Recommendations of endocrine treatment for patients with gender dysphoria

@article{Wylie2009RecommendationsOE,
  title={Recommendations of endocrine treatment for patients with gender dysphoria},
  author={Kevan R Wylie and Robert Fung and Claudia Boshier and Margaret Rotchell},
  journal={Sexual and Relationship Therapy},
  year={2009},
  volume={24},
  pages={175 - 187}
}
The purpose of this paper is to provide an objective and independent review of all published papers providing clinical guidelines in the hormonal and medical care of patients with gender dysphoria and transsexualism and to suggest safe modern prescribing guidelines. A computerised search of the published literature was performed using the MEDLINE, EMBASE and PsycINFO databases between 1998 and 2008. In addition, textbooks relating to the subject were reviewed. There are major similarities… 
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10 Citations

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References

SHOWING 1-10 OF 33 REFERENCES

Endocrinologic treatment of gender identity disorders.

Physicians caring for patients with transsexualism should have a general knowledge about the diagnosis, available treatment, and monitoring for complications of hormonal therapy.

Hormone Treatment of the Adult Transsexual Patient

  • L. Gooren
  • Medicine, Biology
    Hormone Research in Paediatrics
  • 2005
The goal of treatment in female-to-male transsexuals is to induce virilization, including a male pattern of sexual hair, a male voice and male physical contours, and to stop menses.

Endocrine treatment of male-to-female transsexuals using gonadotropin-releasing hormone agonist.

It is concluded that cross-sex hormone treatment of male-to-female transsexuals using GnRHa and oestradiol-17beta valerate is effective, and side effects and complication rates can be reduced using the treatment regimen presented here.

Is physical examination required before prescribing hormones to patients with gender dysphoria?

It is not clear whether or not a physical examination must be performed on all gender dsyphoric patients before prescribing hormones; however, an examination would be helpful in revealing a significant health management issue.

Current management of male-to-female gender identity disorder in the UK

The clinical features, diagnostic approach and management of male-to-female GID in the UK are reviewed, including the behavioural, psychological and surgical aspects.

Multistep treatment concept of transsexual patients.

  • K. SchlattererK. von WerderG. Stalla
  • Medicine, Psychology
    Experimental and clinical endocrinology & diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association
  • 1996
The importance of an individually designed cross-gender hormone replacement therapy embedded in a multidisciplinary treatment concept, provided by psychiatrists, endocrinologists and surgeons, is demonstrated.

Endocrine Therapy of Transsexualism and Potential Complications of Long-Term Treatment

It is clear that estrogen as well as androgen therapy have a dual role: induction of feminization or virilization and suppression of the hypothalamic-pituitary-gonadal axis leading to a reduction of endogenous estradiol or testosterone secretion.

Physical Aspects of Transgender Endocrine Therapy

This article suggests protocols for the prescribing clinician relating to physical assessment, prescription planning, initiation of endocrine therapy, and ongoing maintenance in transgender adults.

A psycho-endocrinological overview of transsexualism.

The technical possibility of surgical sex change has opened up a debate concerning the legitimacy and utility of carrying out such an intervention at the request of the transsexual. Diagnostic,…

Ovarian cancer in female-to-male transsexuals: report of two cases.

Simultaneous salpingo-oophorectomy should be performed in any female-to-male transsexual undergoing hysterectomy in the course of gender-confirming therapy, hypothesized to constitute an additional risk factor in transsexuals as it has been associated with ovarian epithelian cancer.