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. 2007 Oct;83(984):638–642. doi: 10.1136/pgmj.2007.060533

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.