The majority of transgender women who follow the usual approach prescribed in the United States are unable to reliably lower their testosterone levels into the typical female physiologic range with medicine alone. The study, which appears in the journal Endocrine Practice , is the first to investigate the efficacy of transgender treatment in terms of achieving targeted and subsequent stability of testosterone levels achieving over a prolonged period of several years. Transgender individuals are those with gender identity different from external sexual anatomy at birth. Recent studies report that 0. A goal of transgender medical intervention is to align physical appearance with gender identity.
Testostrone most people, some change is noticeable after 3 months, and there Hoa no further change after 1 year. The purpose of this review was to cover guidelines and management for adult patients, but it is important to mention special considerations that must be taken when treating adolescent patients. Biol Psychiatry ; 78 Fertility — oestrogen therapy leads to suppression of sperm production. Other studies have found similar changes. Submit a request. Whistle blowing act uk gonadotrophin-releasing hormone analogue is added to stop testosterone production.
Adult movie traliers. Relevant terms associated with gender identity disorder
And what is rare and unique, is often seen also cool. I wanted to know how to go beyond just being friends with them? In adolescents of either sex with relevant indicators, GnRH analoguessuch as leuprorelin can be used to suspend the How much testosterone for female transexuals of sex steroid induced, inappropriate pubertal changes for a period without inducing any changes in the gender-appropriate direction. It Beautiful brazilian sensual au pair sex a type of transgender hormone therapy another being male-to-femaleand is predominantly used to treat transgender men and other transmasculine individuals. I would like to know your opinion and personal experience. Some research suggests that it is more effective at lowering testosterone levels than spironolactone. I found your writing educational. Not for a case in recent years, even media and papers have labelled the transgenders as the so-called third gender. Many transgender people are diagnosed with a condition called gender dysphoria, where they feel a level of discomfort — ranging from mild to extreme — with the physical characteristics or social roles of the gender that they were assigned at birth. I just cant get enough of How much testosterone for female transexuals what s great expetience. So gorgeous. Therefore, it is important to ensure that all desired changes are complete before the initiation of treatment with finasteride, which is frequently after 2 years of testosterone use.
Many transgender men and women seek hormone therapy as part of the transition process.
- Ann Jones has been writing since
- When considering your next step to becoming an MTF or male to female transgendered individual,.
- Gender transition is a process whereby transgender people undergo certain medical, social, and legal steps in order to transition into a gender other than the one that they were assigned at birth.
Current Opinion in Endocrinology, Diabetes and Obesity 20 6 : Endocr Pract ; — A cross-sectional study. Lesbian, gay, bisexual, and transgender-related content in undergraduate medical education. J Am Med Assoc ; — Safer JD, Tangpricha V. Out of the shadows: it is time to mainstream treatment for transgender patients.
Endocrine Pract ; — Discordant sexual identity in some genetic males with cloacal exstrophy assigned to female sex at birth. N Engl J Med ; — Meyer-Bahlburg HFL. Gender identity outcome in female-raised 46,XY per- sons with penile agenesis, cloacal exstrophy of the bladder, or penile ablation. Arch Sex Behav ; — A sex difference in the human brain and its relation to transsexuality.
Nature ; — Male-to-female transsexuals have female neuron numbers in a limbic nucleus. J Clin Endocrinol Metab ; — z. Male-to-female transsex- uals show sex-atypical hypothalamus activation when smelling odorous steroids. Cerebr Cortex ; — White matter microstructure in female to male transsexuals before cross-sex hormonal treatment. A diffusion tensor imaging study. J Psychiatr Res ; — Themicrostructureofwhitematterin male to female transsexuals before cross-sex hormonal treatment.
A DTI study. J Psychiatr Res ; — Arch Gen Psychiatry ; — Determinant factors of gender identity: a commentary. J Pediatr Urol ; — World Professional Association for Transgender Health.
Standards of care for the health of transsexual, transgender, and gender nonconforming people. Endo- crine treatment of transsexual persons: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab ; — J Clin Endocrinol Metab ; Evaluation of the efficacy of sub-cutaneous administration of testosterone in female to male transexuals and hypogonadal males. The role of aldosterone receptor antagonists in the management of heart failure: an update.
Cleve Clin J Med ; — A long-term follow-up study of mortality in transsexuals receiving treatment with cross-sex hormones. Eur J Endocrinol ; — J Sex Med ; — Psychosexual outcome of gender-dysphoric children. The treatment of adolescent transsexuals: changing insights. J Sex Med ; — Endocrine Pract ; — Transgender adolescents usually have stable gender identities and can be given GnRH analogs to suppress puberty until they can proceed with hormone therapy as early as age Parenterally i.
Monitoring for transgender men FTM on hormone therapy: Monitor for virilizing and adverse effects every 3 months for first year and then every 6 — 12 months. Peak levels for patients taking parenteral testosterone can be measured 24 — 48 h after injection. Trough levels can be measured immediately before injection. Monitor hematocrit and lipid profile before starting hormones and at follow-up visits. Bone mineral density BMD screening before starting hormones for patients at risk for osteo- porosis.
Otherwise, screening can start at age 60 or earlier if sex hormone levels are consistently low. FTM patients with cervixes or breasts should be screened appropriately. Gates GJ. How many people are lesbian, gay, bisexual, and transgender? The Williams Institute; Healthcare utilization, barriers to care, and hormone usage among male-to-female transgender persons in New York City.
Am J Public Health ; — J Clin Endocrinol Metab ; — z Gooren LJ. Care of transsexual persons.
In my personal experience, this is the most life changing surgery of them all. Facial bone structure often changes as a result of male puberty, and these changes play an important role in the way that we see gender in the world. Mind you I am not experienced in that degree with these beautiful ladies. You can also see all products listed on the store page. Once some people complete their gender reassignment surgery, they stop taking this medication, but I'm still on it. Most trans men report an increase of energy and an increased sex drive.
How much testosterone for female transexuals. 29 Comments
For me, it was one of the happiest moments in my life. There are really no words to describe the excitement and anticipation I felt leading up to surgery. I will say, however, that I cannot stress enough enough how important it is to do your research before choosing a GRS surgeon. Only a handful of doctors in the world are truly experts in this field, and choosing the wrong one can lead to catastrophic results. In addition to the actual procedure, you also have to pay for travel costs and hotel accommodations if a good physician does not live in your neighborhood.
But in my opinion, this is a small price to pay for a lifetime of completion. I feel incredibly blessed that I had the opportunity at such a young age, and the opportunity to live my life in a way that feels true to me, in part, because of this surgery. A year after having gender reassignment surgery, I went back under the knife for facial feminization surgery — a set of reconstructive procedures that alter typically male facial features to bring them closer in shape and size to typical female facial features.
In my personal experience, this is the most life changing surgery of them all. As a young transgender woman, nothing was more important to me than being able to "blend" into society seamlessly.
It's not only crucial for vanity reasons what girl wants to look like a boy? Being trans often subjects you to discrimination, bullying, and physical aggression. It's so important to members of the trans community that our outward appearance and inner self are in complete harmony. Speaking from personal experience, although not often, I did occasionally come across some level of bullying prior to having FFS.
It's simply a lot easier to be singled out and targeted when the aggressor can identify you as being trans. But again, there's a price to pay for the procedure. Having a breast augmentation as a transgender woman is an entirely personal choice. I know many who have chosen not to, and instead let their hormones do all the work when it comes to breast development. I chose to have surgery because I wanted a fuller bosom, and my hormones didn't help completely on that front.
Breast augmentation was by far the most painful of all the surgeries. In fact, after all the other procedures, I usually only felt some level of discomfort. When I woke up from this one, it was like an elephant was sitting on my chest.
And I think this is very important. Transitioning simply brought all the puzzle pieces together. I never had a waking moment where I thought in order to feel or be female, I needed to undergo multiple surgeries. Oftentimes, after surgery, my relatives would ask if I felt any different. My answer was always the same: no.
I've always been the same old Elle. I chose to undergo these surgeries to better my life experience, not to "become" female because I already was. Nowadays, I really only think about the process of transition when I am filming a Youtube video related to it.
My journey into the person I am today would not have been possible if that year-old me hadn't stumbled upon someone else going through the same thing. I hope I can help others in the same way. For more information on transgender individuals and some of the issues and hardships they frequently face, check out the LGBT organization, the Human Rights Campaign. By Stephanie Mendez.
By Lauren Rearick. By Erin Nicole Celletti. For many transgender people, surgeries are an important part of gender transition that are used in addition to or in lieu of hormone therapy. Although certain surgical procedures are often highlighted in media coverage of transgender people, the reality is that there are many transgender surgeries available, and deciding which ones are right for you and your transition is a personal matter.
Below, we will cover some of the more popular transgender surgeries, and how much they cost without help from your insurance provider. With any surgical procedure, make sure that you research your surgeon to find out their qualifications and the prices they charge.
In order to correct certain gendered features in the face, some transgender people will undergo facial cosmetic surgery, called facial feminization surgery FFS or facial masculinization surgery FMS. Instead, they represent a wide variety of procedures that contribute to sexual characteristics in the face. As a result, the price that you can expect to pay for FFS or FMS will vary wildly depending on the surgeon you choose and the procedures they perform.
For many FtM individuals, top surgery is a very important part of transition and seen as a major milestone. It may be more optional for those making an MtF transition, as hormone therapy will develop breast tissue in many people. Although it is popularized in the media as the most important surgery that a transgender person can get, there are many people who consider their transitions complete without bottom surgery.
Once again, this depends heavily on the surgeon that you choose and the exact procedures that they perform. Bottom surgery for FtM people is often more expensive, as the surgical procedure is more involved. Fortunately, although many medically necessary surgical procedures as a part of transition are not covered by insurance, bottom surgery is receiving more and more coverage as insurance companies partner with specific surgeons.
You should speak with your state government in order to find out how much they will charge. There are also some additional costs that you may or may not have to pay as part of changing your legal name and gender:. Health insurance companies are slow to add on new coverage, especially for minorities who are already the subject of heated political debates. However, insurance coverage for gender transition is slowly beginning to catch up to modern medical science.
Many insurance companies will cover hormone therapy at the same rate as any other prescription from your doctor. Surgical procedures, such as bottom surgery and FtM top surgery, are also being covered more widely, and some insurance companies will even cover cosmetic surgery as part of gender transition.
Getting on the right insurance plan can be a matter of working for a company with good employee benefits. Finding a job that fits your personality can help you excel. It goes without saying that making more money will help you to pay for transition, although in order to do this, you may have to make a choice between money and job satisfaction. Typically, if you have a Roth IRA retirement plan , you will receive a tax penalty if you withdraw money from it before you reach age 59 and a half. Some surgeons and doctors will partner with medical loan providers such as CareCredit.
They offer loans specifically for the cost of a your surgery or other medical procedures. If you do decide to take out loans to pay for transition, make sure that you have a good credit score so you can receive competitive interest rates.
It is possible to use a credit card to pay for gender transition. However, you will need an acceptable credit history to get approved for a credit card in the first place. Credit cards tend to have very high interest rates compared to other forms of debt and companies tend to slap on credit card fees wherever they can. If you do decide to use a credit card to pay for your gender transition, use is sparingly and pay off your entire balance as quickly as possible.
Why Transgender People Transition Many transgender people are diagnosed with a condition called gender dysphoria, where they feel a level of discomfort — ranging from mild to extreme — with the physical characteristics or social roles of the gender that they were assigned at birth.
Starting Gender Transition There is no single right way to begin gender transition, and the best way to access services related to medical transition may vary depending on where you live.
Hormone Therapy Best practices surrounding access to transgender hormone therapy are still being worked out by doctors and mental health professionals. However, the World Professional Association for Transgender Health recommends in their Standards of Care that individuals seeking hormone therapy: Have persistent, well-documented gender dysphoria. Have the capacity to make fully informed decisions about medical treatment. Are of the age of majority in their country, or otherwise have parental consent to begin hormone therapy.
Gender Reassignment Surgery Although the media often focuses on genital surgery as the definitive surgical procedure for gender transition, the reality is not so simple. Top Surgery As part of female puberty, many people undergoing an FtM transition have developed unwanted breast tissue. Facial Feminization Surgery and Facial Masculinization Surgery Facial bone structure often changes as a result of male puberty, and these changes play an important role in the way that we see gender in the world.
When figuring out the cost of your hormone therapy, you should remember to account for several things: Whether or not your insurance will help to cover the cost of hormones, including copay amounts. Many medications used as part of hormone therapy have generic versions, which will often be covered at the lowest copay by your insurance, but some do not. If your insurance covers these medications, then you should ignore the prices given below, which are determined without considering insurance coverage.
The cost of visits to the doctor and blood tests that are a necessary part of hormone therapy for many people. If possible, ask your doctor to bill hormone blood tests as preventative.
This way they are more likely to be covered by insurance and at a better rate. Prices below are derived from GoodRX reportings as of September
The majority of transgender women who follow the usual approach prescribed in the United States are unable to reliably lower their testosterone levels into the typical female physiologic range with medicine alone.
The study, which appears in the journal Endocrine Practice , is the first to investigate the efficacy of transgender treatment in terms of achieving targeted and subsequent stability of testosterone levels achieving over a prolonged period of several years. Transgender individuals are those with gender identity different from external sexual anatomy at birth.
Recent studies report that 0. A goal of transgender medical intervention is to align physical appearance with gender identity. Most transgender women depend on medical treatment alone to lower their testosterone levels. The researchers extracted testosterone and estradiol levels from the electronic medical records of 98 anonymized transgender women treated with oral spironolactone and oral estrogen therapy. Patients were separated into four similarly sized groups using the average estradiol dose they were administered over the course of their treatment.
Only a quarter of transgender women taking a regimen of spironolactone and estrogens were able to lower testosterone levels within the usual female physiologic range. Another quarter could not achieve female levels but remained below the male range virtually all of the time, while one quarter was unable to achieve any significant suppression.
These patients may have had difficulty adhering to their treatment or may have had a different physiologic response to treatment than other patients. Perhaps it is acceptable for some to have levels just above the usual female upper limit.
The researchers believe future studies could pinpoint specific characteristics of patients who fall into each quartile of average steady state testosterone.