Awareness and acceptance of transgenderism have grown exponentially in the last decade. Organizations vary in their preferred terminology for this phenomenon. The feeling that one really belongs to the opposite gender is also called gender dysphoria and gender incongruence.
Many transgender men and women seek hormone therapy as part of the transition process. Exogenous testosterone is used in transgender men to induce virilization and suppress feminizing characteristics. In transgender women, exogenous estrogen is used to help feminize patients, and anti-androgens are used as adjuncts to help suppress masculinizing features.
In transgender men, or trans masculine people FTMthe most common medication used for transition is testosterone. Administration of testosterone via transdermal, intramuscular, subcutaneous, or oral routes lowers serum estradiol levels, raises serum testosterone levels, and results in the development of typical male secondary sex characteristics. Irreversible changes include: deepening of the voice, increase in facial and body hair growth, clitoral enlargement clitoromegalyand thickened facial bone structure.
Transitioning refers to any physical, mental, or emotional change that a person makes in order to better reflect their gender identity. Some transgender people identify as neither male nor female, or as a combination of male and female. Everyone—transgender or not—has a gender identity.
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Many women have a low sex drive or trouble having an orgasm. Some women are not bothered by this, but others are. A woman has female sexual dysfunction, also called FSD, when she is upset or unhappy about her sexual health.
Produced in the endocrine glands, these powerful chemicals travel around your bloodstream telling tissues and organs what to do. When you have a hormonal imbalance, you have too much or too little of a certain hormone. Even tiny changes can have serious effects throughout your whole body. Think of hormones like a cake recipe.
Many women find that the side effects are often worse at the start of treatment. They usually settle down after a few weeks or months. The side effects you might get depend on the type of hormone therapy that you are having.
A team of international doctors is working to rewrite the clinical guidelines for how and when to medically treat transgender children. Steve Rosenthal, who is part of the team of physicians working to construct the guidelines that will be released by the Endocrine Society and co-sponsored by the Pediatric Endocrine Society and the World Professional Association of Transgender Health. Rosenthal is part of an international team of endocrinologists, psychologists and psychiatrists who are revising the medical guidelines for transgender kids this year.