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Gender Affirming Health Care - Hormone Therapies
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Increased risk of CV disease is caused by masculizing or feminizing HT?
Trick question! Both cause an increased risk for CV disease.
True or false: breast development is reversible with discontinuation of HT
false
True or false: response to hormones is the same in every patient.
false
Which medication as part of the feminizing protocol can cause hypotension and dizzyness?
Spironolactone
which medication is used to treat hair loss?
Finasteride
Which form of Estrogen would we use for a higher risk patient and what's the starting dose?
Estradiol patch, 0.1 mg/ day
Whats the common starting dose of Testosterone injections and what would we titrate it to?
50 mg/ wk, 100 mg/ wk
For which type of hormone therapy do we need to monitor renal function?
Feminizing
polycythemia and increased blood viscosity is a risk of which type of hormone therapy?
masculizing/ testosteron
Pulmonary embolism is a contraindication to feminizing or masculizing HT?
Feminizing (estrogen)
Which health screenings are continued when on masculizing HT, presuming no surgery has occurred?
Clinical breast exam and pap smear.
Increased emotions and crying is associated with feminizing or masculizing HT
feminizing
vaginal atrophy and increased risk for STIs is an associated sexual health risk for feminizing or masculizing HT?
Masculizing
What are the two absolute contraindications for testosterone HT?
Inability to give informed consent, Pregnancy
which one is slower: feminizing or masculizing HT?
feminizing
Do you see increased libido with estrogen or testosterone?
testosterone
Is male pattern balding a reversible or irreversible effect of testosterone?
Irreversible
What are some possible emotional effects of testosterone?
greater extroversion, less somatization, decrease in affective intensity (mood swings), increased libido, heightened anxiety, and greater contentment.
When would we expect the menstrual period to stop when on testosterone HT?
At approx. 6 months
Name some common side effects of testosterone
increased weight, acne, vaginal atrophy
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