Monday, 28 June 2010

Hormone Therapy for Transition

HORMONE THERAPY IN TRANSSEXUAL PATIENTS - If your Endo is clueless, this will help. That is, if you want to transition.

7 comments:

Anonymous said...

this is nice, have you come across this type of info for FtoM? Cause thats what we need in our home, and finding said information is hard.

Bad hair days said...

It gives an overview but should not be used for advice.

Only real progesteron should be used, as well as 17B Estradiol.

The other drugs have adverse affects.

CPA (Androcur) - the given numbers are far to high, beside CPA should be avoided anyway, more then 50mg are dangerous and unneccesary.

A good combination of 17Beta Estradiol and progesteron (not Progestin or anything like that) will reduce Testosteronproduction to healthy levels in persons with male gonads.

When GNrHs are used all three, Progesteron, 17b Estradiol and Testosteron should be given to restore a healthy hormonal balance.

Mercedes Allen said...

I know docs tend to prefer research materials done in their own country, but if Canadian info is an option, this might help and also include FTM info:
http://www.sherbourne.on.ca/PDFs/Trans-Protocols.pdf

Anonymous said...

Vancouver Coastal Health has some excellent guidelines:

http://transhealth.vch.ca/resources/careguidelines.html

Also excellent (particularly for men) is Nick Gorton's guide/textbook:

http://www.nickgorton.org/

A Nonce

Sara said...

My endo gave me androcur 50 mg, which was enough to reduce my total testosterone to null levels (0.0 nmol/L). Never had readings of free testosterone.

I also take some amount of estrace daily.

He doesn't give me numbers for estrogen levels, but says they are within normal range.

Development has more or less stalled after a year or two to A-cup. It's been 4 years now.

He says the progestin amount present in Andorcur itself is sufficient for breast development. I don't know enough about it to convince him either way wether I need separate progesterone or not.

Provera wasn't good for me in the past (took some 2 years ago).

Anne Rose Blayk said...

Dear Zoe,

I think you definitely should not be recommending this report, since it contains some seriously misleading "information".

The guidelines noted above by Mercedes Allen and Anonymous above are much more reliable sources of information...

One might also want to check out the Endocrine Society's Guidelines for Endocrine Treatment of Transsexual Persons. OTOH, if you're trying to obtain hormonal treatment without approval from a "Mental Health Professional", this is not the document you would want to show to an endocrinologist!

It's well worth noting the following from this document's Abstract:

"Evidence: This evidence-based guideline was developed using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system to describe the strength of recommendations and the quality of evidence, which was low or very low." [my italics]

Ark said...

This is a lovely thing to hand out... it would be really nice if there was actual information for FtM, or something similar to that.