If you are a young person currently on our blockers-only Pathway, we generally advise that you should wait at least six months before adding hormones to your treatment. This will be discussed on a case-by-case basis with our medical and wellbeing teams.
If you are on our masculinising Pathway and your treatment consists of blockers alongside testosterone, once you have started testosterone, we recommend being on blockers for at least 6 months. You may stop them after this stage to see if there are any unwanted effects - if so, they can be restarted with ease. Prolonged testosterone treatment will eventually stop the production of oestrogen by itself.
If you are on our feminising Pathway and your treatment consists of blocking medication alongside oestrogen, you are likely to need blocking medication as an ongoing factor of treatment without surgical intervention, though oestrogen monotherapy can be discussed with our medical team.