Re: My 2018 Androcur journal & experience
Posted: Sat Jun 30, 2018 12:30 am
Thanks for the advice guys, I’m aware that Androcur is a powerful medication and can be dangerous when taken without proper medical supervision.
Whilst I’m ‘self medicating’ at the moment, I am being monitored very closely by my GP for any signs of trouble, and since starting in February I have had my liver function tested twice, two full blood counts, a kidney function test, my testosterone level of course, and one or two other things my GP wanted to check just to be on the safe side.
Before I started my therapist arranged for me to see a psychiatric doctor who has many transgender patients and understands hormones and the medications involved. Her advice to me was to start Androcur at 50mg a day (I was originally going to take 100mg), but that it was okay to up the dosage to 100mg a day if necessary for a fairly short period of time, months not years, but aim to come back down to a 50mg ‘maintenance’ dose as soon as possible to reduce the risk of liver damage.
After my next visit to my therapist I’m being transferred into the care this psychiatric doctor as part of the long winded process of being referred to an NHS endocrinologist who can take over my care (if they agree to taking on a patient who wishes to be chemically castrated without starting transition), and write the necessary prescriptions so I don’t have to self medicate… So I shouldn’t be short of professional advice - and I will of course pass on any useful information…
If and when I do get professional care from an endocrinologist it wouldn’t surprise me if they recommend entirely different anti-androgens to the Androcur and Tamoxifen which I’m taking at the moment. But for the time being I’m going to stick with them, and I think that now is the right time to increase my Androcur dose for a little while to get my testosterone level back down again before it creeps up any higher.
Also I think that as this is very much a trial run at the moment, it’s important that I try to keep my testosterone at castrate level for a reasonable period of time before I commit to taking things further. It’s a big ask to persuade the NHS to chemically castrate me, and I think that I really need to know what I’m letting myself in for before I commit. Sure, I can back out after I start to receive their help, but I think it would then be difficult to get the same help again at a later date.
Whilst I’m ‘self medicating’ at the moment, I am being monitored very closely by my GP for any signs of trouble, and since starting in February I have had my liver function tested twice, two full blood counts, a kidney function test, my testosterone level of course, and one or two other things my GP wanted to check just to be on the safe side.
Before I started my therapist arranged for me to see a psychiatric doctor who has many transgender patients and understands hormones and the medications involved. Her advice to me was to start Androcur at 50mg a day (I was originally going to take 100mg), but that it was okay to up the dosage to 100mg a day if necessary for a fairly short period of time, months not years, but aim to come back down to a 50mg ‘maintenance’ dose as soon as possible to reduce the risk of liver damage.
After my next visit to my therapist I’m being transferred into the care this psychiatric doctor as part of the long winded process of being referred to an NHS endocrinologist who can take over my care (if they agree to taking on a patient who wishes to be chemically castrated without starting transition), and write the necessary prescriptions so I don’t have to self medicate… So I shouldn’t be short of professional advice - and I will of course pass on any useful information…
If and when I do get professional care from an endocrinologist it wouldn’t surprise me if they recommend entirely different anti-androgens to the Androcur and Tamoxifen which I’m taking at the moment. But for the time being I’m going to stick with them, and I think that now is the right time to increase my Androcur dose for a little while to get my testosterone level back down again before it creeps up any higher.
Also I think that as this is very much a trial run at the moment, it’s important that I try to keep my testosterone at castrate level for a reasonable period of time before I commit to taking things further. It’s a big ask to persuade the NHS to chemically castrate me, and I think that I really need to know what I’m letting myself in for before I commit. Sure, I can back out after I start to receive their help, but I think it would then be difficult to get the same help again at a later date.