Medications for Gender Dysphoria

Other names: Gender Identity Disorder; GID; Transsexualism

Gender dysphoria is when your emotional and psychological identity as male or female conflicts with your birth-assigned gender.

Drugs used to treat Gender Dysphoria

The following list of medications are in some way related to or used in the treatment of this condition.

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Brands and Generics

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Rx and OTC

Drug name	Rating	Reviews	Rx/OTC	Pregnancy	CSA	Alcohol
spironolactone Off-label	6.6	6 reviews	Rx	C	N	X
Generic name: spironolactone systemic Drug class: potassium-sparing diuretics, aldosterone receptor antagonists For consumers: dosage, interactions, side effects For professionals: AHFS DI Monograph, Prescribing Information Off-label: Yes

estradiol Off-label	10	6 reviews	Rx	X	N
Generic name: estradiol systemic Drug class: estrogens For consumers: dosage, interactions, side effects For professionals: AHFS DI Monograph, Prescribing Information Off-label: Yes

testosterone Off-label	6.0	2 reviews	Rx	X	3
Generic name: testosterone systemic Drug class: androgens and anabolic steroids For consumers: dosage, interactions, side effects For professionals: AHFS DI Monograph, Prescribing Information Off-label: Yes

progesterone Off-label	8.5	2 reviews	Rx/OTC	B	N
Generic name: progesterone systemic Drug class: progestins For consumers: dosage, interactions, side effects For professionals: AHFS DI Monograph, Natural Product Monographs, Prescribing Information Off-label: Yes

medroxyprogesterone Off-label	Rate	Add review	Rx	X	N
Generic name: medroxyprogesterone systemic Drug class: hormones/antineoplastics, contraceptives, progestins For consumers: dosage, interactions, side effects For professionals: AHFS DI Monograph, Prescribing Information Off-label: Yes

conjugated estrogens Off-label	Rate	Add review	Rx	X	N
Generic name: conjugated estrogens systemic Drug class: estrogens For consumers: dosage, interactions, side effects Off-label: Yes

Learn more about Gender Dysphoria

Care guides

Gender Dysphoria Care Notes

Medicine.com guides (external)

Gender Dysphoria Guide

Legend

Rating	For ratings, users were asked how effective they found the medicine while considering positive/adverse effects and ease of use (1 = not effective, 10 = most effective).
Activity	Activity is based on recent site visitor activity relative to other medications in the list.
Rx	Prescription only.
OTC	Over-the-counter.
Rx/OTC	Prescription or Over-the-counter.
Off-label	This medication may not be approved by the FDA for the treatment of this condition.
EUA	An Emergency Use Authorization (EUA) allows the FDA to authorize unapproved medical products or unapproved uses of approved medical products to be used in a declared public health emergency when there are no adequate, approved, and available alternatives.
Expanded Access	Expanded Access is a potential pathway for a patient with a serious or immediately life-threatening disease or condition to gain access to an investigational medical product (drug, biologic, or medical device) for treatment outside of clinical trials when no comparable or satisfactory alternative therapy options are available.

Pregnancy Category
A	Adequate and well-controlled studies have failed to demonstrate a risk to the fetus in the first trimester of pregnancy (and there is no evidence of risk in later trimesters).
B	Animal reproduction studies have failed to demonstrate a risk to the fetus and there are no adequate and well-controlled studies in pregnant women.
C	Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, but potential benefits may warrant use in pregnant women despite potential risks.
D	There is positive evidence of human fetal risk based on adverse reaction data from investigational or marketing experience or studies in humans, but potential benefits may warrant use in pregnant women despite potential risks.
X	Studies in animals or humans have demonstrated fetal abnormalities and/or there is positive evidence of human fetal risk based on adverse reaction data from investigational or marketing experience, and the risks involved in use in pregnant women clearly outweigh potential benefits.
N	FDA has not classified the drug.

Controlled Substances Act (CSA) Schedule
M	The drug has multiple schedules. The schedule may depend on the exact dosage form or strength of the medication.
U	CSA Schedule is unknown.
N	Is not subject to the Controlled Substances Act.
1	Has a high potential for abuse. Has no currently accepted medical use in treatment in the United States. There is a lack of accepted safety for use under medical supervision.
2	Has a high potential for abuse. Has a currently accepted medical use in treatment in the United States or a currently accepted medical use with severe restrictions. Abuse may lead to severe psychological or physical dependence.
3	Has a potential for abuse less than those in schedules 1 and 2. Has a currently accepted medical use in treatment in the United States. Abuse may lead to moderate or low physical dependence or high psychological dependence.
4	Has a low potential for abuse relative to those in schedule 3. It has a currently accepted medical use in treatment in the United States. Abuse may lead to limited physical dependence or psychological dependence relative to those in schedule 3.
5	Has a low potential for abuse relative to those in schedule 4. Has a currently accepted medical use in treatment in the United States. Abuse may lead to limited physical dependence or psychological dependence relative to those in schedule 4.

Alcohol
X	Interacts with Alcohol.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

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