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Hormonal Management for Transfeminine Individuals.
Jessica Abramowitz1, Vin Tangpricha2
1Division of Endocrinology and Metabolism, Department of Medicine, UT Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390-9302, USA.
Clinics in Plastic Surgery
|June 18, 2018
Summary
Transfeminine hormone therapy uses estradiol and anti-androgens for feminization. Careful monitoring is essential to balance physical changes, improve quality of life, and minimize risks like blood clots and cardiovascular issues.
Area of Science:
- Endocrinology
- Reproductive Health
- Gender Affirming Care
Background:
- Transfeminine individuals often undergo hormone replacement therapy (HRT) to align physical characteristics with gender identity.
- Estradiol and anti-androgen medications are primary agents used in feminizing HRT.
- HRT aims to induce physical changes such as breast development and fat redistribution.
Purpose of the Study:
- To review the physical effects and potential risks of estradiol therapy in transfeminine individuals.
- To emphasize the importance of monitoring and dose adjustment in feminizing HRT.
- To outline the benefits and adverse outcomes associated with hormone therapy for transgender women.
Main Methods:
- Review of current medical literature on transfeminine hormone therapy.
- Analysis of physiological changes induced by estradiol.
- Examination of adverse effects and benefits reported in clinical studies.
Main Results:
- Estradiol therapy promotes feminization, including breast development, altered body fat distribution, and reduced muscle mass.
- Potential adverse effects include thromboembolic disease, macroprolactinoma, and cardiovascular issues.
- Hormonal treatment can lead to improved quality of life and reduced gender dysphoria.
Conclusions:
- Transfeminine hormone therapy requires careful management to optimize feminization and mitigate health risks.
- Regular monitoring and individualized dose adjustments are crucial for safe and effective treatment.
- While risks exist, the benefits of HRT, including psychological well-being, are significant for many transfeminine individuals.
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