Q: A simple blood test can determine whether your FSH levels are higher or lower than normal for your circumstances. If the test reveals abnormal FSH levels, your doctor will use additional testing to diagnose the underlying cause(s) before developing a treatment plan with you. In males, normal FSH levels range from 1.4 to 15.5 IU/ml. The range for females is much wider, depending on their age and menstrual cycle. To diagnose the cause of abnormal FSH levels, your doctor may look at hormonal panels that compare the level of certain hormones in the body (such as GnRH and estrogen), or they may do a biochemical analysis, which looks at enzymes and other substances that affect the operation of certain organs and glands. In certain situations, you doctor may turn to radiographic methods to diagnose the cause of abnormal FSH levels, such as ultrasound, CT scan, and MRI. FSH levels are determined by a complex and delicate network of hormones. Therefore, there are a large number of conditions that can affect your body's production of FSH. These underlying conditions must be identified and treated in order for FSH levels to return to normal levels. Some of the most common conditions that can impact FSH include: Aging: In females, FSH levels naturally increase during their 30s and 40s as menopause approaches. High FSH levels negatively impact fertility. Polycystic ovarian syndrome: With this condition, there are multiple cystic follicles in the ovaries, which leads to the excessive production of estrogens and androgens. High levels of these hormones can significantly lower FSH levels. Hypopituitarism: With this condition, the function of the pituitary gland is suppressed, which can greatly affect the levels of FSH, since this is where FSH is produced. Hypogonadism: As a result of many different syndromes, the diminished functional activity of the gonads (testes in males and ovaries in females) can interfere with FSH levels. Tumors: A tumor in one of several different locationssuch as the pituitary gland, the ovaries, or the testescan cause abnormal FSH levels. The specific treatments can vary widely, based on your current FSH levels, the underlying causes, and your specific circumstancesfor instance, if you're a female in your late 30s and are trying to get pregnant. If you're undergoing fertility treatments, you'll need to follow a very specific regimen, which may include injections and/or pills, to manage your FSH levels. In some cases, you may be prescribed hormone replacement therapy (HRT). HRT involves using medication in tablet, topical gel, skin patch, or vaginal ring form to adjust the levels of hormones such as estrogen, progesterone, and testosterone. This adjustment can, in turn, improve your FSH levels. Whatever treatments you are prescribed, it's essential that you follow your medical team's instructions to the letter. Don't be afraid to ask questions, get clarifications, or request demonstrations. In some circumstances, abnormal FSH levels are caused by a tumor or cyst on the ovaries, testes, or pituitary gland. Keep in mind that most cysts and tumors are not life-threatening, but having them removed surgically may improve your FSH levels and address other medical issues you may be experiencing. The complexity of the surgery and the risks involved will vary greatly based on your specific circumstances. Discuss your condition and your options with your medical team so that you're informed and prepared.
A: See your doctor for FSH testing and diagnosis. Familiarize yourself with conditions that can impact FSH levels. Follow the therapy regimen recommended by your medical team. Undergo surgery, if necessary, to remove any tumors or cysts.

Article: According to the HBGDIA WPATH Standards of Care, you must see a Gender Therapist prior to receiving hormones or undergoing surgeries. Ask your friends in the trans community to recommend a therapist. Browse the internet in search of a therapist experienced working with members of the trans community. Commit to the therapist that makes you feel at ease. However there is also the option of locating an informed consent clinic such as Planned Parenthood. Ask clients about your potential therapist's rates, practices, schooling, and level of acceptance. Ask your potential therapists lots of questions. Inquire about their interest in gender therapy and how many of their clients received recommendations for HRT and surgery. Informed Consent only requires that you sign document stating understand what HRT will do to you and that you want to begin the treatment. An endocrinologist will confirm your liver and kidneys are healthy enough to take the medications and prescribe them if you are. If your therapist is not a great fit, don't be afraid to switch to a new counselor! Over the course of a series of sessions, your therapist will evaluate your individual situation issuing a diagnosis. After determining that you have consistently experienced symptoms such as disgust with your genitals, a desire to remove signs of your biological sex, and or a certainty that your biological sex does not align with your true gender, your therapist will likely diagnose you with Gender Dysphoria. You must experience these symptoms for at least 6 months. Be honest with your therapist and yourself. Gender dysphoria does not mean that you are diseased or broken; it simply means that you are not content with living as your assigned sex. Doctors write this down so they have justification to give you the pills, therapy, and/or surgery you want or need. Gender dysphoria does not necessarily mean a sad mood. If you have been feeling depressed or anxious, tell the therapist. You may benefit from treatment for that as well. After diagnosing you with Gender Dysphoria, your therapist will provide you with treatment options. The goal of your treatment should not be to alter how you feel but to help you cope with your feelings and alleviate your distress. In addition to continued therapy, your therapist may recommend that you undergo HRT, which will be administered and supervised by a general practitioner or endocrinologist. If you have not yet gone through puberty, your therapist may prescribe puberty blockers. If you express a desire to have a Sexual Reassignment Surgery, SRS, you must complete your social gender role transition before your therapist will approve the medical procedure. During this period of transition, you will live in your gender identity for one to two years. This will allow you to experience life as a woman. You will dress, go to the office, attend family functions, exercise, and go grocery shopping as a woman. After living through a range of events, your therapist will help you determine if a SRS is the right option for you. While undergoing this process, continue taking your hormones, removing any body or facial hair you don't want, and finding your feminine voice.
Question: What is a summary of what this article is about?
Seek a qualified therapist. Receive a diagnosis. Develop a treatment plan. Complete your social gender role transition.

Problem: Article: Repeat until you've completed 3 sets. For faster results, increase the number of sets/times per week you do this exercise.
Summary: Do this exercise for 30 seconds to 2 minutes per set. In order to start seeing/feeling results, aim to do 3 sets 5 days a week for 6 weeks.

Q: Place the butter in a large skillet, preferably cast iron, and melt it over medium heat. Spread them evenly over the bottom of the skillet and cook them in the butter until they become soft. Mix them in with the potatoes and spread them over the the bottom of the skillet. Press down with the spatula so that the mixture forms a solid hash. Cook it on one side until it becomes brown and crispy. Turn it over, section by section, and press each section down with the spatula. Cook the hash on the other side until it's brown. Add Salt and pepper to taste, and garnish with chopped parsley.
A:
Melt butter in a skillet. Add the potatoes. Add the onions and meat. Brown the hash. Flip the hash. Season the hash.