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Hormone therapy plays an integral role in the transition process for patients. We are here to help. There are many ethical issues to address in the care of the adolescent transgender patient, and the care of this patient population should be left to specialists who are well versed in this type of care. Weak evidence suggests that initiation of estrogen therapy at lower doses and titrating up over time may result in enhanced breast development in transgender women. The liver function issues in the study were attributed to other causes, such as alcohol abuse and hepatitis B, and were mainly successfully treated, either with other medications or temporarily halting hormone treatment. All antiandrogen drugs, like feminising hormones, must be withdrawn prior to major surgery This may lead to a degree of reversion towards masculinity, which may be pronounced and disturbing in some patients. Since these medications block neither the production nor action of testosterone, their antiandrogen effect is less than that encountered with full blockade.
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Transgender Q&A - Part 4 - Hormones for Trans Women

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There is relatively little clinical data available for this drug in transsexual patients. Hormones derived from proteins bind to receptors on the outside of the cell membrane; steroid and tyrosine hormones pass inside the cell and bind to receptors in the cytoplasm or the nucleus. August 21, at 1:
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