it depends on the meds your kid is on, androgen still needs to be blocked somehow. estradiol injections typically don't need spironolactone because it overwhelms androgen receptors, but oral or patches do. but it also varies from person to person
Thanks. I'm distrustful of her main care provider at this point, plus nobody else seems interested in conversations about her transition goals or how to try for them. Just this rote method.
Especially as typically trans girls are given much lower doses of estrogen to mimic puberty more closely (although boogers in the NL has some interesting stuff about high dose E in pubescent trans girls)
Comments
they're actually one of the safest to use and should overlap with the normal regimen
so instead of having estradiol+anti-androgen
estradiol+GnRHAs(the pb) is waaaay better
specially if the goal is to emulate cis puberty
and they're both safer and MORE EFFECTIVE than other T blockers like spirolactone, bicalutamide and cyproterone acetate