审查注射性雌激素剂量建议,以确定性别的激素治疗.
Micol S Rothman1, Ole-Petter R Hamnvik2, Caroline Davidge-Pitts3
1Division of Endocrinology, Metabolism and Diabetes, Department of Medicine, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, Colorado, USA.
用于性别肯定护理的注射性雌激素剂量应该从低开始. 每周处方5毫克或更少的注射性雌激素有助于避免过高的水平,确保更安全的激素治疗.
科学领域:
- 内分泌学 在内分泌学.
- 确立性别的激素疗法
背景情况:
- 在性别肯定激素治疗指南中建议注射雌激素.
- 对于跨性别和性别多元的人群,关于注射性雌激素使用的数据有限.
- 担忧包括测定变异性和雌醇水平波动.
研究的目的:
- 对注射性雌激素剂量的现行实践和指导方针建议进行审查.
- 为了确定处方剂量的趋势和由此产生的血清雌激素水平.
- 为安全启动注射性雌激素治疗提供建议.
主要方法:
- 对注射性雌激素治疗现有指导方针的审查.
- 对跨性别和性别不同的患者报告的血清雌激素 (E2) 水平的分析.
- 评估所规定的estradiol cypionate或valerate肌肉内剂量.
主要成果:
- 一些患者接受高剂量注射性雌激素注射,导致超生理学血清E2水平.
- 处方剂量往往超过启动治疗时推的范围.
- 建议每周服用5毫克或更低的剂量,以防止超生理水平.
结论:
- 建议以每周5毫克或更低的剂量开始注射性雌激素治疗.
- 避免超生理性雌激素水平对于安全有效的性别肯定护理至关重要.
- 需要进一步的研究来优化注射性雌激素剂量对跨性别和性别多样性个体.
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