Gender Affirming Health Care - Hormone Therapies | Baamboozle - Baamboozle

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True or false: breast development is reversible with discontinuation of HT

false

What are the two absolute contraindications for testosterone HT?

Inability to give informed consent, Pregnancy

Is male pattern balding a reversible or irreversible effect of testosterone?

Irreversible

Which medication as part of the feminizing protocol can cause hypotension and dizzyness?

Spironolactone

Name some common side effects of testosterone

increased weight, acne, vaginal atrophy

When would we expect the menstrual period to stop when on testosterone HT?

At approx. 6 months

Do you see increased libido with estrogen or testosterone?

testosterone

Whats the common starting dose of Testosterone injections and what would we titrate it to?

50 mg/ wk, 100 mg/ wk

Which form of Estrogen would we use for a higher risk patient and what's the starting dose?

Estradiol patch, 0.1 mg/ day

Which health screenings are continued when on masculizing HT, presuming no surgery has occurred?

Clinical breast exam and pap smear.

Increased risk of CV disease is caused by masculizing or feminizing HT?

Trick question! Both cause an increased risk for CV disease.

vaginal atrophy and increased risk for STIs is an associated sexual health risk for feminizing or masculizing HT?

Masculizing

which medication is used to treat hair loss?

Finasteride

Increased emotions and crying is associated with feminizing or masculizing HT

feminizing

For which type of hormone therapy do we need to monitor renal function?

Feminizing

Pulmonary embolism is a contraindication to feminizing or masculizing HT?

Feminizing (estrogen)

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.

polycythemia and increased blood viscosity is a risk of which type of hormone therapy?

masculizing/ testosteron

True or false: response to hormones is the same in every patient.

false

which one is slower: feminizing or masculizing HT?

feminizing