Table 4.

Hormone Therapies for Gender Dysphoria

Male to Female	Female to Male
Androgen suppression	Testosterone
Cyproterone acetate (not available in United States)	Testosterone gel
Medroxyprogesterone acetate (IM)	Testosterone patch
Spironolactone (oral)	Testosterone undecanoate (IM only in United States)
Finasteride (oral)	Testosterone enanthate, cypionate (SQ, IM)
Histrelin (SQ implant)	Testopel (SQ implant)
Progesterone (oral)
Estrogen
Estradiol (oral, IM, SQ, transdermal)

Abbreviations: IM, intramuscular; SQ, subcutaneous.