Transgender hormone replacement therapy

This is a story of AA, a 40-year-old biological male, who was diagnosed with gender dysphoria at the age of 16. Although her client was born as a biological male he always identified as a female from an early age. client suffered from significant body image issues, which led to significant depression and anxiety. AA, was evaluated by counselors who are familiar with transgender issues and are comfortable managing gender dysphoria. AA finally had the Courage to think about and start hormone replacement therapy. He was started on a combination of estradiol transdermal pellets combined with progesterone therapy and was given testosterone blocker spironolactone. AA also had a full-body permanent hair removal at seven heart medical spa. Within 3 months a client was extremely happy with the results, had noticed changes in decrease of overall body hair, had started we distribution of fat which led to development of breast tissue and also storage of fat in the hip area. He also started noticing a decrease in the size of his penis and testicles and a change of voice to some extent. Overall our client continues to go to these changes with hormone replacement therapy. Since now she is no longer in conflict with her body image her depression and anxiety also got significantly better and AA was able to stop a large number of his anti depression medications.