在接受雌激素的跨性别青年中血清激素度
Catherine Sumerwell1, Kristen Carlin2, Elaine Walsh3
1Division of Adolescent Medicine, Seattle Children's Hospital, Seattle, Washington.
概括
不同的雌激醇路径有效地增加了性别不同的年轻人的激素水平. 通过皮肤注射的雌激素与口服或皮下注射方法相比,显示出更大的丸激素抑制.
科学领域:
- 内分泌学 在内分泌学.
- 青少年医学 青少年医学
- 确认性别的护理
背景情况:
- 激素治疗对于青年的性别肯定护理至关重要.
- 雌激素的施用途径各不相同,影响治疗结果.
研究的目的:
- 为了评估不同性别的年轻人的血清雌激素水平.
- 为了比较不同雌激醇路径在达到治疗水平和抑制的有效性.
主要方法:
- 在一个青少年性别诊所对118名患者 (2010-2019) 的回顾性图表审查.
- 收集了关于雌醇路线,抗雄激素使用和实验室值的数据.
- 分散图可视化了雌激醇和的剂量反应关系.
主要成果:
- 口服雌激醇 (6-8毫克/天) 的平均水平为131.9 pg/mL;通过皮肤 (0.1-0.15毫克/24小时) 的平均水平为62.6 pg/mL;皮下输入为53.6 pg/mL.
- 在不同路线上观察到血清雌激醇水平的显著变化.
- 通过皮肤注射的雌激素,与螺旋,与比口服或皮下途径更低的丸激素有关.
结论:
- 所有评估的雌激醇途径 (口服,透皮,皮下) 都有效地增加了血清雌激醇水平.
- 通过皮肤注射的雌激素显示出趋向于降低雌激醇水平,但抑制丸激素的优势.
- 在优化青少年性别肯定激素治疗时,雌激醇的施用途径是关键考虑因素.
相关概念视频
Signs of Puberty
365
Puberty is a critical phase, typically beginning between the ages of 8 and 13 in girls and 9 and 14 in boys, though timing can vary based on genetics, environmental factors, and overall health. This period is characterized by the development of secondary sexual characteristics and the attainment of reproductive potential. Endocrine changes underpin puberty, with hormonal surges of Luteinizing Hormone (LH) and Follicle-Stimulating Hormone (FSH) instigated by Gonadotropin-Releasing Hormone (GnRH)...
365
Major Hormones and Their Functions
423
Hormones, the biochemical messengers produced by endocrine glands, are pivotal in regulating bodily functions and maintaining homeostasis. Each hormone's balance is crucial; imbalances can lead to significant physiological disruptions. Major hormones include oxytocin, cortisol, epinephrine, estrogen, testosterone, thyroxine, growth hormone, insulin, and glucagon.
Oxytocin, produced in the hypothalamus and released by the pituitary gland, plays a role in social bonding, childbirth, and...
Oxytocin, produced in the hypothalamus and released by the pituitary gland, plays a role in social bonding, childbirth, and...
423
Target Cell Response to Hormones
3.1K
Hormones intricately bind to receptors on the surface or within target cells, initiating a cascade of cellular responses.
Notably, the cellular response can be regulated by altering the number of receptors expressed in the cell. For example, prolonged exposure to elevated hormone levels results in a gradual decline or down-regulation in the number of receptors for that specific hormone on the cell surface. Conversely, in response to low hormone levels, cells may use up-regulation, producing an...
Notably, the cellular response can be regulated by altering the number of receptors expressed in the cell. For example, prolonged exposure to elevated hormone levels results in a gradual decline or down-regulation in the number of receptors for that specific hormone on the cell surface. Conversely, in response to low hormone levels, cells may use up-regulation, producing an...
3.1K
Hormones of the Adrenal Glands
2.5K
Adrenal hormones play a pivotal role in maintaining the body's electrolyte balance and orchestrating responses to stress, showcasing the intricate functions of the adrenal cortex and medulla.
The adrenal cortex, a powerhouse of hormone synthesis, generates over two dozen corticosteroid hormones. The zona glomerulosa produces mineralocorticoids, exemplified by aldosterone, influencing the electrolyte composition of body fluids. The synthesis of glucocorticoids such as cortisol and...
The adrenal cortex, a powerhouse of hormone synthesis, generates over two dozen corticosteroid hormones. The zona glomerulosa produces mineralocorticoids, exemplified by aldosterone, influencing the electrolyte composition of body fluids. The synthesis of glucocorticoids such as cortisol and...
2.5K
Gonadal and Placental Hormones
1.5K
The gonads, namely the testes in males and the ovaries in females, are pivotal in producing gonadal hormones that orchestrate the intricate processes of sexual development and reproduction.
In males, testosterone is the primary gonadal androgen. It plays a central role in the maturation of male reproductive organs — the penis and testes. Additionally, testosterone is instrumental in the development of secondary sexual characteristics — a deep voice as well as facial and pubic hair...
In males, testosterone is the primary gonadal androgen. It plays a central role in the maturation of male reproductive organs — the penis and testes. Additionally, testosterone is instrumental in the development of secondary sexual characteristics — a deep voice as well as facial and pubic hair...
1.5K
Hormonal Regulation of the Menstrual Cycle
403
The ovarian cycle regulates endometrial changes throughout a single menstrual cycle via the coordinated action of gonadotrophin-releasing hormone (GnRH) and gonadotrophins.
At puberty, GnRH begins a pulsatile release pattern, which triggers the anterior pituitary gland to secrete follicle-stimulating hormone (FSH) and luteinizing hormone (LH). The frequency and amplitude of GnRH pulses vary across the menstrual cycle, with faster pulses favoring LH release and slower pulses favoring FSH...
At puberty, GnRH begins a pulsatile release pattern, which triggers the anterior pituitary gland to secrete follicle-stimulating hormone (FSH) and luteinizing hormone (LH). The frequency and amplitude of GnRH pulses vary across the menstrual cycle, with faster pulses favoring LH release and slower pulses favoring FSH...
403


