Category Archives: Transgender medicine

Should elderly trans women continue taking HRT?

Disclaimer: I am not a medical professional and this is not medical advice. One question frequently asked by trans women pertains to whether they will continue to take cross-sex hormones throughout their lifetime, or whether this will be tapered off … Continue reading

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Acne and body hair growth patterns in trans men on testosterone

Two recent letters to the editor in the Journal of the American Academy of Dermatology shed light on the degree of body hair growth that trans men can expect from testosterone, as well as the various factors implicated in the … Continue reading

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How do spironolactone and cyproterone acetate compare for testosterone suppression in trans women?

Disclaimer: I am not a medical professional and this is not medical advice. Trans women are often understandably curious about which HRT regimens, typically consisting of estrogen and an antiandrogen, are most effective in producing the desired levels of estrogen … Continue reading

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New data on trans women’s estradiol/estrone ratios for different routes of administration of HRT

Disclaimer: I am not a medical professional and this is not medical advice. I’ve previously covered anecdotal reports from HRT provider Dr. Will Powers on the role of relative levels of different kinds of estrogens in producing effective physical feminization … Continue reading

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Unsolved mystery: Trans women have significantly lower semen quality than cis men – before starting HRT

Sperm banking is the recommended method of fertility preservation for trans women prior to medical transition (Coleman et al., 2012), as cross-sex hormone therapy can impair fertility, and gonadectomy (removal of the testes during vaginoplasty or orchiectomy) results in permanent … Continue reading

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