this post was submitted on 10 Mar 2026
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I unfortunately live in a not very trans friendly state in the US (more like trans hostile tbh) so I've been doing my HRT pretty much solo/without seeing doctors. Been doing mono estradiol enanthate for about a year now following the manufacturer's recommendations (0.15 mL every 7 days) and wanted to try getting on prog but i'm not sure what dosage i should be at. any recommendations?

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[–] WillStealYourUsername@piefed.blahaj.zone 0 points 7 months ago* (last edited 7 months ago) (1 children)

Orally I typically see people take 100mg to 200mg. I've also seen 300mg, but that's less common. Advice on transdermal prog is purely a DIY thing and what I've heard about dosing there is 6mg-12mg.

Mostly people take these doses once everyday, usually right before they go to bed. Some people "cycle" progesterone which means they have breaks. Some people might do two weeks of prog and then then two weeks of no prog, and I've heard cis women who take five days of prog and then two days of no prog.

Prog does not have any fancy guidelines for us to follow so a lot of the advice around it is anecdotal.

Edit: Oh yeah I should mention I do transdermal prog, 12 mg once a day before going to bed. With transdermal be sure to apply to the breasts, unlike with estradiol which should never be applied to the breasts.

Edit edit: Also, it's generally recommended to take it rectally rather than orally. Most oral prog pills can be taken rectally.

[–] Estiar@sh.itjust.works 0 points 7 months ago (1 children)

Why should Estrogen not be applied to the breasts?

It increases the risk of breast cancer

[–] leftascenter@jlai.lu 0 points 7 months ago (3 children)

https://www.bumc.bu.edu/endo/clinics/transgender-medicine/guidelines/

Let this or an equivalent be the base against which you judge random internet stranger's recommendations.

[–] LadyAutumn@lemmy.blahaj.zone 0 points 7 months ago

Ironically doesn't mention progesterone.

[–] Kayday@lemmy.world 0 points 7 months ago

Unfortunately this says nothing about progesterone.

[–] dandelion@lemmy.blahaj.zone 0 points 7 months ago* (last edited 7 months ago) (1 children)

Estradiol valerate 5–20mg i.m./2 weeks or cypionate 2–10mg i.m./week

injecting estradiol valerate once every 2 weeks is pretty wild, tbh - it has a relatively short half-life when injected and has a spikey metabolism

it also suggests injecting cypionate more frequently (once a week) despite a longer half-life‼️

I find this very suspicious and unlikely to result in the best outcomes.

EDIT: the recommendations are very old, from 2013

EDIT2: these guidelines were found to be problematic and revised in 2024 to update estradiol valerate doses to lower and more frequent doses of ~5 mg / week, this is much more reasonable and aligns with what I found reasonable (I myself inject 4 mg once a week.)

https://journals.sagepub.com/doi/10.1089/trgh.2023.0209

one of the co-authors of the revised guideline was Joshua Safer, who was one of the co-authors of the original 2013 guidelines fwiw

It might be good to find more up to date guidelines, I wouldn't take these 2013 guidelines too seriously.

[–] applebusch@lemmy.blahaj.zone 0 points 7 months ago

Just wanted to say I do 5mg estradiol valerate once a week intramuscular and 100mg progesterone rectally every day. I found this had all the expected effects before getting my levels checked, and getting my levels checked showed I had estrogen levels on the high end of the expected range and my testosterone was sufficiently suppressed even being a little below the normal cis woman range. I'm really happy with my results so far and was pleasantly surprised that this dosage is what I was prescribed from the beginning. I went to planned parenthood, and while some of their recommendations are a little dated (they said subcutaneous injections and taking progesterone rectally weren't recommended) I'm happy they at least had reasonable doses and didn't make me jump through hoops to get it. If anything I think I might want to go up in dosage on the progesterone because I haven't really had the increased libido people talk about.

[–] Grail@multiverse.soulism.net 0 points 7 months ago (1 children)

Dunno, I made My own progesterone in My adrenal gland and went by vibes. It was a big success, so I recommend doing the same to any transfemmes who don't have access to lab grade options.

[–] Duke_Nukem_1990@feddit.org 0 points 7 months ago (1 children)
[–] Grail@multiverse.soulism.net 0 points 7 months ago* (last edited 7 months ago) (1 children)
[–] Marisacat@lemmy.blahaj.zone 0 points 7 months ago (1 children)

You're attempting to increase progesterone levels by purposely following a low/zero potassium diet? Are you not concerned about the by the cardiac impact of that diet?

[–] Grail@multiverse.soulism.net 0 points 7 months ago (1 children)

Oh, no, I used a meditative technique to stimulate production. The paper is just to show that it's scientifically possible. I noticed I'd grown B cups about 5 months after My egg cracked, and by the time I started E they'd turned into D cups. I didn't notice any side effects or health problems other than tenderness and growing pains, which are very normal. And My endocrinologist had a look at My blood and said it was all okay.

[–] nicky7@lemmy.blahaj.zone 0 points 7 months ago (1 children)

Go on.... :) I'm seeing yoga and stress management helping, but I'm curious about your meditative techniques if you don't mind sharing.

[–] Grail@multiverse.soulism.net 0 points 7 months ago (1 children)

Visualise the top of your head as a dome that's been split in two, left side from right side. Feel those two half-domes on top of your brain, sheltering it like your skull. See if you can grab onto them with your mind. Pull them down, rotating out and away from the center, until the top of your brain is uncovered, and you're allowing what is above to come down to your brain.

I was just exploring inside My head after I realised I was trans, wondering if it was possible to manually stimulate aromatisation of testosterone to estrogen. I felt this thingy, and I did what I said above, I pulled it down and out of the way, and I got a light, feminine feeling. So I left it like that and decided to see what happens. What happens is, boobs.

[–] nicky7@lemmy.blahaj.zone 0 points 7 months ago

Very cool! Thank you for sharing! I love mind over matter trickery :)

[–] lwhjp@piefed.blahaj.zone 0 points 7 months ago

I assume you're seeing the effects you want from estradiol? Otherwise I'd suggest adjusting that first.

I've been using bioidentical micronized progesterone for a while now, and it has improved my sleep, mood and libido. I'm currently on 200mg oral, but I've also been on 100mg both oral and rectal. Didn't notice much difference in the end, so I'd recommend starting with 100mg oral and going from there if you feel it's not enough.

I never got the "drunk" feeling taking it, but if you do then rectal is probably the way to go.

[–] dandelion@lemmy.blahaj.zone 0 points 7 months ago* (last edited 7 months ago) (1 children)

100 mg, rectally, once per night - taking it orally results in the dose almost entirely being absorbed by the liver and does not sufficiently raise blood progesterone levels, so rectal administration ensures you actually are getting the dose. Unfortunately it's the only realistic alternative route of administration to oral, currently.

Also, you want to take micronized bioidentical progesterone (the ones that are in oil and come in gel capsules intended to be taken orally, they are safe to insert rectally). You don't want to take medroxyprogesterone acetate (MPA) which is often called "progesterone" and which some trans women have taken (esp. historically). MPA has some negative long-term health risks associated with it..

[–] tunasyne@lemmy.blahaj.zone 0 points 6 months ago (1 children)

thank you for this! i appreciate the advice :D

[–] dandelion@lemmy.blahaj.zone 0 points 6 months ago

of course - I wish you luck!