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与标准剂量相比,低剂量赛普罗特酸在女性化激素治疗中的有效性:单个机构追溯试点研究
Sira Korpaisarn1, Jiraporn Arunakul2, Kewalin Chaisuksombat2
1Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Ratchathewi, Bangkok 10400, Thailand.
Sexual medicine
|September 24, 2024
概括
低剂量的甲 (CPA) 有效地抑制女性化激素治疗 (FHT) 的丸激素,与标准剂量相比. 这一发现支持使用较低的CPA剂量对出生时被分配为男性的个体进行FHT.
科学领域:
- 内分泌学 在内分泌学.
- 药理学 药理学是指药理学的学科.
- 跨性别者健康 跨性别者健康
背景情况:
- 有限的数据存在于低剂量赛博氨酸 (CPA) 对于女性化激素治疗 (FHT) 中丸激素抑制的有效性.
- 赛普罗乙酸用于抑制FHT的出生时被分配为男性 (AMAB) 个体的丸激素.
研究的目的:
- 为了比较低剂量CPA (<25毫克/天) 与标准剂量CPA (25-50毫克/天) 在达到抑制的有效性.
- 评估在接受女性化激素治疗 (FHT) 的出生时被分配为男性 (AMAB) 个体的抑制.
主要方法:
- 追溯性队列研究59个在出生时被分配为男性 (AMAB) 的个人,使用CPA进行女性化激素治疗 (FHT).
- 在2014年1月至2022年7月期间在第三级护理中心收集的数据.
- 在低剂量 (12.5毫克/天) 和标准剂量 (25-50毫克/天) 的CPA组之间,抑制的比较.
主要成果:
- 在低剂量和标准剂量CPA组中,达到目标丸激素水平 (<50 ng/dL) 的中位时间为3个月.
- 在3个月后,72.7%的低剂量CPA和86.7%的标准剂量CPA的个体达到目标丸激素水平.
- 在两组之间的后续访问中,没有观察到丸激素水平的显著差异. 标准剂量的CPA与改善的脂质样本和肝酶有关.
结论:
- 低剂量氨酸 (CPA) 每天12.5毫克的剂量显示出与女性化激素治疗 (FHT) 中的标准剂量相当的抑制.
- 这些发现支持使用较低剂量的CPA作为FHT中丸激素抑制的可行选择.
- 需要进一步研究更大的样本大小来证实这些发现并探索长期影响.
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