An endocrinologist is the right person to start and monitor feminizing HRT; a gender-affirming physician or psychiatrist assessment usually runs alongside, not instead. Standard baseline work-up before starting: CBC,
LFT, KFT, fasting
sugar and lipids,
testosterone, estradiol,
LH/
FSH,
prolactin,
TSH, and blood pressure with weight. Prolactin and
liver tests matter because estrogen and anti-androgens act on both. After starting, levels and labs are rechecked at 3 months, then 6 monthly.
Next Steps
Get the baseline panel done first and take the reports to an endocrinologist. Happy to go through your reports and pre-HRT fitness on a Practo consult before you start.