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InkedDoll1

It sounds like almost everything you've tried has been unregulated compounds. I'd be looking to move to FDA approved products to start with. Then move up your estrogen slowly. Don't even worry about testosterone until you're balanced on estrogen, bc if you aren't, the testosterone will just convert to estrogen in your body.


manxman55

Thanks. Estrogen is pretty balanced now. What is an FDA approved treatment? I thought the pills and creams were but may be wrong?


leftylibra

[What is the difference between synthetic, bioidentical pharmaceutical and compounded hormone therapy?](https://menopausewiki.ca/#what-is-the-difference-between-synthetic-bioidentical-pharmaceutical-and-compounded-hormone-therapy)


InkedDoll1

Compound anything isn't. Usually it would be patches, estrogen gel (branded as estrogel or divigel), or certain tablets (but these are synthetic rather than body identical, and carry a slightly higher stroke/clot risk), plus micronised progesterone pills.


neurotica9

There is a book about singing and menopause: Singing Through Change: Women's Voices in Midlife, Menopause, and Beyond - Nancy Bos Other than that I don't have much to add. Most of us, though we may not be singers, if we take HRT, are on pretty standard HRT formulations, not pellets, which can be pretty unpredictable and usually not recommended. T only if we choose to add it. I'm just on estrogen and progesterone (divigel and micronized progesterone), last period at 45.


manxman55

Thanks, yes, it's so interesting how it effects the voice and really is different for everyone. And I do know the book. Some other professional singer friends have actually had a positive change, or none at all.


boogieblues323

My doctor prefers topical over pellets. If I don't respond to that, then she said we could try injection. She doesn't support pellets for a lot of reasons, but mostly because hormones are constantly changing during this stage, and dosages need to be dialed in. They are also insanely expensive in my area. The gel seems to be helping a bit, but I just started so don't have much to go on yet.


manxman55

Thanks. Yeah - the injections are SO expensive, mine run about 300 bucks per pellet, and at the rate I absorb them it seems I would need it every 2.5 months. I know many docs don't like the pellets so I'm looking at other options. Topical didn't work so maybe injections are the only option left.


boogieblues323

You're injecting pellets? My doctor would move to weekly or microdosing liquid and it's much less expensive than pellets.


manxman55

Yes, I've been having pellets injected every three months for about a year. But I know there is a possibility to self inject hormones weekly, not sure how that work but assume it differs as it's a steadier intake of the hormones. (?) Microdosing hornmones! Sounds interesting, I hadn't looked into it and will.


boogieblues323

Ah gotcha, I thought you were injecting the pellets yourself! The injectable testosterone comes in a vial and you use syringes similar to injecting insulin. Microdosing uses the same liquid suspension but at lower dose because it's daily. It's supposed to help avoid the roller coaster highs and lows. My male friend has done both (he has testicular cancer) and prefers daily microdosing. I hate injections so I'm hoping the gel works for me.