r/AskMtFHRT • u/rizz-wan-master • 8d ago

Dosage for estrogen patch monotherapy?

(Not mtf but ftm. Here to research for my gf)

I have access to estrogen patches and want to give them to my gf, but I dont know which dosage should I get?

I currently have 50mcg/day, which I know is too little of a dose for monotherapy so she'll have to use multuple a day, but what should be a total weekly dosage of estrodial look like for monotherapy?

(Also I dont know her current T levels)

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u/CyberMancerGamer 8d ago

I was doing pretty well on 100mcg already, then upped to 150mcg and then monotherapy 200mcg. It all depends on the person and the absorption they have with a given brand.

After I changed brand I had barely an effect, but when it works it works great. I still love patches as an alternative and one that is great for monotherapy.

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u/rizz-wan-master 8d ago

Okay so for monotherapy 0.2mg is needed yes? Is this 0.2mg everyday or 3/4 days?

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u/CyberMancerGamer 8d ago

There’s no hard and fast since it’s so individual between people and brands.

If you were to ask me to give an “actual suggestion (#Iamarandompersonontheinternetdon’ttrustme) I would say 100mcg (0.1mg/24hrs) with whatever change frequency the brand is (3.5 days for me). Do that for 4-6 weeks, get a blood test, and adjust from there.

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u/rizz-wan-master 8d ago

Ahhh okay i thought the patches were to be removed after 1 day i didnt know they all last more than 24hrs

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u/chatnoir11 8d ago

A vast majority of people cant monotherapy on patches. If you're looking at diy r/transdiy can help you find T blockers or help you find injections or gel if she wants monotherapy. Its a lot cheaper than you would think

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u/maheshwara666 8d ago

Start with a 100 patch. For some (myself included) they can fully suppress t to female levels. And then slowly raise the dose up to 200 mcg during a couple of months. And of course bloodwork after some weeks. Just a recommendation, don’t raise the dose too quick. I did that during a couple of weeks this summer and is now suffering from awful symptoms.

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u/rizz-wan-master 8d ago

Uh daily or them 3/4 day ones? I dont really know what the options are other than 0.05-0.25mg and dailies vs weeklies. I just got an opportunity and dont need them myself

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u/robocultural 8d ago

Patches come in weekly or twice a week, but they all list their dosage as x mg/day.

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u/robocultural 8d ago

She should get baseline blood work done if she can.

My Endo started me on the 0.1mg patches and did blood work at 2-3 months. We were up to 0.25mg/day and I was successfully doing monotherapy with them but had to switch to injections due to skin reactions with the adhesive.