Gender-affirming
testosterone therapy should be started with a gender-affirming endocrinologist or physician after a proper baseline assessment. The choice of preparation and dose is individual; self-injecting or using online hormones can cause unsafe hormone levels, blood-count changes and
liver or cardiovascular complications.
Next Steps
Please discuss fertility preservation before starting if you may want biological children. Baseline tests usually include blood pressure, blood count,
liver profile, lipids and hormone levels, followed by regular monitoring. You can book a Practo consultation or meet me at Synergy Multispeciality Hospital, Miraj for a structured review.