Table 3 Commonly prescribed drugs used in hormone therapy for male‐to‐female transsexuals and their method of action30.
| • Cyproterone acetate → androgen receptor blocker |
| • Spironolactone → interferes with testosterone production |
| • Finasteride → prevents conversion of testosterone into active metabolite, DHT |
| • LHRH analogues → continuously stimulate pituitary gland, causing surge of LH followed by surge of testosterone, which ultimately leads to continuous testosterone inhibition by negative feedback |
| • Oestrogen → induces female characteristics |
DHT, dihydrotestosterone; LH, luteinising hormone; LHRH, luteinising hormone releasing hormone.