Lower doses of cyproterone acetate may be similarly effective for blocking testosterone, with a lower risk of adverse effects

Lower doses of cyproterone acetate may be similarly effective for blocking testosterone, with a lower risk of adverse effects.

Disclaimer: I am not a medical professional and this is not medical advice.

In an abstract, Even-Zohar et al. (2020) found that trans women taking less than 20mg of CPA daily had “effectively and similarly suppressed” testosterone levels compared to those of trans women taking more than 50mg CPA daily. And Meyer et al. (2020) reported that there were no significant differences in testosterone levels between three groups of trans women taking 50mg, 25mg, or 10mg of CPA daily. In light of these findings, previous recommendations of 50-100mg daily may have led to trans women being administered doses of CPA 10 times greater than necessary.

A viral fake news story linked trans health care to ‘thousands’ of deaths

A viral fake news story linked trans health care to ‘thousands’ of deaths:

 

 

A recent article published by Catholic news outlet LifeSiteNews alleged that the drugs used to treat gender dysphoria in some transgender children are linked to “thousands” of deaths.

The story went viral on right-wing news websites such as the Christian Post and the Daily Wire. According to CrowdTangle, a social media metric platform, these posts — including shares by Daily Wire founder Ben Shapiro and commentator Matt Walsh — are currently some of the top performing LGBTQ-related content on Facebook and Twitter.

 
The problem is: the “thousands” of people who die while taking these drugs are likely the terminally ill cancer patients who receive hormone blockers to fight hormone-sensitive cancers, like prostate cancer, according to experts.

 

Gatekeeping hormone replacement therapy for transgender patients is dehumanising

Gatekeeping hormone replacement therapy for transgender patients is dehumanising

Abstract

Although informed consent models for prescribing hormone replacement therapy are becoming increasingly prevalent, many physicians continue to require an assessment and referral letter from a mental health professional prior to prescription. Drawing on personal and communal experience, the author argues that assessment and referral requirements are dehumanising and unethical, foregrounding the ways in which these requirements evidence a mistrust of trans people, suppress the diversity of their experiences and sustain an unjustified double standard in contrast to other forms of clinical care. Physicians should abandon this unethical requirement in favour of an informed consent approach to transgender care.

Hormone therapy helps strengthen brain connections in transgender women

Hormone therapy helps strengthen brain connections in transgender women:

In transgender women who have had their testes removed as part of the gender-affirming process, a form of estrogen called estradiol strengthens connections between areas of the brain involved in fine motor skills, learning, emotions and sensory perception, according a study to be presented Monday at ENDO 2019, the Endocrine Society’s annual meeting in New Orleans, La. These findings reflect changes on the brain that might have implications, for instance, for treating hot flashes and other symptoms in transgender women, the researchers say.

So Close, Yet So Far

One thing about closely following trans centered informational sources, blogs, news, websites, is there is almost always something being mentioned about hormones or HRT. This isn’t including the endless array of YouTube videos or various photo time lines shared on Facebook or Instagram. 

Not surprising, this is a subject near and dear to my own heart. There are days when it is all I seem to think about and they can be some of the hardest. The mirror is a real witch then and reflective surfaces of all kinds aren’t much better. Just knowing what I will see is enough to turn my stomach into knots and the reality either brings tears or such a level of depression all I want to do is crawl back into bed.

Recently this has become worse. You see, my doctor has prescribed spiro for me and this week he increased the dose to 100mg. The reason has nothing to do with being trans, it’s for my blood pressure, but of course I am all too aware of the “other” use it has. Now I don’t know what dose would be correct for me if used in conjunction with estrogen; from what I have read though, suggests as much as 200mg as part of an HRT regimen. I did mention this to my doctor, (the one who told me he wasn’t comfortable working with me), along with the fact I welcome anything which will lower my testosterone levels even further than they already are. (I should mention I asked for and received a blood test for my levels which indicated mine are on the low end of normal, which makes me hope they might fall into the range seen with HRT).

Now, if I could only get him to see the benefits of also prescribing the other half of the therapy, I might finally be on my way on seeing my true self looking back at me one day.