Transgender Hormone Therapy


It takes experience, sound medical judgement and a keen discernment to provide successful hormone replacement therapy for transgender transitioning. Transgender hormone therapy doctors don’t always provide complete therapy that includes the compassion and understanding that you get from a seasoned healthcare professional like Svetlana Pyatigorskaya. Transgender hormone therapy at Downtown New York City’s Svetlana Pyatigorskaya NP in Family Health PC is your best choice for treatment when you realize it’s time for your transgender conversion therapy. Call now to meet Svetlana and start your journey.

What Is Transgender Hormone Therapy?

 Transgender hormone therapy uses sex hormones and other hormonal medications to align secondary sexual characteristics with your gender identity. These hormones and drugs induce secondary sexual characteristics of the gender that match your internal gender. Healthcare professionals administering this therapy have targets for both transgender men and women:

Transgender female-to-male hormone therapy aims to raise testosterone levels to the normal male physiological range of 300 to 1000 ng/dl (nanograms per deciliter). This is the normal level of a mature male.

During hormone therapy for transgender people transitioning from male to female, the goal is to decrease testosterone levels to the normal mature female range of 30 to 100 ng/dl.

Finding good transgender hormone therapy doctors isn’t easy. There’s still not enough information about available specialists and the type of hormonal therapy services offered in Downtown Manhattan and surrounding area. At Svetlana Pyatigorskaya NP in Family Health PC,  in New York City, you find a welcoming environment and a knowledgeable, experienced transgender conversion therapy specialist in nurse practitioner Svetlana Pyatigorskaya.  She’s ready to work with you through the transition process.

Why Is Transgender Hormone Therapy Necessary?

Transgender hormone therapy aligns the external appearance of your body to conform to the opposite gender. For a female‑to‑male transgender person, male hormone therapy  produces masculinizing effects. In a male‑to‑female trans person, reducing male hormones and adding female hormones  induces feminizing characteristics. But there’s more to this therapy than physical benefits. Other benefits of making the appropriate physical transition include:
  • Improving your quality of life
  • Reducing emotional and psychological distress
  • Making gender dysphoria less severe
  • Enhancing psychological and social functioning
  • Increasing sexual satisfaction

By working with a qualified transgender hormone therapy specialist like Svetlana, you receive the special attention and care required during the tough transitioning period. And it only starts after a consultation during which you learn about the full effects of the treatment.

What Is Masculinizing Transgender Hormone Therapy?

 Masculinizing hormone therapy induces physical changes in your body caused by male hormones during puberty. The goal is to raise the testosterone level to the normal male levels to achieve secondary sex characteristics. In so doing, this intervention matches your masculine gender identity with your body. Your nurse practitioner carries out a full medical history and physical review before recommending the best transgender FTM hormone therapy, which may include:
  • Injectable testosterone.
    • This can be in the form of testosterone cypionate or testosterone enanthate. It’s inexpensive and widely available, although it may affect your energy moods between doses.
      • Testosterone patch.
        • This is an alternative form of cross-sex hormone therapy. You wear a patch on your back, upper arm, thigh or stomach. There’s no effect on your energy levels, but this treatment may be more costly than injections.
      • Oral testosterone.
        An oral testosterone pill is a third alternative. Due to the constant release rate, it eliminates energy swings, but it may take longer to achieve desired results.
    Svetlana Pyatigorskaya is New York City’s best transgender hormone therapist. She recommends the most appropriate therapy for your particular needs, which depends on a number of factors, including your ability to effectively tolerate the various forms and dosages of testosterone. Svetlana works with you closely to regulate your experience.

What Is Feminizing Transgender Hormone Therapy?

Feminizing hormone therapy uses hormones or hormonal medications such as estrogen, anti-androgens, and progestins to induce physical characteristics in line with your feminine gender identity or gender expression. This therapy achieves gender congruence that’s vital during male-to-female gender transition.

This therapy includes the administration of medication to block the action of the male hormone testosterone. It can be in the form of pills, patches or injectable medications. The addition of the estrogen hormone helps promote feminine secondary sex characteristics. At Svetlana Pyatigorskaya NP in Family Health PC, you are guided gently forward in your transition. The transgender conversion therapy can take the form of the:
  • Administration of estrogen alone
  • Use of estrogen with testosterone blockers
  • Use of testosterone blockers alone
  • Administration of estrogen, testosterone blockers and progesterone

Where Is Transgender Hormone Therapy Available?

Many people miss out on the incredible transformational benefits achievable through supervised transgender female-to-male hormone therapy. These benefits include a better quality of life and improved mental health.

At the NYC-based Svetlana Pyatigorskaya NP in Family Health PC, your transgender specialist explains the procedure before commencing medication. She talks to you about the risks, expected changes and the expected effects on your sexual life. She answers all your questions and provides you with alternatives. Contact Svetlana today  to book your appointment for a confidential consultation.

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Svetlana Pyatigorskaya is a Board Certified Family Nurse Practitioner and American Board Anti Aging Health Practitioner. She lives and practicing in New York.
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