Before commencing hormone replacement therapy, patients must undergo examination including blood work to determine initial hormone levels and the necessary dosage. After treatment commences, the progress must be regularly monitored with routine blood work to see if the hormone levels are as they should be or if adjustments are necessary.
Side effects can occur as the body adjusts in the early phases of treatment. These side effects can include fluid retention or bloating, swelling hands, mood swings or irritability, acne, hair loss on the scalp and hair growth on the body. Spotting may occur for female patients. Side effects and reactions should be disclosed to the doctor in order for the dosage to be adjusted as needed, or so the doctor can give recommendations on tending to the symptoms.