PSA for any trans person getting feminising gender-affirming hormone therapy through the NHS

Most NHS gender clinics across the UK have heavily restrictive oestradiol (estradiol; E2) target ranges, which are not in line with international best practice or guidance 😮‍💨

Some target as low as 200 to 400 pmol/L (54 to 109 pg/mL).

Many target an arbitrary, narrow 400 to 600 pmol/L (109 to 163 pg/mL) range.

Only a couple are more in line with international guidance, using a wider 350 to 750 pmol/L (95 pg/mL to 204 pg/mL).

If you test above their range, they will typically reduce your E2 dose, even if you feel better with a higher E2 level.

As such, it is always morally justified to take steps to make your E2 level lower when they demand a blood test to stop your dose being lowered ✊

#NHS #TransRights #TransRightsAreHumanRights #TransLiberation #TransLiberationNow #HRT #GAHT #OpenHRT #trans #transgender #transition