Transsexual hormone risk
Transsexual is a medical term applied to those seeking hormones to move toward modifying their bodies to the appearance of the opposite gender. May or not include surgical intervention, such as breast implants at a later date in men.
Risk with hormone replacement do exist with any gender and more evidenced-based data will be available as hormone replacement increases.
Consideration with men and female hormone replacement:
All the adverse reactions and restricts apply with female hormone replacement in either gender, such as risk for thrombosis or blood clots.
Providers may consider a “medication holiday” for continuation of long term hormone replacement if risk is questionable. Theory behind this idea is, females present with a 28 day cycle with a decrease in hormones resulting in menstruation. Hormone replacement in men may not fluctuate and therefore the risk with adverse effects may increase.
Men over 35 should be considered for breasts exams every six months.
Men should be checked for breast cancer markers and history of cancer in family documented.
Men with hormone replacement for 2-3 years and over 40 should present for a mammogram.
Long term use for opposite gender hormones may present with a risk for those 65 and older. More evidenced-based research is needed to support use for both genders. Current collection of data for transsexual hormone use began c1944.
Mission Statement: "Couturing individual patient's/client's