在跨性别和非二进制成年人中注射性雌激素剂量方案,在出生时被列为男性
Maralee Kanin1, Margaret Slack2, Reema Patel3
1Division of Endocrinology, Diabetes & Metabolism, University of California, Los Angeles, 10833 Le Conte Ave, 57-145 CHS, Los Angeles, CA 90095, USA.
较低剂量的注射性雌激醇有效地管理跨性别和非二进制个体的激素治疗,达到治疗水平并抑制. 斯皮罗诺拉克顿没有增强激素抑制,可能会降低雌激素.
科学领域:
- 内分泌学 在内分泌学.
- 肯定性别的护理.
背景情况:
- 跨性别和非二进制 (TGNB) 个人在出生时被分配为男性 (AMAB) 经常追求激素治疗以实现身体和情绪的过渡.
- 标准的激素治疗通常涉及雌激素,有时与抗雄激素.
- 临床观察表明,目前的注射性雌激醇剂量方案可能导致过高的雌激醇水平.
研究的目的:
- 评估可注射性雌激醇的降低剂量是否可以有效地达到TGNB个体的目标血清雌激醇和水平.
- 评估低剂量注射性雌激素在激素治疗中的疗效.
主要方法:
- 追溯队列研究分析了从未接受过治疗的AMAB患者开始激素治疗的数据.
- 2017年1月至2023年3月期间从单个学术中心收集的数据.
- 包括29名患者,分析了15个月的雌激醇剂量,血清雌激醇和水平.
主要成果:
- 平均每周雌二醇剂量从4.3降至3.7毫克 (P<.001),最终雌二醇水平为248ppg/ml.
- 所有患者的丸激素水平都低于50 ng/dL.
- 螺旋龙使用与较低的雌激素水平 (285 pg/mL vs. 427 pg/mL) 有关,但没有额外的抑制.
结论:
- 较低剂量的注射性雌激醇对于达到治疗性雌激醇水平和抑制TGNB个体的丸激素是有效的.
- 斯皮罗诺拉克可能不会提供额外的抑制益处,并可能降低雌激素水平.
- 优化注射性雌激醇剂量需要进一步研究安全有效的性别肯定激素治疗.
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