on Transfeminine Science</a></p>
<p><ahref="http://transascity.org/sublingual-versus-oral-estrogen/"rel="nofollow">A comparison between oral administration of estradiol and sublingual administration</a></p>
<p><ahref="http://hormonebalance.org/images/documents/Kuhl%2005%20%20Pharm%20Estro%20Progest%20Climacteric_1311166827.pdf"rel="nofollow">A huge scientific literature review on estrogens and progestogens</a></p>
<p><ahref="http://anthro.cs.uni-freiburg.de"rel="nofollow">A graph showing the distribution of body measurements by gender, and how most things scale with height</a></p>
<p>This isn't HRT specific, but it might help with dysphoria by allowing you to get an objective idea of your bone sizes compared to the male/female average for your height. Keep in mind that HRT can change your height by a couple inches.</p>
<h2id="wiki_simulators">Simulators</h2>
<h3id="wiki_injectable_estradiol_simulator_by_transfeminine_science">Injectable Estradiol Simulator by Transfeminine Science</h3>
<p>For testosterone and other anabolic steroids. Calculates and plots dose eliminated (not drug levels) based on literature-reported half-lives. It's extremely rough, so take with a large grain of salt.</p>
<p>This is useful for understanding and reasoning about half-lives and drug accumulation.</p>
<p> </p>
<hr/>
<p> </p>
<p><em>Please follow the Reddit and subreddit rules when adding to the wiki. This is meant to be a repository of our shared knowledge, please keep things factual and cite your sources whenever possible.</em></p>
<p>If there are any issues or abuses, <ahref="https://reddit.com/message/compose?to=%2Fr%2FTransDIY"rel="nofollow">contact the mods</a>.</p>
</div>
<textareareadonlyclass="source"rows="20"cols="20"># Getting Started
These are good resources to get started learning about HRT and endocrinology.
## General
[Trans HRT Wikipedia Page](https://en.wikipedia.org/wiki/Transgender_hormone_therapy)
[WPATH Standards of Care](https://www.wpath.org/publications/soc)
[Intro to Hormone Therapy for Transfeminine People by Transfeminine Science](https://transfemscience.org/articles/transfem-intro/)
[Approximate equivalent doses of different estradiol routes/forms by Transfeminine Science](https://transfemscience.org/articles/e2-equivalent-doses/)
[Trans Care Project - Hormones: A Guide for MTFs](https://apps.carleton.edu/campus/gsc/assets/hormones_MTF.pdf)
[Rainbow Health Transfeminine HRT guidelines](https://www.rainbowhealthontario.ca/TransHealthGuide/gp-femht.html)
[Transfeminine HRT Wikipedia Page](https://en.wikipedia.org/wiki/Feminizing_hormone_therapy)
[Kuhl (2005)—an amazing review about the pharmacology of estrogens and progestogens](https://www.hormonebalance.org/images/documents/Kuhl%2005%20%20Pharm%20Estro%20Progest%20Climacteric_1313155660.pdf)
# General Resources
## Resources to get a doctor
[HRT in Sydney AU](https://reddit.com/r/TransWiki/wiki/hrt/australia/)
[Getting HRT in Auckland New Zealand](https://reddit.com/r/AskMtFHRT/comments/f3mqh2/not_a_question_this_is_a_writeup_for_any_trans/)
### Finding a doctor in the UK
[List of trans friendly general practitioners](https://docs.google.com/spreadsheets/d/1b5SSnb7LBUlWSjasN2ld7qPGmEchgDG8voUY-SkfAlw)
[Mascara and Hope: A guide for trans women navigating the NHS and transition in the UK](http://bytenoise.co.uk/oh-for-fucks-sake/mascara-and-hope.pdf)
### Finding a doctor in the US
[List of informed consent clinics in the US](https://reddit.com/r/asktransgender/comments/d6p05q/i_compiled_every_single_informed_consent_clinic/) ([direct link](https://www.google.com/maps/d/embed?mid=1DxyOTw8dI8n96BHFF2JVUMK7bXsRKtzA&ehbc=2E312F))
[Trans in the South: guide and interactive map for finding quality trans providers in the southern US](https://southernequality.org/resources/transinthesouth/)
[GALAP: a group of therapists who write letters for surgery/HRT based on informed consent](https://thegalap.org)
[Reference ranges to help interpret blood test results](https://en.wikipedia.org/wiki/Reference_ranges_for_blood_tests) (if these ranges are different than the ones printed on your test results, then trust the ones you got from your lab; every lab has different equipment and different reference ranges)
[Dr. Powers: Why drawing your blood for hormone labs any time other than right before your next dose is pointless](https://reddit.com/r/DrWillPowers/comments/f423t7/why_drawing_your_blood_for_hormone_labs_any_time/) (but a [rebuttal by Transfeminine Science](https://transfemscience.org/misc/misc-assorted/#injectables-and-testing-hormone-levels-at-trough))
[List of trans friendly GPs (can provide blood tests even if they don't prescribe your HRT)](https://docs.google.com/spreadsheets/d/1b5SSnb7LBUlWSjasN2ld7qPGmEchgDG8voUY-SkfAlw)
### Finland Blood Tests
[Private blood work guide/experience (Finland)](https://reddit.com/r/TransDIY/comments/epoxof/private_bloodwork_guideexperience_finland/)
[puhti.fi](https://www.puhti.fi/)
## Bone Density Tests
[dexascan.com](https://dexascan.com/bone-density) provides tests for osteoporosis that don't require a prescription. They also do muscle/fat composition scans if you want to track muscle growth/atrophy.
## Medical Guidelines
Standards, guidelines, or explainers made by healthcare professionals.
[A full list of guidelines is maintained by Transfeminine Science](https://transfemscience.org/articles/transfem-hormone-guidelines/)
### Major Guidelines
#### WPATH Standards of Care
The World Professional Association for Transgender Health (WPATH) Standards of Care (SOC) (2022, currently version 8 and known as SOC8) are considered by many to be the go-to international guidelines and best practices for trans healthcare.
There is a free download in many languages here:
https://www.wpath.org/publications/soc
#### Endocrine Society Clinical Practice Guideline
The Endocrine Society guidelines (2017) are the major consulted international guidelines on transgender hormone therapy:
https://doi.org/10.1210/jc.2017-01658
#### UCSF Guidelines
The University of California, San Francisco (UCSF) trans health guidelines (2016) are quality and thorough:
https://transcare.ucsf.edu/guidelines
[Overview of masculinizing hormone therapy](https://transcare.ucsf.edu/guidelines/masculinizing-therapy)
[Overview of feminizing hormone therapy](https://transcare.ucsf.edu/guidelines/feminizing-hormone-therapy)
- [NHS explainer for trans patients](https://www.gires.org.uk/wp-content/uploads/2014/08/doh-hormone-therapy.pdf)
- [The Fenway Institute guidelines for trans medical care](https://web.archive.org/web/20190623024018/https://www.lgbthealtheducation.org/wp-content/uploads/COM-2245-The-Medical-Care-of-Transgender-Persons.pdf)
- [Endocrine Therapy for Transgender Adults in British Columbia: Suggested Guidelines](http://www.phsa.ca/transcarebc/Documents/HealthProf/BC-Trans-Adult-Endocrine-Guidelines-2015.pdf)
- [Sherbourne Health Center Guidelines](http://sherbourne.on.ca/wp-content/uploads/2014/02/Guidelines-and-Protocols-for-Comprehensive-Primary-Care-for-Trans-Clients-2015.pdf)
- [International Medical Advisory Panel Statement on hormone therapy for transgender people](https://www.ippf.org/sites/default/files/ippf_imap_transgender.pdf)
## Crash Course
[Crash course anatomy and physiology](https://www.youtube.com/watch?v=uBGl2BujkPQ&list=PL8dPuuaLjXtOAKed_MxxWBNaPno5h3Zs8) is a YouTube video series covering a college level introduction to human biology.
It's a great way to gain a basic general understanding of the human body, which is a great thing to have for self medicating.
The episodes on the endocrine system and reproductive system are especially relevant.
## Wikipedia Pages
Here are Wikipedia pages about relevant topics in trans HRT.
If you don't understand something, click through on the links or google it separately. Don't be afraid to look at the sources that are cited either. Use [Sci-Hub](https://sci-hub.se) to view paywalled papers (check the [Wikipedia page](https://en.wikipedia.org/wiki/Sci-Hub) if that link doesn't work). Use [LibGen](http://libgen.is/) to download paywalled books (also check the [Wikipedia page](https://en.wikipedia.org/wiki/Library_Genesis) if that link doesn't work).
[A massive repository of transgender related scientific studies](https://bit.ly/trans-papers)
[A guide for searching and getting access to raw medical research on Transfeminine Science](https://transfemscience.org/articles/research-trans-literature/)
## Searching Reddit
Reddit search is pretty terrible, so it's better to use google. You can search only specific sites using [Google's advanced search](https://www.google.com/advanced_search). For example, put `reddit.com/r/TransDIY` in the "site or domain" field to only search this subreddit.
Another more advanced way to search Reddit is using https://camas.unddit.com/
Be very skeptical about things you see posted on reddit. It's very useful as a starting point to find what exactly to research in the first place, but be sure to verify everything, *especially* if it seems obvious or common knowledge.
## Injection resources
[in-depth and trans-specific guide on subcutaneous oil injections](https://moderntranshormones.com/2017/11/01/subcutaneous-injection-of-hormones/)
[Video: "How to do a testosterone or estrogen injection – LGBTQ Clinic"](https://www.youtube.com/watch?v=e0wDPZ0D9Wk)
[Video: "Dr. John Crisler, SubQ Injection Demonstration"](https://www.youtube.com/watch?v=UH1yTqt1sK8)
[Video by planned parenthood: "How to perform an intramuscular (IM) self-injection."](https://www.youtube.com/watch?v=cBabaGC2Dok)
[Video by planned parenthood: "How to perform a subcutaneous self-injection."](https://www.youtube.com/watch?v=2QrNpqft5zg)
[Fenway Health trans health injection guide](https://fenwayhealth.org/wp-content/uploads/2015/07/COM-1880-trans-health_injection-guide_small_v2.pdf)
[Guide website for intramuscular injections](https://www.spotinjections.com/index3.htm)
### Buying needles and syringes online
https://westendmedicalsupplies.com/
https://www.medisave.co.uk/
https://www.gpzmedlab.com
https://www.medlabgear.com/
# Non-binary Resources
## Guides from this community
[An excellent overview of HRT for transfeminine non-binary people (AMAB) on Transfeminine Science](https://transfemscience.org/articles/nonbinary-transfem-overview/)
[A review of selective estrogen receptor modulators and their potential for transfeminine HRT on Transfeminine Science](https://transfemscience.org/articles/serms-transfem/)
[Guide for transmasculine (FtM/non-binary) DIY](https://reddit.com/r/TransDIY/comments/7iahj2/guide_for_ftm_peepsnb_transmasc_people/)
[Transfeminine regimen without breast growth using bicalutamide and raloxifene](https://web.archive.org/web/20210726164047/https://madgenderscience.wiki/wiki/Experimental_feminizing_HRT#Experimental_regimen:_bicalutamide_and_raloxifene) (only that section)
[Chest binders sized for AMAB people (originally intended for men dealing with gynecomastia)](https://www.underworks.com/men-compression-shirts)
# Transmasculine Resources
http://www.ftmguide.org/ (everything under the "testosterone" section)
[Information about various androgen medications](https://www.steroidal.com/steroid-profiles)
## Guides from this community
[Guide for transmasculine (FtM/non-binary) DIY](https://reddit.com/r/TransDIY/comments/7iahj2/guide_for_ftm_peepsnb_transmasc_people/)
[10 Ways to Make Intramuscular Testosterone Injections Less Painful](https://transguys.com/ref/intramuscular-testosterone-injection-pain)
# Transfeminine Resources
## Other Communities
### Reddit
- r/TransfemScience
- r/AskMtFHRT
- r/TransBreastTimelines
### Discord
- [TransDIY Discord](https://discord.gg/QpaNPQsstw) (not affiliated with us even with the name overlap, but a very good place)
### Others
- https://groups.io/g/MTFHRT
## Guides from this community
[An amazing in-depth overview of all the science behind transfeminine HRT on Transfeminine Science](https://transfemscience.org/articles/transfem-intro/)
[A comparison between oral administration of estradiol and sublingual administration](http://transascity.org/sublingual-versus-oral-estrogen/)
[A huge scientific literature review on estrogens and progestogens](http://hormonebalance.org/images/documents/Kuhl%2005%20%20Pharm%20Estro%20Progest%20Climacteric_1311166827.pdf)
# Other
## Body Measurements
[A graph showing the distribution of body measurements by gender, and how most things scale with height](http://anthro.cs.uni-freiburg.de)
This isn't HRT specific, but it might help with dysphoria by allowing you to get an objective idea of your bone sizes compared to the male/female average for your height. Keep in mind that HRT can change your height by a couple inches.
## Simulators
### Injectable Estradiol Simulator by Transfeminine Science
A simulator for estradiol levels with injectable estradiol esters like estradiol valerate
### Steroid Plotter
https://www.steroidplotter.com/
For testosterone and other anabolic steroids. Calculates and plots dose eliminated (not drug levels) based on literature-reported half-lives. It's extremely rough, so take with a large grain of salt.
### Half-Life Calculator
http://com.hemiola.com/half-life/
This is useful for understanding and reasoning about half-lives and drug accumulation.
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