
Can I Take Depo Provera With Firmagon To Reduce Hot Flushes And To Intensify Testosterone Blockage?

Posted on
Tue, 3 Jul 2018
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team


Question : For Endocrinologist/Urologist or an expert GP in this:
Took 120 mg as a starter dose for Firmagon (as using it for off-label reasons and was scared of the side-effects) but did not feel any lowering of my testosterone. Is it because, I did not take 240 mg as starter dose? I plan to take 80 mg as a maintenance dose next month. Should it be OK?
Also, can I take depo provera 150 ml with Firmagon to reduce hot flushes and to intensify testosterone blockage? Or any other medication to intensify testosterone suppression? What do you suggest? Thanks
Male. 35. Gender Dysphoric. Obese. Diabetic.
Took 120 mg as a starter dose for Firmagon (as using it for off-label reasons and was scared of the side-effects) but did not feel any lowering of my testosterone. Is it because, I did not take 240 mg as starter dose? I plan to take 80 mg as a maintenance dose next month. Should it be OK?
Also, can I take depo provera 150 ml with Firmagon to reduce hot flushes and to intensify testosterone blockage? Or any other medication to intensify testosterone suppression? What do you suggest? Thanks
Male. 35. Gender Dysphoric. Obese. Diabetic.
Brief Answer:
About treatment for lowering testosterone:
Detailed Answer:
Hello,
First you should specify better your goal, do you want just to reduce a bit testosterone to reduce libido or you intend a transgender transformation?
If the aim is the second, you need to be monitored by a transgender center that will be able to decide for the starting treatment and maintenance doses.
The treatment can have serious side effects and can not be taken by your own or by online suggestions.
Regards,
Dr. Mirjeta
About treatment for lowering testosterone:
Detailed Answer:
Hello,
First you should specify better your goal, do you want just to reduce a bit testosterone to reduce libido or you intend a transgender transformation?
If the aim is the second, you need to be monitored by a transgender center that will be able to decide for the starting treatment and maintenance doses.
The treatment can have serious side effects and can not be taken by your own or by online suggestions.
Regards,
Dr. Mirjeta
Above answer was peer-reviewed by :
Dr. Vaishalee Punj


I want to reduce testosterone fully to stop all libido. Complete chemical castration.
Brief Answer:
About chemical castration
Detailed Answer:
Hi,
Firmagon has potent antiandrogenic effects but can be combined with depo Provera.
Tailored for the specific patient, intramuscular injections of Depo-Provera range from 100 milligrams to 500 milligrams (1.0 to 5.0 milliliters) every 7 days. The typical weekly maintenance dosage of Depo-Provera for sex offenders is 300 milligrams. For taller, heavier patients, the maintenance dosage may be as high as 500 milligrams, and the highest dosage used is 600 milligrams per week.
The combination doses and monitoring should be done by a physician expert in this field.
Regards,
Dr. Mirjeta
About chemical castration
Detailed Answer:
Hi,
Firmagon has potent antiandrogenic effects but can be combined with depo Provera.
Tailored for the specific patient, intramuscular injections of Depo-Provera range from 100 milligrams to 500 milligrams (1.0 to 5.0 milliliters) every 7 days. The typical weekly maintenance dosage of Depo-Provera for sex offenders is 300 milligrams. For taller, heavier patients, the maintenance dosage may be as high as 500 milligrams, and the highest dosage used is 600 milligrams per week.
The combination doses and monitoring should be done by a physician expert in this field.
Regards,
Dr. Mirjeta
Above answer was peer-reviewed by :
Dr. Vaishalee Punj

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