Vnitr Lek 2015, 61(3):197-201

Our experience with hormonal therapy in transsexual patients

Vladimír Weiss1,*, Petr Weiss2, Hana Fifková3
1 Endokrinologická ambulance Praha 4-Modřany
2 Sexuologický ústav 1. LF UK a VFN Praha, přednosta doc. MUDr. Michal Pohanka, Ph.D.
3 Sexuologická ambulance Praha 3-Žižkov

Hormonal therapy in transsexual patients (TS) includes sexagens administration: androgens in female-to-male transsexual patients (FtM) and oestrogens and antiandrogens in male-to-female transsexual patients (MtF). Duration of hormonal therapy should continue at least 1 year before gender reassignment surgery. Hormonal therapy supresses former gender and induces partially new gender changes. Hormonal therapy continues subsequently after surgery during life. Hormonal therapy in MtF TS includes oestrogens and antiandrogens application. In very young persons in both groups blocking gonadoliberin analogues can be used. In FtM TS testosterone onself is given (orally and/or parenterally). Authors describe their own experiences with hormonal treatment in 282 TS (163 FtM and 119 MtF). During hormonal therapy statistically significant weight increasing was found in both groupes. Total cholesterol increased in FtM. In MtF during hormonal therapy average prolactin level increased from 350.1 to 570.5 mU/l without clinical significance. Total average hormonal therapy duration was 6.73 years in FtM and 4.64 years in MtF and so overall therapy safety assessment is not possible. Any endocrinopathy occurence in the beginning of surveillance was found in 35 persons (12.4 %): simple goiter, autoimmune thyreoiditis, hypothyroidism, hyperthyroidism, gynecomastia, DM type 1, congenital adrenal hyperplasia (CAH), Klinefelter syndrome and nonfunctional pituitary adenoma. It is appropriate as well as in other rare medicine conditions to manage diagnosing and therapy in centers with experience with these issues.

Keywords: antiandrogens; female-to-male; hormonal therapy; male-to-female; oestradiol; prolactin; testosterone; transsexualism

Received: November 30, 2014; Accepted: January 22, 2015; Published: March 1, 2015  Show citation

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Weiss V, Weiss P, Fifková H. Our experience with hormonal therapy in transsexual patients. Vnitr Lek. 2015;61(3):197-201.
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