What are the alternatives to GnRha blockers?
One must always act within the law but other alternatives for puberty blockade are available. For those who are ready for gender-affirming hormones, those can be enough to suppress natural hormone production, especially in trans masculine people. Transmasculine people can also suppress the effects of estrogen by using the SERM medications - anastazole, raloxifene. For trans feminine people, estrogen hormones are helpful for when people are ready, or spironolactone can be used to prevent the effects of testosterone.