Can I add Cyproterone or Bicalutamide to my treatment?

The safest and most commonly used antiandrogens are - Finasteride - GnRH blocker injections - Spironolactone In rare cases these are not able to be used and people wish to be prescribed cyproterone or bicalutamide. In order to switch to either of these medications, we will first need to see some blood test results for testosterone, oestradiol, and liver function (LFT). The doctor may ask for further blood tests based on your individual case. You may also be asked to book a consulta...

What alternatives are there to puberty blocking injections?

Some gender-affirming medications are given by injections and it can be hard to find someone to administer these safely for you. GenderGP has an alternative in the form of a nasal spray. Nasal sprays are an ideal solution as an alternative in cases where administration is a challenge, or a needle phobia exists. While awareness around nasal sprays is increasing (over recent years we have seen their use in administering the flu vaccine among young people), as a method of delivery they are still r...

What would you advise me to use as a testosterone blocker?

We would advise using a GnRH (Gonadotropin Releasing Hormone) agonist. GnRH agonists are our "gold standard" blockers, more commonly known as puberty blockers. They are the most effective blocking medications, but need to be given by injection by a professional, or by a daily nasal spray. GnRH agonists are typically the most well tolerated blocking medications and are the first choice, although they are more expensive. You can find the Patient Information Leaflet for Decapeptyl (Triptoreli...