Feminizing Hormone Therapy

Estrogen & Androgen Blockers

Foria makes it easy to meet with a clinician with expertise in gender-affirming hormone therapy (GAHT) and get an estrogen treatment plan that’s built around your needs and goals.

Estrogen & Androgen Blockers - Feminizing Hormone Therapy

How it works

Getting started with Foria


Book consult   

Start and complete your intake. We'll reach out with booking options as soon as new availabilities open for our estrogen program.


Virtual assessment

You and your Foria clinician will develop a personalized treatment plan that fits your goals and your gender & medical history.


Start estrogen

If eligible, start taking androgen blockers and/or estrogen in its form that best suits you, whether orally, by injection or topical gel.


Stabilize treatment

Manage any unwanted secondary effects (such as libido changes) and make dosage adjustments for the long-term.

New patients

Starting estrogen

There are three separate appointment types to complete in order to get you started on feminizing hormone therapy.

Initial consultation

This consult will be used to review your gender and medical history, and understand your goals, expectations, and eligibility for hormone therapy.

What's included

  • 45 min virtual consult

  • Gender & medical history review

  • Discussing goals & expectations

  • Lab & blood work


Book initial consult

15 days after initial consult

Hormone initiation


In your second consult, if eligible, you will choose an estrogen administration type, review your sexual health, and discuss the risks & benefits of your personalized treatment.

What's included

  • 45 min virtual consult

  • Review of lab results

  • Androgen blockers and/or estrogen prescription

3 months after initiation

Medication check-in


Review your dosage with the clinician to determine if any adjustments are required.

Your Foria clinician may recommend you to book more than one titration follow-up.

What's included

  • 20 min virtual consult

  • Side effects review

  • Prescription adjustment

Transfer patients

Already on estrogen

For individuals already established on gender-affirming hormone therapy (GAHT) from another medical clinic.

Transferring in

Continue or restart your HT treatment with the expert team at Foria.

What's included

  • Clinical information collection

  • Medical history review

  • 45 min virtual consult

  • Goals & gender history validation


Book transfer-in consult

Existing Foria patients

Additional services

For individuals that have completed an intake with Foria. These additional services are on a as-needed basis.



Meet with your Foria clinician to discuss your current hormone therapy and any potential changes that could improve your treatment.

What's included

  • 20 min virtual consult

  • Prescription renewals & adjustments

Gender marker change


Foria will support you in having your gender marker officially changed in your identification and documentation.

This service does not require an appointment.

What's included

  • Marker change letter signed in ink

Included in all services

Ensuring your health and wellness

Our expert team focuses on the details to support healthy and safe gender-affirming care.

Medical history review

A complete review of your medical history to identify the safest, most effective treatment for you.

Health monitoring

Ongoing review of your vitals, including blood work, to ensure your good health throughout your gender-affirming treatment.

Sexual & reproductive health

Ongoing check-ins on sexual health, fertility, contraception, screening and treatment for sexually-transmitted infections (STIs).

Secondary effects management

Support & access to medication to reduce any unwanted effects that may be caused from treatment, such as hair loss, acne or libido changes.

Estrogen FAQ

For additional information and a complete list of questions & answers regarding Foria and our services, please visit our FAQs page.

What are estrogen and androgen blockers?

Estrogen and androgen blockers are a type of gender-affirming care. These medications have feminizing effects, and a treatment regimen usually consists of both. Androgen blockers suppress your body’s natural testosterone and estrogen is a hormone. If you’ve had bottom surgery then you won’t need to take androgen blockers. This is because testosterone is mostly produced in the testicles, which are removed during surgery.

These medications produce changes to your body that can better reflect your gender identity and/or expression. Changes include breast growth, softer skin and changes to your body fat. They also have psychological effects - they can change your sex drive and mood.

Who is estrogen HT for?

Estrogen and/or androgen blockers are typically taken by people who want to have feminizing effects, and can also be taken by intersex people.

What are the effects and timelines for estrogen HT?

For detailed information about the effects and timelines of estrogen HT, please visit our Estrogen resource page.

Do I require an up to date lab tests to receive an estrogen/androgen blockers prescription?

Yes, up-to-date lab tests are required before receiving an estrogen/androgen blocker prescription. These tests help your clinician assess your current hormone levels and other health indicators, which are essential for determining the appropriate dosage and monitoring for potential side effects. Your healthcare provider at Foria Clinic will guide you through the necessary steps and explain the importance of lab tests in managing your hormone therapy safely and effectively.

How can I take estrogen/androgen blockers?

Androgen blockers are oral tablets, while estrogen can be administered in several ways. These include oral tablets, topical patches and injections. Oral tablets are taken by mouth, patches are applied to the skin, and injections are given into muscle or fat tissue. The choice of administration method depends on various factors including individual health considerations, lifestyle, and personal preferences. Your Foria clinician will work with you to determine the most appropriate method of estrogen administration for your specific situation.

Can I microdose estrogen?

Estrogen can be given in a range of doses. How each person responds to their dose depends on their genetics and response to the treatment. If you would prefer to try a lower dose, you can review this option with your clinician. Changes may be slower at low doses, but effects may be the same.

Are the effects permanent?

Some changes from hormones, like your mood or sex drive, are temporary. This means that if you stop treatment they will eventually reverse.

Other changes like breast growth are permanent. This means you can stop treatment and they will remain.

Some people choose to stop hormones after reaching permanent changes that they’re happy with, while others will continue for the rest of their lives. You can decide whatever works best for you and your body – and remember, you can adjust your treatment at any time.