Informed Consent Hrt In Atlanta
Druid Hills Primary Care and Erin Everett, NP-C, AAHIVS, are one of the few practices in Atlanta to offer Informed Consent HRT for transgender patients.
Informed Consent is a legal document that is used to outline a patients understanding and agreement to receive a hormone replacement therapy. To learn more about the Informed Consent HRT process, please visit my blog article on the subject.
How Much Does It Cost To Legally Change Your Gender
Unfortunately, healthcare costs arent the only costs related to gender transition. In order to change you legal sex , you will have to pay a fee in many states in order to have your legal name and gender changed. For example, in Massachusetts a legal name change costs $185. 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:
- A lawyers fee is youre having difficulty changing your name because of a criminal record.
- The cost of publishing your name change in a local newspaper, which many states require, but which can be waived by a judge.
- The cost of new legal identification documents, such as a new drivers license or passport.
How Will I Know That My Hormone Therapy Is Working
Doctors cannot predict how long hormone therapy will be effective in suppressing the growth of any individual mans prostate cancer. Therefore, men who take hormone therapy for more than a few months are regularly tested to determine the level of PSA in their blood. An increase in PSA level may indicate that a mans cancer has started growing again. A PSA level that continues to increase while hormone therapy is successfully keeping androgen levels extremely low is an indicator that a mans prostate cancer has become resistant to the hormone therapy that is currently being used.
Don’t Miss: How Do I Know If My Hormones Are Off Balance
Male To Female Hormone Transition Guide
While there are some health risks involved with hormone therapy, it can have positive and important effects on trans peoples quality of life.
Knowing what you can expect will help you work with your health care providers to maximize the benefits and minimize the risks.
The purpose of this website is to: explain how hormones work describe the changes to expect from MTF1 hormones, and outline risks and possible side effects give you information about how to maximize the benefits and minimize the risks
1. We use MTF as shorthand for a spectrum that includes not just transsexuals, but anyone whowas assigned male at birth and who identifies as female, feminine, or a woman some or all ofthe time.
Some non-transsexuals may also want hormone therapy, and may not identify or live as women.For this reason, we use the term MTF instead of trans women.
This website is written specifically for people in the MTF spectrum who are considering taking hormones.
It may also be a helpful resource for partners, family, and friends who are wondering how hormones work and what they do.
You May Like: What Are The Benefits Of Hormone Replacement Therapy
Undergo Hrt In Atlanta With An Experienced Transgender Care Provider
Over the past few years alone, there have been a number of compelling studies that support the safety and efficacy of hormone replacement therapy. In turn, it has become a common form of treatment in the provision of transgender care.
For transgender patients who seek hormone replacement therapy, initiating and monitoring treatment requires a mindful approach in developing a successful program. This why working with an experienced and proficient primary care provider can work to a patients benefit. From the knowledge and experience that goes into a hormone therapy program to providing an autonomous environment that encourages open communication and understanding, transgender patients should feel as though they can fully trust their healthcare provider.
Erin Everett, NP-C, AAHIVS, is committed to the LGBTQ community, providing a relaxed, supportive, non-judgmental environment where patients can address their health. If you would like to learn more about transgender hormone replacement therapy in Atlanta, such as the cost of HRT or information regarding any of the other primary care services available, visit the contact page.
Recommended Reading: How To Lower Estrogen In Women
Post Menopausal Hormon Replacement Therapy
How prevalent is heart disease among women?
Female Reproductive Organs
Cardiovascular disease is NOT just a mans disease. Cardiovascular disease is the Number 1 killer of women over age 25 in the United States, regardless of race or ethnicity. Once a woman reaches the age of 50 , the risk for heart disease increases. In young women who have undergone early or surgical menopause, the risk for heart disease is also higher, especially when combined with other risk factors such as:
- Elevated LDL cholesterol
- Low HDL cholesterol, sometimes called “good” cholesterol
- Family history of heart disease
What is menopause?
Menopause is a normal stage in a womans life. The term menopause is commonly used to describe any of the changes a woman experiences either before or after she stops menstruating. As menopause nears, the ovaries gradually produce less estrogen , causing changes in the menstrual cycle and other physical changes. The most common symptoms of menopause are hot flashes, night sweats, emotional changes and changes in the vagina .
Technically, menopause is the end of a womans reproductive cycle, when the ovaries no longer produce eggs and she has her last menstrual cycle. The diagnosis of menopause is not confirmed until a woman has not had her period for six to twelve consecutive months.
How is heart disease associated with menopause?
What can be done to reduce the risk of heart disease for menopausal women?
What Is Intermittent Adt
Researchers have investigated whether a technique called intermittent androgen deprivation can delay the development of hormone resistance. With intermittent androgen deprivation, hormone therapy is given in cycles with breaks between drug administrations, rather than continuously. An additional potential benefit of this approach is that the temporary break from the side effects of hormone therapy may improve a mans quality of life.
Randomized clinical trials have shown similar overall survival with continuous ADT or intermittent ADT among men with metastatic or recurrent prostate cancer, with a reduction in some side effects for intermittent ADT .
You May Like: How Can I Test My Hormone Levels
Menopausal Hormone Therapy And Cancer Risk
For decades, women have used hormone therapy to ease symptoms of menopause, such as hot flashes and sweating. This is called menopausal hormone therapy, and you may see it abbreviated as HT or MHT. You may also hear it described as hormone replacement therapy , postmenopausal hormone therapy , or postmenopausal hormones .
In the past, many doctors and their patients believed that MHT didnt just help with hot flashes and other symptoms it had important health benefits. But well-conducted studies have led many doctors to conclude that the risks of MHT often outweigh the benefits.
This information covers only how MHT can affect a womans risk of getting certain cancers. It does not cover other possible risks of MHT such as heart disease or stroke.
You can use this information when you talk to your doctor about whether MHT is right for you.
Top Reasons Hormone Replacement Therapy Can Save You Money
The cost of this treatment is significantly lower than surgeries or other treatments but there are other ways this treatment can save you money in the long run, such as:
1. Stop Spending on Other Medications
The symptoms of declining testosterone might mean you are on several medications to treat various other issues, such as using a sexual enhancement treatment for erectile dysfunction or psychotropic medications for low moods. Hormone replacement therapy allows you to take fewer overall medications, as the correction of hormones in your body may make other medications unnecessary or redundant.
2. Lower the Cost of Other Therapies or Treatments You Need
3. Spend Less on Lifestyle Costs
If youve been experiencing symptoms of low testosterone, then its likely that youve tried to invest in lifestyle products to manage the symptoms on your own. This can include anything from dietary supplements and protein powder to appearance-related costs, such as Rogaine. Hormone replacement therapy is typically powerful enough to reduce the need for other non-medical treatments.
Don’t Miss: What Is The Safest Amount Of Melatonin To Take
How Long Does It Take To Transition From Male To Female
Some of the physical changes begin in as little as a month, though it may take as long as 5 years to see the maximum effect. For example, men transitioning to women can expect A-cup and occasionally larger breasts to fully grow within 2 to 3 years . But hormone therapy does more than alter your appearance.
Can A Woman Take Hormones To Grow Breasts
A person may feel that their breasts are tender or sore, as a result. Many birth control pills contain the same hormones , estrogen and progestin, which is a synthetic form of progesterone. Starting to take the pill can stimulate the breasts to grow . However, any increase in size is typically slight.
Also Check: Where Do You Give Testosterone Injections
Feminizing Hormone Replacement Therapy Medication And Timing
While your healthcare provider will help you develop an individualized treatment plan, feminizing hormone therapy often begins by taking 100 to 200 milligrams daily of a diuretic called spironolactone to begin blocking male hormone receptors and suppress testosterone production. Some individuals begin taking estrogen immediately, in tandem with spironolactone, to further reduce testosterone production and develop more feminine characteristics. In other cases, estrogen is introduced after several weeks of spironolactone use. Your doctor will recommend the best plan for your needs.
There are various methods for administering estrogen, including orally, by injection, or as a cream, gel, spray, or patch. Commonly used forms of estrogen during a male-to-female transition include:
- Patches: 17B-Estradiol patch
Physiological Effects Of Sex Hormones On Athletic Performance
Testosterone therapy does not create a competitive advantage in sports for trans men compared to cis men.
However, there is controversy around whether trans women or women with high testosterone concentrations have a competitive advantage in elite athletic events.
To help define their inclusion criteria, the U.S. National College Association of Athletics Diversity and Inclusion Committee and NCAA Committee on Competitive Safeguards and Medical Aspects of Sports recently asked a small group of researchers – including Drs. Bradley Anawalt and Alvin Matsumoto – to prepare a report summarizing what is known about the physiological effects of sex hormones on athletic performance.
Also Check: How To Prevent Hormonal Breakouts
Hormone Replacement Therapy May Cause Side Effects Tell Your Doctor If Any Of These Symptoms Are Severe Or Do Not Go Away:
- changes in sex drive or ability
- brown or black skin patches
- swelling of hands, feet, or lower legs
- bleeding or spotting between menstrual periods
- changes in menstrual flow
- dark-colored urine
- light-colored stool
Hormone replacement therapy may increase the risk of developing endometrial cancer and gallbladder disease. Talk to your doctor about the risks of taking this medication.
Hormone replacement therapy may cause other side effects. Call your doctor if you have any unusual problems while taking this medication.
If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration’s MedWatch Adverse Event Reporting program online or by phone .
What Hormones Are Used To Treat The Symptoms Of Menopause
The hormones most commonly used to treat symptoms of menopause are estrogen and progesterone. . Often, these 2 hormones are used together, but some women are given estrogen alone. Its important to know which hormones you are talking about when looking at the risks.
Common estrogen preparations used to treat menopausal symptoms include conjugated equine estrogens and estradiol, but several forms or types of estrogen are available.
There are also many progestins available, but medroxyprogesterone acetate , is often used with an estrogen to treat menopausal symptoms. Some preparations contain both an estrogen and a progestin.
Androgens are also sometimes used to treat menopausal symptoms. This is not common, though, and because only a few studies have looked at this practice, it isnt clear how safe it is in the long run.
Tibolone is a synthetic hormone drug that can act like estrogen, progesterone, and testosterone in different tissues of the body. Because this drug isnt available in the US, its not discussed here.
Recommended Reading: How Do Hormones Cause Acne
Hair Loss Or Androgenic Alopecia: How Does It Happen
Androgenetic alopecia is the term used to call the hair loss phenomenon that occurs in both men and women. Individuals may also experience temporary hair loss or shedding due to telogen effluvium, a disorder that is caused by different triggers like stress or shock. To better understand how female pattern and male pattern hair loss happens, lets look at the three important phases of hair growth:
- Anagen – During this first phase, the follicles will push and grow hair from the roots until it reaches its maximum length. This phase may last between 2 to 7 years.
- Catagen – This is usually a transition period where the hair follicles begin to shrink and the growth of new hair slows down. This typically marks the end of the anagen phase.
- Telogen – The hair cycle begins its resting period and sometimes hair shedding is common in this phase as the hair falls from its roots. It is also during this stage that new hairs grow inside the follicle to prepare for the new cycle of hair growth.
The entire hair growth cycle and the composition of the hair follicle are influenced by hormones. There are two main types of hormones: androgen and estrogen hormones. In male pattern baldness, androgens like testosterone and dihydrotestosterone can affect the size of the hair follicle. Low testosterone and the presence of DHT may cause hair loss in men.
Hormone Replacement Therapy For Transgender Men
Hormone replacement therapy for transgender men during a female-to-male transition also combats gender dysphoria, leading to reduced emotional discomfort and better overall mental health.
During the process, you will take testosterone, which decreases estrogen production and suppresses menstruation. Testosterone is typically administered by injection or as a gel applied to the skin . In some cases, it may be applied as a patch or pellets positioned under the skin. If you have a persistent menstrual flow, your doctor might recommend taking progesterone to control it.
You may observe some of the following physical changes within several months of starting hormones, though individual responses to treatment varies:
- Deepening of the voice
- Abnormal cholesterol levels
- High blood pressure
You are more likely to experience one or more of these health complications if you have had breast cancer or have a history of blood clots. It may be unsafe to continue with hormone treatment if you are pregnant or breastfeeding. Be sure to discuss the potential risks and benefits of hormone replacement therapy with your doctor, and make sure they are aware of your full medical history.
Read Also: How Do You Balance Hormones Naturally
How To Get Access To Estrogen Hormone Therapy
If a person decides to transition, it is essential to receive estrogen hormone therapy from healthcare professionals.
Buying and taking hormones from other sources carries many risks, such as poor quality of drugs, improper doses, and possible harm.
In order to start the process, a person must discuss their options with a healthcare professional.
Transcaresite has a directory of trans-friendly medical professionals. If an individuals healthcare insurance covers the cost of transitioning, it is important to check that the healthcare professional a person chooses is in their insurance network.
The World Professional Association for Transgender Health recommends healthcare professionals and individuals undergo several steps before starting estrogen hormone therapy.
The GLMA is the national LGBTQI+ medical association that also has provider listings for trans-affirming care.
- psychiatric, including any mental health conditions
- social, such as social support and legal history
- family, such as a history of psychiatric illnesses, suicides, and substance use
- developmental, such as education level and any history of trauma
- any instances of substance use
Risks Of Hormone Therapy
There is some uncertainty about the risks of long-term cross-sex hormone treatment. The clinic will discuss these with you and the importance of regular monitoring blood tests with your GP.
The most common risks or side effects include:
- elevated liver enzymes
- hair loss or balding
There are other risks if you’re taking hormones bought over the internet or from unregulated sources. It’s strongly recommended you avoid these.
Long-term cross-sex hormone treatment may also lead, eventually, to infertility, even if treatment is stopped.
The GP can help you with advice about gamete storage. This is the harvesting and storing of eggs or sperm for your future use.
Gamete storage is sometimes available on the NHS. It cannot be provided by the gender dysphoria clinic.
Read more about fertility preservation on the HFEA website.
You May Like: How To Know If Acne Is Hormonal
Where Can I Buy Male To Female Hormones
TransfemmeÂ® male to female hormones in pill and cream forms are available online on this website. Transfemme is a completely natural system to feminize the male body to varying degrees depending on which products you use and the dosages. We recommend calling one of our advisors on our Customer Success Team at or email us at