Original Article
Towards optimal hormonal treatment of male to female gender identity disorder
Author(s): Rosemary J Basson*
Hormonal management of male to female gender identity disorder occurs in the offices of family practitioners, internists and endocrinologists, as well as in established gender dysphoria clinics. Despite detailed and updated standards of care for diagnosis, namely, the Harry Benjamin International Association guidelines, those same guidelines state that ìphysicians have a wide latitude in what hormone preparation they may prescribe and what routes of administration they may selectî. Treatment is varied and often includes doses of estrogen that are supraphysiological for biological women, sometimes even higher than those in currently prescribed oral contraceptives. Despite clinical experience and published evidence that thromboembolic phenomena are induced by a high estrogen regimen, the practice continues. Both theoretical arguments and clinical experience support the use .. Read More»
DOI:
10.4172/1488-5069.1000006
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