Transgender, how change happens.
How does the hormonal transition happen in transgender people?
삭제됨
Hormone therapy is a treatment followed by many transgender people to modify their bodies through the use of hormones, whether male or female.
What is the purpose of hormone therapy for transgender people?
The goal of hormone therapy is to make the transgender person more comfortable with themselves, physically and psychologically.
This will also depend on the patient's vision and wishes, as well as patients who do not seek sex reassignment surgery, for example.
However, trans people need to be realistic about the expected changes, as hormones cannot fully alter their shape or height.
What are sex hormones and how do they affect the body?
There are several hormones produced in the body by a system of glands, which are released directly into the bloodstream and transported throughout the body. This system is called the endocrine system, and the physician responsible for this area of medicine is the endocrinologist.
Among them are the sex hormones: the male hormone testosterone, produced by the testes, and the female hormone estrogen, produced by the ovaries.
Any body naturally produces testosterone and estrogen: male people have a small amount of the female hormone, through testosterone that is converted into estrogen.
And regardless of biological sex, the adrenal glands, which sit on top of the k**neys, produce small amounts of testosterone.
With the baby still in the mother's womb, sex hormones together with genetic factors designate the development of the reproductive system, the brain and physical characteristics, such as height, hair, how fat is distributed throughout the body and muscle mass.
Throughout life, sex hormones continue to interfere with the characteristics and development of the organism, reaching a peak at puberty and decreasing naturally in old age.
What physical effects does hormone therapy cause?
At the beginning of treatment, it is common for doctors to prescribe d**gs that block sex hormones, to stop your body's own hormone production.
In this way the prescribed hormones act more effectively.
In the case of trans women, estrogen has effects that accentuate a feminine appearance, such as: fat begins to be more distributed over the hips and the size of the reproductive organ can be slightly reduced, muscle mass and energy can be reduced.
The hair also gets weaker, and with that many trans women associate hormone therapy to advance laser treatments and other permanent hair removal techniques.
Despite this beneficial effect caused by estrogen, male pattern baldness is not necessarily reversed.
In trans men, testosterone causes the growth of a beard and thicker body hair, makes the voice deeper, increases libido, promotes muscle mass gain and can cause clitoral enlargement.
Some trans men also develop acne and trigger male pattern baldness. Menstruation is interrupted, although some bleeding may occur, in which case it is necessary to adjust the dose, with the help of a doctor.
Most changes develop slowly. Some effects start after a few months of hormone therapy and may be irreversible, such as lower voice in trans men and breast growth in trans women.
Do I need to take the hormones forever?
Yes, to maintain the effects caused by sex hormones, it is necessary to take the treatment for the rest of your life.
However, if at some point the trans woman has her testicles removed or the trans man has his ovaries removed, the dose of hormones is usually reduced after the surgery.
Does the hormonal transition bring health risks?
There is still little research on the use of hormones and the health risk, but with medical monitoring, hormonal treatment is safe, since the prescribed d**gs are very similar to the natural hormones produced by the body.
The Brazilian Society of Endocrinology and Metabology considers the greatest risks to trans patients to be osteoporosis, breast cancer in trans women who take estrogen, cardiovascular disease, and prostate cancer in trans women, even in those who have undergone sex reassignment.
The most serious risks of taking estrogen are thrombosis, stroke, pulmonary embolism, and abnormal liver function.
The biggest risk caused by testosterone is polycythemia (overproduction of red blood cells) which induces blood clotting and generates tiredness, weakness and shortness of breath.
To reduce the risks, it is important to maintain a healthy lifestyle, with a balanced diet and exercise, avoiding the use of alcohol and other substances that can harm the treatment. Smoking, in addition to bringing risks to the lungs, reduces the effects of estrogen in the treatment of trans women.
Is it possible to have c***dren with the hormonal transition?
Regardless of gender, hormonal transition causes infertility after a certain time. However, taking hormones is not considered a contraceptive method, as it is uncertain how long it takes for treatment to make a person infertile.
To have c***dren, the trans person must stop hormone therapy.
This was the case for trans couple Danna Sultana and Esteban Landrau, where they both decided to stop hormone treatment so they could get pregnant.
If a trans woman does not have her testicles removed, she will be totally infertile. Also, a trans man who has his ovaries removed cannot get pregnant naturally.
What d**gs are used for treatment?
For trans women, treatment is done with estradiol-based injections.
For people over 40, smokers or people with circulatory problems, the use of estradiol pills, gels and/or patches is recommended.
The use of progesterone increases the risk of thrombosis and can also inhibit the action of estrogen. This inhibition can cause the reverse effect, causing increased libido and facial hair growth, even with reduced testosterone.
For trans men, testosterone is usually given via an intramuscular or subcutaneous injection every two to three weeks.
Other methods are also available as testosterone pills and patches or gels that must be applied to the skin daily.
For people with a peanut allergy, testosterone enanthate injection is recommended over other testosterone treatments.
Transition treatment for both genders may also include the use of goserelin or leuprorelin, hormone blockers that have fewer side effects. However, its use is not always necessary because testosterone alone is effective for many trans men.
삭제됨
What care with the emotional state is necessary?
The impact of the hormonal transition also happens on the emotional state. Just as puberty is a roller coaster of emotions, hormone therapy can also mess with feelings during transition.
Trans people who undergo hormone therapy can present a series of ideas with more intensified emotions, feelings and thoughts. These feelings can affect behavior and relationships with people.
Even without these symptoms, psychotherapy for people in hormonal transition is recommended by specialists. It is necessary for the patient to seek or be referred to a professional with experience in caring for transgender people. Thus, the patient comes to understand their body and themselves while undergoing treatment.
Changes in sexual sensitivity are also common with hormone treatment, and can increase or decrease libido. Depending on the patient, the changes caused by hormone therapy are offset by gains in the desired body image, according to their gender identity.
삭제됨
Hormone therapy is a treatment followed by many transgender people to modify their bodies through the use of hormones, whether male or female.
What is the purpose of hormone therapy for transgender people?
The goal of hormone therapy is to make the transgender person more comfortable with themselves, physically and psychologically.
This will also depend on the patient's vision and wishes, as well as patients who do not seek sex reassignment surgery, for example.
However, trans people need to be realistic about the expected changes, as hormones cannot fully alter their shape or height.
What are sex hormones and how do they affect the body?
There are several hormones produced in the body by a system of glands, which are released directly into the bloodstream and transported throughout the body. This system is called the endocrine system, and the physician responsible for this area of medicine is the endocrinologist.
Among them are the sex hormones: the male hormone testosterone, produced by the testes, and the female hormone estrogen, produced by the ovaries.
Any body naturally produces testosterone and estrogen: male people have a small amount of the female hormone, through testosterone that is converted into estrogen.
And regardless of biological sex, the adrenal glands, which sit on top of the k**neys, produce small amounts of testosterone.
With the baby still in the mother's womb, sex hormones together with genetic factors designate the development of the reproductive system, the brain and physical characteristics, such as height, hair, how fat is distributed throughout the body and muscle mass.
Throughout life, sex hormones continue to interfere with the characteristics and development of the organism, reaching a peak at puberty and decreasing naturally in old age.
What physical effects does hormone therapy cause?
At the beginning of treatment, it is common for doctors to prescribe d**gs that block sex hormones, to stop your body's own hormone production.
In this way the prescribed hormones act more effectively.
In the case of trans women, estrogen has effects that accentuate a feminine appearance, such as: fat begins to be more distributed over the hips and the size of the reproductive organ can be slightly reduced, muscle mass and energy can be reduced.
The hair also gets weaker, and with that many trans women associate hormone therapy to advance laser treatments and other permanent hair removal techniques.
Despite this beneficial effect caused by estrogen, male pattern baldness is not necessarily reversed.
In trans men, testosterone causes the growth of a beard and thicker body hair, makes the voice deeper, increases libido, promotes muscle mass gain and can cause clitoral enlargement.
Some trans men also develop acne and trigger male pattern baldness. Menstruation is interrupted, although some bleeding may occur, in which case it is necessary to adjust the dose, with the help of a doctor.
Most changes develop slowly. Some effects start after a few months of hormone therapy and may be irreversible, such as lower voice in trans men and breast growth in trans women.
Do I need to take the hormones forever?
Yes, to maintain the effects caused by sex hormones, it is necessary to take the treatment for the rest of your life.
However, if at some point the trans woman has her testicles removed or the trans man has his ovaries removed, the dose of hormones is usually reduced after the surgery.
Does the hormonal transition bring health risks?
There is still little research on the use of hormones and the health risk, but with medical monitoring, hormonal treatment is safe, since the prescribed d**gs are very similar to the natural hormones produced by the body.
The Brazilian Society of Endocrinology and Metabology considers the greatest risks to trans patients to be osteoporosis, breast cancer in trans women who take estrogen, cardiovascular disease, and prostate cancer in trans women, even in those who have undergone sex reassignment.
The most serious risks of taking estrogen are thrombosis, stroke, pulmonary embolism, and abnormal liver function.
The biggest risk caused by testosterone is polycythemia (overproduction of red blood cells) which induces blood clotting and generates tiredness, weakness and shortness of breath.
To reduce the risks, it is important to maintain a healthy lifestyle, with a balanced diet and exercise, avoiding the use of alcohol and other substances that can harm the treatment. Smoking, in addition to bringing risks to the lungs, reduces the effects of estrogen in the treatment of trans women.
Is it possible to have c***dren with the hormonal transition?
Regardless of gender, hormonal transition causes infertility after a certain time. However, taking hormones is not considered a contraceptive method, as it is uncertain how long it takes for treatment to make a person infertile.
To have c***dren, the trans person must stop hormone therapy.
This was the case for trans couple Danna Sultana and Esteban Landrau, where they both decided to stop hormone treatment so they could get pregnant.
If a trans woman does not have her testicles removed, she will be totally infertile. Also, a trans man who has his ovaries removed cannot get pregnant naturally.
What d**gs are used for treatment?
For trans women, treatment is done with estradiol-based injections.
For people over 40, smokers or people with circulatory problems, the use of estradiol pills, gels and/or patches is recommended.
The use of progesterone increases the risk of thrombosis and can also inhibit the action of estrogen. This inhibition can cause the reverse effect, causing increased libido and facial hair growth, even with reduced testosterone.
For trans men, testosterone is usually given via an intramuscular or subcutaneous injection every two to three weeks.
Other methods are also available as testosterone pills and patches or gels that must be applied to the skin daily.
For people with a peanut allergy, testosterone enanthate injection is recommended over other testosterone treatments.
Transition treatment for both genders may also include the use of goserelin or leuprorelin, hormone blockers that have fewer side effects. However, its use is not always necessary because testosterone alone is effective for many trans men.
삭제됨
What care with the emotional state is necessary?
The impact of the hormonal transition also happens on the emotional state. Just as puberty is a roller coaster of emotions, hormone therapy can also mess with feelings during transition.
Trans people who undergo hormone therapy can present a series of ideas with more intensified emotions, feelings and thoughts. These feelings can affect behavior and relationships with people.
Even without these symptoms, psychotherapy for people in hormonal transition is recommended by specialists. It is necessary for the patient to seek or be referred to a professional with experience in caring for transgender people. Thus, the patient comes to understand their body and themselves while undergoing treatment.
Changes in sexual sensitivity are also common with hormone treatment, and can increase or decrease libido. Depending on the patient, the changes caused by hormone therapy are offset by gains in the desired body image, according to their gender identity.
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