He did not care about therapist letters or anything like that and he provided me with a three-month script for my hormones. This technology can serve transsexual people in rural communities. Third, while statistically significant, the clinical significance of the findings in the WHI was subtle at best. That's very dangerous, as our bodies are reliant on hormones in order to function. Other delivery routes for estradiol such as transdermal gel or spray are formulated for the treatment of menopausal vasomotor symptoms and while convenient and effective in some transgender women, in others these routes may not be able to achieve blood levels in the physiologic female range. Clinics and Providers that Don't Give a Damn There are clinics out there that either do not require therapist intervention at all or require therapist intervention that does not fall in line with the standards of care.
In some patients, complete androgen blockade may be difficult or even impossible using standard regimens. While concerns exist from the Women's Health Initiative WHI regarding risks of cardiovascular disease and breast cancer in the setting of medroxyprogesterone use, these concerns likely do not apply in the context of transgender care for several reasons. I do hope this helps! If you have any doubt at all about your transsexuality do not seek out hormone replacement therapy and contact a therapist to discuss these issues. Third, while statistically significant, the clinical significance of the findings in the WHI was subtle at best. Compounded estradiol valerate or cypionate for injection also exists, and may be an alternative in times of shortage or more cost effective for those who must pay cash for their prescriptions. Hormone preparations and dosing Grading: Also understand that it is highly recommended that you consult a doctor at all stages of your transition to ensure that you are doing the right thing, being monitored for any abnormalities that hormone replacement therapy may cause and that you are physically fit and able to have any therapy that you seek. Since these medications block neither the production nor action of testosterone, their antiandrogen effect is less than that encountered with full blockade. An evaluation for testicular neoplasms should be performed with a scrotal exam as well as testing for elevated serum human chorianogonadotropin hCG , lactate dehydrogenase LDH , alpha-fetoprotein AFP levels, and possibly scrotal imaging. No outcome studies have been conducted on injectable estradiol valerate or cypionate, presumably due to their uncommon modern use outside of transgender care settings; due to this limited use manufacturers have little incentive to produce this medicine, and shortages have been reported. Ethical concerns have been raised regarding the methods of production of equine estrogens. I look forward to the day when we can serve rural communities by telemedicine, which is already being tried out by Planned Parenthood. Therefore, a transsexual girl who starts her hormone therapy before puberty will look almost indistinguishable from any other girl. In reality some patients may respond favorably to progestogens while others may find negative effects on mood. But until I get the time to do that, I simply don't know. Cyproterone has been associated with uncommon episodes of fulminant hepatitis. I knew about this from talking with another transsexual woman who was helping me with my name change and a number of other transition issues. The actual findings in the conjugated equine estrogen plus medroxyprogesterone group were an excess absolute risk per 10 person-years of 7 more cardiac events events, 8 more strokes, 8 more pulmonary emboli, and 8 more invasive breast cancers, with no change in overall mortality. I would remind you that most doctors go through tedious amounts of education and training and may not be easily fooled. The study aimed to evaluate the role of menopausal hormone therapy in the prevention of chronic disease. While progestogens have some anti-androgen effect through central blockade of gonadotropins, there is also a theoretical risk of a direct androgenizing effect of progestogens. Do not lose hope though as there are a few doctors and clinics that can provide you with hormone replacement therapy without any therapist requirements or with little therapist requirements. But finally, I would like to say how flattered I am by the trust many of the people who have contacted me through this article asking for advice. The general approach is similar to estrogen replacement in agonadal i.
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