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    Guidance is therefore provided, which may be used flexibly, taking account of your particular needs and keeping the risk to your health as low as possible.

    Hormone treatment for trans people at reasonable dosages is remarkably safe. The hormone products that you will be prescribed are very like the natural hormones produced by the body.

    Most people taking hormones do not experience any major problems. However, all medication has potential side effects, and some people may have serious adverse reactions to it.

    You need to be aware of the possible risks, however remote, before deciding to start treatment. Polycythaemia over-production of red blood cells.

    The risk of developing complications from hormone treatment is relatively small and is less common if your general health is good.

    Thrombosis in trans women is more likely to occur within the first year of treatment, particularly if you are taking a hormone called ethinylestradiol.

    There are far fewer risks of thrombosis with oestradiol, which is the product most widely prescribed for trans women now. The way you take the hormones can also make a difference to how your body reacts.

    Those who may be more at risk, for example those over 40 years old, may be advised to use hormone patches so that the medication is absorbed through the skin.

    Compared with pills, gel or injections, hormone patches provide a more gradual release of hormones into the bloodstream, which the body is able to tolerate more easily.

    Monitoring your health will help your doctor to ensure that your body is absorbing the medication. This does not mean that you cannot have hormone therapy, but your doctor will be able to advise you on the available treatment options, and the follow-up monitoring, to suit your particular needs.

    A healthy lifestyle is important. You should eat sensibly and take regular exercise. Drug taking, excessive alcohol consumption and obesity are all factors that can undermine your hormone treatment and heighten the risk of complications, which may affect your chances of having surgery.

    Smoking, in particular, is a significantly greater risk to you than hormone treatment. In addition, if you are a trans woman and you are taking oestrogen, smoking reduces its feminising effects.

    Your doctor should give you advice about how to address other health concerns and may give you information about support groups. If you are on medication for other conditions, for instance antiretroviral drugs for HIV, you need to tell your doctor.

    However, being HIV positive is not a reason for you to be refused hormone treatment. Monitoring of your blood pressure, regular blood tests and, possibly, scans of your bones, breasts and pelvis may be undertaken, usually by your GP.

    It is important for you to understand that e with regular monitoring, you may still experience adverse side effects.

    Major surgery always involves a level of risk. When you are thinking about having surgery, you may wish to discuss with your own doctor the benefits of coming off hormones for a few weeks.

    To minimise the risk of blood clots forming, it is recommended that trans women stop taking oestrogen for four to six weeks before any operation. There is no absolutely safe length of time, and surgeons and anaesthetists may have different views on how long to stop for.

    They will take into account your general health and whether or not you smoke or are overweight. You may start your treatment again a couple of weeks after surgery as long as you are up and about, unless your surgeon advises you otherwise.

    During the time that you are not taking oestrogen in the lead-up to your operation, you may want to start or continue to take hormone-blocking medication to suppress testosterone, to discourage any facial hair from growing back.

    Trans men are not always required to stop taking hormones before surgery. However, testosterone may make you more likely to bleed, so you will need to be guided by your surgeon and anaesthetist.

    Both trans men and trans women may have blood tests before surgery to check their general health and to note any tendency to form clots or to bleed.

    This treatment will not be necessary in all cases. All these products are effective and each will be suitable for some service users.

    It works by blocking testosterone receptors, and it is effective against androgen testosterone produced by the adrenal glands, as well as that produced by the testes.

    Heavy alcohol use reduces its effectiveness. It is preferred by some doctors because it is believed to have fewer side effects. It does not block testosterone produced by the adrenal glands, but this is not essential.

    It is not possible to reverse significant hair loss. It increases the risk of thrombosis and other side effects. Although it can reduce the effect of testosterone if taken in high doses, it can also, paradoxically, inhibit the action of oestrogen and may therefore have anti-feminising effects, such as increasing libido and causing facial hair regrowth.

    Testosterone is usually administered by way of intramuscular or subcutaneous injection every two to three weeks. One of the testosterone products delivered in this way is licensed in the UK for use in trans people.

    Other methods of administering testosterone are now available, so service users have more choice. This medication is not always regarded as necessary because testosterone alone can be very effective for many trans men.

    Both Goserelin and Leuprorelin may be administered by subcutaneous depot injection. These products do not block the testosterone produced by the adrenal glands and they are believed to have few side effects.

    This article contains an excellent video and references to transgender material and definition of being a transgender individual.

    William Powers. This is excellent and authoritative information which you can access here. This is a very informative article and has helped me understand more about hormone replacement therapy, I am a pre-op MTF transgender and hoping to get onto prescription hormones in the next 12 months.

    The reading is very helpful this not only for me but for a lot of people. Thank you. While segregated bars have lost their popularity, the new millennium of New York clubs still offers places for trans men and women to mix and mingle, along with classic nightspots that keep traditions alive.

    To appreciate the Stonewall, one must know a little about its history. In the late s, the Stonewall Inn was a seedy, mafia-run dive bar that catered to gays, lesbians and transgender clientele.

    One night in , the police raided the bar and began arresting its patrons, a common practice in those days, intended to dissuade LGBT people from gathering socially.

    But that night the patrons resisted, which led to the historic Stonewall uprising. Several nights of riots ensued, pitting gays, lesbians and transgender women against the police in the streets surrounding the Stonewall.

    During one altercation, protesters formed a kick line, taunting police with song and dance, while driving them away from the Stonewall.

    Some historians claim that a transgender woman named Marsha P. Today, the Stonewall Inn is a major tourist attraction, but it still operates as a bar, too.

    Visitors can stop by for a drink every day from p. And most nights, the Stonewall hosts shows and events, including singing competitions, dance parties, drag shows and karaoke nights.

    Before heading to the Stonewall, drop by Christopher Park, located just down the street from the bar. There, you can learn about the national monument and see sculptures by artist George Segal, which depict life on Christopher Street during the days of the Gay Liberation Movement.

    The Tender Trap attracts a trendy, millennial crowd of transgender men and women, urban hipsters, bike messengers, club kids, punk rockers, artists, gays and lesbians.

    The club opened in , and since its beginning, Tender Trap has attracted a steady stream of glowing media attention.

    Tender Trap hosts a regular lineup of popular DJs and local bands.

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