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treatment, and legal
protection of individuals correcting the misalignment
of their brains and their anatomical sex, while supporting their transition
into society as hormonally reconstituted and surgically corrected citizens.
Common Sense On Hormone Treatments For Transsexual Women Print E-mail
Opinion - Editorials
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Saturday, 11 August 2007 23:00

TS-Si Editorial: Common Sense On Hormone Treatments For Transsexual Women

Springfield, VA. USA. Transsexualism belongs in the scientific and medical mainstream. The time has come for the scientific and medical community to take up the study of the long term effects of hormone treatment on transsexual women. There could be considerable benefits to all women, without regard to their birth condition.

When it comes to Hormone Treatment (HT), the medical establishment ignores women with a history of transsexuality. The past few decades have seen a systematic interest in the effects of HT that omit the valuable experiences of transsexual women.

Existing research is off the mark. For example, the Women's Health Initiative (WHI), launched in 1991, was a major 15-year research program funded by the US National Institutes of Health (NIH). It focused on post-menopausal women.

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Using these and similar studies as source documents, doctors extended the resulting hormone recommendations to post-op transsexual women. Even though transsexual women — post-op or not — have never been through menopause, endocrinologists and other medical practitioners still use the WHI as their reference when prescribing hormone types and dosages. When transsexual women objected, the medical communities response was — and is — that those studies are the best available data.

Continued use of outdated data is based on uninformed presumptions that such patients seek the pretense of womanhood and can not be considered as females. Much of the confusion derives from a failure by practitioners to distinguish between transsexuality and paraphilia.

Moreover, the hormone regimens were of questionable safety in the first place. WHI studies focused on the use of conjugated estrogens and/or progestin synthetics. Even though the WHI utilized then current methodologies, results from the prescribed hormone regimens have opened the entire effort to scrutiny and criticism. 

Many of the women of transsexual history who departed from established treatment plans now report that safer and more effective hormones are available. These kinds of reports should be taken seriously and used as the basis for a rigorous professional investigation.

The medical benefits and scientific merits should be obvious to an unbiased observer: a rigorous long term study will not only provide the first hard HT data for post-op women but it will also provide a distinct control group against which the effect of HRT on post-menopausal women can be compared.

Long term study of HRT on transsexual women avoids many of the variables that make the study of post-menopausal women difficult. With the transsexual women, you are looking strictly at the effect of the hormones themselves.

Scientists and doctors need to start collecting unbiased case studies of transsexual women, then see where the data leads us. What are the pros and cons of HT for women in transition and beyond correction? What is the proper dosage level and mix of hormones?

Although most women of history disappear back into society after transition, they should be enlisted to give back to community. Post-op women, in particular, must be willing to discuss their hormone regimes and submit to the appropriate protocols to determine actual safety and related effects.

The results of the long term study of HRT on transsexuals could significantly improve hormone treatment for all women — post-op, those in transition, and post-menopausal women — by capturing the true effect of hormone therapies.

FYIThis editorial has been updated since original publication to incorporate current nomenclature and site formatting coventions.

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TS-Si is dedicated to the acceptance, medical treatment, and legal protection of individuals correcting the misalignment of their brains and their anatomical sex, while supporting their transition into society as hormonally reconstituted and surgically corrected citizens.


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