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A Warning About Hormone

Hormones and Gender Transition

In doing research for this article, I came across a lot of companies claiming to sell various hormone-altering supplements marketed specifically to the transgender population.

Although these may be appealing, particularly with the cost of hormone therapy and reassignment surgeries being so high, they may also be extremely dangerous.

There is also no evidence that they actually work.

They may alter or negate any treatment that you are already undergoing, therefore I would recommend avoiding these types of products altogether.

Other Treatments For Menopausal Symptoms

Studies have shown that some prescription medications can reduce hot flushes and sweats. These treatments may be an option if HRT cannot be used for health or other reasons, and should be discussed with a doctor.

The herbal medicine, black cohosh, may take the edge off hot flushes and sweats, but there is no data to support long-term use. There is also a rare liver condition that may be associated with the use of black cohosh.

Other complementary and alternative medicines have not been shown to be effective for menopausal symptoms when compared with dummy or placebo treatment in research studies.

Commercially available vaginal moisturisers may reduce vaginal dryness if used regularly. Consult your doctor about what will work best for you.

Best Supplements For Transgender People

The content and opinions on Top10Supps are meant to be informative only. They are not medical advice or intended for the diagnosis, prevention, and/or treatment of any health problems. We may receive a commission if you buy something using a link on this page.

In nutrition school, a lot of what I learned about how to determine nutrient needs for an individual was based on gender. Calculating calories, macronutrients, vitamins, and minerals are all based on being either male or female.

But, what if you dont fit comfortably into either of those labels?

Approximately, 1 million Americans identify as transgender . It is believed that this number may not be totally accurate since gender identity is not usually recorded on population surveys and the population seems to be increasing.

To be honest, I didnt learn anything in school about how to provide nutrition recommendations to a transgender individual. This is unfortunate because this population, just like people identifying as female or male, have different health and nutrition-related concerns and needs that should be appropriately addressed.

Due to the lack of knowledge and training on the part of healthcare professionals, like myself, the specialized needs of the transgender population frequently are overlooked or ignored.

A survey by the Center for American Progress found that up to 19% of transgender individuals have been refused medical care due to their gender identity.

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What Are The Emotional And Intellectual Effects Of Estrogen

People are very different so their emotional and intellectual changes vary widely. People taking estrogen have reported:

  • Feeling more emotional and more in touch with their feelings
  • Crying more easily
  • Depression or sadness
  • Thinking differently, having different ways of looking at things
  • Feeling more like myself when taking a hormone that aligns with gender identity feeling more comfortable in ones body

Usual Adult Dose For Postmenopausal Symptoms

Thinking of Going on Low

Depo-estradiol for injection:Usual dose: 1 to 5 mg intramuscularly every 3 to 4 weeksInjectable estradiol valerate:Usual dose: 10 to 20 mg intramuscularly every 4 weeksOral tablets:Initial dose: 1 to 2 mg orally once a day-Administration should be cyclic Topical gel: 1 pump of gel once a day, applied as a thin layerTopical spray:Initial dose: 1 spray once a day, to the inner surface of the forearm, starting near the elbowMaintenance dose: 1 to 3 sprays once a day to adjacent, non-overlapping areas on the inner surface of the forearm-Application site should not be washed for at least 1 hourTransdermal film: 1 film, applied twice weeklyTransdermal patches: 1 patch, applied weekly-Some patches are applied twice a week: the manufacturer product information should be consulted.Vaginal insert:Initial dose: 10 mcg 1 insert intravaginally daily for 2 weeks, followed by 1 insert twice weekly

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Venous Thrombosis And Hrt

Venous thromboses are blood clots that form inside veins. Women under 50 years of age, and women aged 50 to 60, face an increased risk of venous thrombosis if they take oral HRT. The increase in risk seems to be highest in the first year or two of therapy and in women who already have a high risk of blood clots. This especially applies to women who have a genetic predisposition to developing thrombosis, who would normally not be advised to use HRT.

Limited research to date suggests the increased risk of clots is mainly related to combined oestrogen and progestogen in oral form, and also depends on the type of progestogen used. Some studies suggest a lower risk with non-oral therapy or tibolone.

How Do Bioidentical Hormones Work

Why Are Bioidentical Hormones Better Than Other Hormone Therapies?

Bioidentical hormones are often considered a safer and better alternative than traditional hormone replacement. Several years ago, the most common hormone replacement therapy was done with synthetic hormones, which were not structurally compatible with the human body and had high risks of unintended side effects.

Bioidentical hormones, on the other hand, have such a similar structure to human hormones that the body cannot tell the difference. Additionally, bioidentical hormones are derived from natural sources, which significantly decreases the risk of adverse side effects and are more easily absorbed by the body.

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Hrt For Breast Cancer Survivors

It is advisable for women with a history of breast cancer to avoid HRT unless other treatments are ineffective, and their quality of life is made intolerable by menopausal symptoms. In these circumstances, HRT should only be prescribed in consultation with the womans breast surgeon or oncologist.

Evidence has not conclusively shown that HRT will increase the risk of breast cancer recurring in a woman with a history of the disease. However, oestrogen and progestogens may stimulate some types of cells in the breast and some types of HRT use have been associated with an increase in the risk of breast cancer in women without a history of breast cancer.

Cardiovascular Disease And Hrt

Estrogen Balance: My Best Tips

Women over 60 have a small increased risk of developing heart disease or stroke on combined oral HRT. Although the increase in risk is small, it needs to be considered when starting HRT, as the risk occurs early in treatment and persists with time.

Oestrogen used on its own increases the risk of stroke further if taken in tablet form, but not if using a skin patch. Similarly, tibolone increases the risk of stroke in women from their mid-60s.

Women who commence HRT around the typical time of menopause have lower risks of cardiovascular disease than women aged 60 or more.

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Who Can Take Hrt

Most women can have HRT if they’re having symptoms associated with the menopause.

But HRT may not be suitable if you:

  • are pregnant it’s still possible to get pregnant while taking HRT, so you should use contraception until 2 years after your last period if you’re under 50, or for 1 year after the age of 50

In these circumstances, alternatives to HRT may be recommended instead.

What Other Information Should I Know

Keep all appointments with your doctor and the laboratory. You should have a complete physical exam, including blood pressure measurements, breast and pelvic exams, and a Pap test at least yearly. Follow your doctor’s directions for examining your breasts report any lumps immediately.

If you are taking hormone replacement therapy to treat symptoms of menopause, your doctor will check every 3 to 6 months to see if you still need this medication. If you are taking this medication to prevent thinning of the bones , you will take it for a longer period of time.

Before you have any laboratory tests, tell the laboratory personnel that you take hormone replacement therapy, because this medication may interfere with some laboratory tests.

Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription.

It is important for you to keep a written list of all of the prescription and nonprescription medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.

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Transgender Men Why Are Testosterone Persctipions So Confusing

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Other Factors To Remember:

Do hormonal contraceptives cause weight gain ...

Hormone replacement therapy works very well and has multiple different options you can choose from. Based on the cost of just the prescription, you may want to say the pills are your best bet. However, we want you to remember that there are other factors involved.

The cost of the doctors visit is not in the price of the prescription. If you have a co-pay for a doctors appointment, this can quickly add up to hundreds of extra charges for your therapy.

The same is true with bloodwork to monitor your levels. You have to pay for these tests, as many insurance companies have caps on how many blood tests they will pay for in a given year.

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Is It Time For Me To Try Hormone Therapy

Several factors play into whether hormone replacement therapy is the best option for you. Your age is one factor. Your doctor will also want to consider whether youâve had a hysterectomy and whether you have certain health risks, such as a family or personal history of breast cancer or clotting disorders.

What Are The Side Effects Of Too Much Folic Acid

Although doses up to 5 mg daily have been safely used in some research, doses of folic acid greater than 1 mg daily might cause abdominal cramps, diarrhea, rash, sleep disorders, irritability, confusion, nausea, stomach upset, behavior changes, skin reactions, seizures, gas, excitability, and other side effects.

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How Should I Take Premarin

Take Premarin exactly as prescribed by your doctor. Follow all directions on your prescription label. Do not take this medicine in larger amounts or for longer than recommended.

Premarin may increase your risk of developing a condition that may lead to uterine cancer. Your doctor may prescribe a progestin to take while you are using Premarin, to help lower this risk. Report any unusual vaginal bleeding right away.

Read all patient information, medication guides, and instruction sheets provided to you. Ask your doctor or pharmacist if you have any questions.

Premarin is sometimes taken on a daily basis. For certain conditions, the medicine is given in a cycle, such as 3 weeks on followed by 1 week off. Follow your doctor’s instructions.

If you see what looks like part of a conjugated estrogen tablet in your stool, talk with your doctor.

Your doctor should check your progress on a regular basis to determine whether you should continue this treatment. Self-examine your breasts for lumps on a monthly basis, and have regular mammograms.

If you need major surgery or will be on long-term bed rest, you may need to stop using this medicine for a short time. Any doctor or surgeon who treats you should know that you are using Premarin.

Store at room temperature away from moisture, heat, and light.

Are There Any Risks Linked To Trt

Quit The Pill Successfully – Tips for Balancing Hormones After Birth Control Pills

Experts are still trying to fully understand the risks and side effects of TRT. According to Harvard Health, many existing studies have limitations, such as being small in size or using larger-than-usual doses of T.

As a result, theres still some debate over the benefits and risks linked to TRT. For example, its been said to both increase and decrease the risk of certain types of cancer.

A 2016 article in the journal Therapeutic Advances in Urology suggests that some of these conflicting views are the result of overzealous media coverage, especially in the United States.

Before trying TRT, its important to sit down with your healthcare provider and go over all the potential side effects and risks. These may include:

  • chest pain

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What Should I Know About Storage And Disposal Of This Medication

Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from heat and moisture .

Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program. Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community. See the FDA’s Safe Disposal of Medicines website for more information if you do not have access to a take-back program.

It is important to keep all medication out of sight and reach of children as many containers are not child-resistant and young children can open them easily. To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location â one that is up and away and out of their sight and reach.

How To Use Premarin

Read the Patient Information Leaflet if available from your pharmacist before you start using this medication and each time you get a refill. If you have any questions, ask your doctor or pharmacist.

Take this medication by mouth with or without food as directed by your doctor. You may take it with food or right after a meal to prevent stomach upset.

If you are taking the extended-release tablets, do not crush, chew, or dissolve them. Doing so can release all of the drug at once, increasing the risk of side effects. Also, do not split extended-release tablets unless they have a score line and your doctor or pharmacist tells you to do so. Swallow the whole or split tablet without crushing or chewing.

The dosage is based on your medical condition and response to treatment.

Take this medication regularly to get the most benefit from it. To help you remember, take it at the same time each day as directed. Follow your dosing schedule carefully. Do not increase your dose or take this medication more often or for a longer time than directed.

Tell your doctor if your condition does not improve or if it worsens.

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Not An Elixir Of Youth

Hormone therapy is not a magic bullet or an elixir of youth, and it shouldnt be used willy-nilly, Manson says.

But women who are suffering with menopause symptoms should not be denied hormone therapy, she says, unless they are at increased risk of cardiovascular disease, breast cancer or other estrogen-sensitive cancers.

The pendulum has swung widely from the perception that hormone therapy is good for all women to the perception that its all bad for all women, to now a more appropriate place in between where hormone therapy is perceived to be good for some but not all women, Manson says. Were recommending that hormone therapy be used for the duration that its needed to address symptoms at the lowest effective dose and with ongoing reassessment of the balance of risks and benefits.

The time to start therapy is as soon as the symptoms start. Intervening earlier, rather than later, actually seems to carry less risk, Santoro says.

Once symptoms start, they are unlikely to get better soon. On average, the menopause transition lasts about four years, Santoro says. Some women have symptoms that persist even longer, however. Although there are exceptions, most women wont go through menopause before 45, Santoro says.

If youre 45 or older and starting to have hot flashes, night sweats or mood or sleep changes, it could be your hormones and it might be time to start some active management, she says.

Choosing The Best Type Of Estrogen Therapy

How Much Does Hormone Replacement Therapy Cost: Review ...

When deciding what type of estrogen therapy to get, work closely with your doctor. While oral estrogen has been around for a long time and is well studied, some modes of taking hormone therapy are not. They may have lower risks or different risks that we don’t know about yet. Your doctor should be up to date on the latest research.

Right now, the full risks of hormone therapy are unclear. So if you do decide to get ERT, experts generally recommend that you get it at the lowest dose for the shortest time possible. Talk to your doctor about how long you should expect to take ERT and how you can limit your risks.

ACP Medicine web site: “Menopause.”

Canonico M et al, Circulation, Feb. 20, 2007 vol 115: pp 840-845.

MedicineNet web site: “Hormone Creams: Safe and Effective?”

National Cancer Institute web site: “How to Deal with Surgical Menopause.”

National Institutes of Health web site: “Facts About Menopausal Hormone Therapy.”

National Institutes of Health Medline Plus web site: “Estrogen,” “Estrogen Vaginal,” “Estradiol Topical,” “Estradiol Transdermal.”

Practice Committee of the American Society for Reproductive Medicine, Fertility and Sterility, November 2006 vol 86: pp S75-S88.

National Women’s Health information Center: “Menopause and Menopause Treatments.” WebMD Medical Reference: “Estrogen Replacement Therapy,” “Low Dose Estrogen for Dryness and Atrophy.”

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