What are the alternatives to GnRha blockers?

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.