Transgender Healthcare And Hormone Therapy Flashcards
Transvestites?
A person who wears clothes designed for opposite sex
Gender incongruent?
An individuals discontent with their assigned gender and identification with gender other than that of their birth sex.
Gender dysphoria?
Distress and unease experienced
How much of hormone treatment transition is reversible?
90, but breast development and hair.
Oestrogen treatment risk?
Venous thromboembolism
Trans female therapies?
GnRH analogue to suppress testosterone
Depot IM injection 3monthly
Not required after gonadectomy
Testosterone treatment risk?
Polycythaemia (high conc of red blood cells in blood)
Measure Haemoglobin and haematocrit
Trans male treatment having sex with men?
IUD/ progesterone
For a trans female taking oestrogen for breats what should they do and how long for?
Gradual oestrogen for optimal breast development otherwise fuse breast buds, maximum effect achieved after 2 years treatment
How is oestrigen given?
Oral or transdermal patches. Oestradiol much safer- measure in lab assay.
Testosterone treatment?
Male pattern hair growth
Scalp hair loss
Intramuscular or transdermal gel, do not need GnHR analogue until 5 years maximal treatment
Risk of testosterone treatment?
Polycythaemia, as testosterone causes blood cell production, haematocrit increases- proportion of blood which is made up of cells.
Screening for transfemale?
Mammography at age 50
Dexa at 60
Screening for trans male?
Cervical and breast screening, USS endometrium due to risk of hyperplasia
Dexa at 60
How to delay puberty?
GnHR analogues
Oestrogen effect on hair for a trans woman?
Some effect on facial hair
Mechanical forms of hair removal often still required
More effect on body hair
No effect on ‘lost’ scalp hair, but prevents further loss
How to give oestrogen treatment?
Oral or transdermal oestradiol (patch/gel)
Higher doses than post-menopausal HRT
Oestradiol safer than ethinylestradiol or conjugated equine oestrogens
Trans male treatment?
Intramuscular depot 3-weekly, 3 monthly
Transdermal gel testosterone
Don’t need to give GnRH analogue, because testosterone treatment will suppress menstruation
Max effect after 5 years
Trans females, more death from various disease esp if smokers?
Cvd and stroke
Venous thromboembolism
Lung cancer
HIV related deaths
