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Can MTF transgender patients take SERMs to prevent breast growth?

I am a 19 yr old MTF trans patient who has yet to undergo HRT. While I desire the physical feminization provided by the typical t-blockers & estrogen HRT plan, I hesitate because I do not desire the inevitable breast development caused by estrogen. The idea of having breasts causes me great dysphoria. I am wondering if supplementing a SERM (Selective Estrogen Receptor Modulator) with t-blockers and estrogen would allow me to feminize my body while preventing breast tissue development.

I understand this would be an unorthodox use of SERMs, but the only other alternative I could think of would be to just take t-blockers which I know is fairly dangerous in the long-term.

Would this use of SERMs be safe/effective?

Thank you!
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134578 tn?1693250592
COMMUNITY LEADER
I really think you will need a specialist to advise you, one who perhaps is familiar with off-label uses of the various hormones or protocols. I will say, simply taking estrogen does not inevitably produce enlarged breasts in every person who takes it, or every woman taking it for HRT would walk around with supersized breasts. More likely, it makes the breast region sensitive. Anyway, good luck to you, I assume you're going through therapy with a good counselor, ask him or her about finding a specialist to talk this question over with.
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