For someone who is 48 years old and seeking to transition from male to female, it's important to consult with an endocrinologist before starting any hormone therapy. They will guide you on the appropriate medications and dosages based on your specific needs. 

Gende­r dysphoria causes discomfort with your assigned gende­r. You may feel sad or disconnecte­d from your body. Hormonal feminization therapy deve­lops feminine traits by taking female­ hormones. It helps your physical appearance­ match your true gender ide­ntity. Consult a plastic surgeon spe­cializing in transgender care. The­y'll guide you through the process, monitor progre­ss, and ensure safety.

It seems like you may be going through some changes about turning into the opposite sex. Understand that these changes are complicated and might need some medical interventions. You might require different amounts of hormones to help you through the process. Talk about what is bothering you and your symptoms with a doctor who can help you figure out the best way forward.

It's wonderful to hear you're considering surgery to align your physical body with your identity. At 52, many individuals successfully undergo this life-affirming procedure. Costs can vary significantly based on the surgeon, facility, and specific needs, typically ranging from $20,000 to $30,000 in the U.S. I strongly recommend consulting a qualified plastic surgeon who specializes in gender-affirming surgeries. They can help you understand the entire process, including potential risks and recovery. 

There are non-surgical options to consider. Methods involving hormones that cause breast development, such as the administration of estrogen or the use of progesterone, could be effective. The use of the hormonal valve of these aids is advised only medically and not as a means for self-reliance since it can have side effects on health.  I advise you to get in touch with a healthcare professional for a consultation so they can give you the right advice and direction considering your health condition and also investigate the effectiveness of the treatment. 

Starting the Opill birth control for breast enlargement can be risky. Use of birth control pills for a long time can cause problems such as high chances of blood clots, weight change, and emotional state. The hormone progestin in the pill can affect my levels of hormones. There are also claims that birth control pills made of progestin can affect the production of hormones. Consult your healthcare provider to make a safe decision and avoid risking negative consequences. 

You can certainly express your identity as a woman without experiencing significant discomfort associated with your assigned gender. Many individuals may identify diversely, and not everyone feels distress, which is essential to acknowledge. It's important to explore your feelings and experiences. Connecting with supportive communities can also be beneficial. However, discussing your thoughts and identity with a plastic surgeon can provide additional insights and guidance tailored to your needs. They can help you navigate your path, ensuring you feel understood and supported throughout your journey.

For feminization before hormonal therapy few tests has to be done, the eligibility and other health conditions need to check and based on that proper treatment plan can be prescribed.

Your UA climb was up to 7.9mg/dl and you are considering using creatine. With higher UA comes greater chances for gout, a condition marked by pain and swelling in the joints. You should not take any creatine supplement right now while still eating fish and other high-purine foods since this would elevate your UA even further. To help decrease its level, stick with those things lower in purines.

Biologically a female aged 23 cannot be totally changed to a male by surgery. The fact remains that sex is defined by chromosomes. On the other hand, some transgender individuals might refer to surgeries in this area to alter their looks. Whoever is struggling with the gender issue, should get the consultation of a counselor who focuses on the theme of gender identity to reflect and discuss their feelings and the possibilities of their solution.

Don’t worry too much about it though because many people do masturbate; however, if one does so excessively this could be the cause behind what you’re going through. You might start feeling weaker than usual or notice some changes like less energy in general - all signs pointing towards too much self-pleasure being unhealthy behavior. So, try mending your ways by eating proper meals and working out often since these two acts will help accelerate recovery from this condition should they have already set in.

It sounds like you are experiencing a variety of symptoms, including stinging, stiffness, and muscle twitching, which can be caused by issues such as muscle strain, nerve irritation, or inflammation. These symptoms can fluctuate based on activity levels or stress. It's important to stay active gently, maintain hydration, and consider stretching exercises. Additionally, ensure your footwear provides adequate support. However, given the persistence and changes in your symptoms, I recommend consulting a neurologist. They can provide a thorough evaluation and tailored treatment options. 

Having trouble performing sexually at the age of 30 can be concerning, but it's actually quite common and usually temporary. Stress, fatigue, relationship issues, or even certain medical conditions like diabetes or high blood pressure can play a role in this. The first step is to talk to a sexologist to rule out any underlying health issues. In the meantime, focus on self-care, exercise, and maintaining a healthy lifestyle. 

Not recommended long term self medication for prolonged sex. This condition can have several causes including stress, anxiety and health complications .Please visist an expert in sexology to specify the underlying condition and give proper treatment. Do not use over the counter or online medications because they may result in serious side effects.

It sounds like you're experiencing premature ejaculation and difficulty maintaining an erection. It's actually quite common and can happen due to various reasons like stress, anxiety, or even certain medical conditions. There are ways to address this. I would recommend scheduling a visit with a sexologist to discuss your concerns openly. They can help determine the underlying cause and suggest suitable treatment options, which might include therapy, lifestyle changes, or medications.