Endocrine Society recommendations for the long-term treatment of transsexual people

July 15, 2009

Via Endocrine Today:

New guidelines from the Endocrine Society call for close and continued collaboration between endocrinologists and mental health professionals for the treatment of transsexual people.

[…]

Long-term Care for Transsexual People: Recommendations from the Endocrine Society

  • Regular clinical and laboratory monitoring every three months during the first year then once or twice yearly.
  • Monitor prolactin levels in male-to-female transsexual people treated with estrogens.
  • Evaluate all transsexual people for cardiovascular risk factors.
  • Obtain BMD measurements if risk factors for osteoporosis exist, particularly in those who stop hormone therapy after gonadectomy.
  • Follow breast screening guidelines for biological women in male-to-female transsexual people with no known increased risk for breast cancer.
  • Follow screening guidelines for prostatic disease and prostate cancer for biological men in male-to-female transsexual people treated with estrogens.
  • Evaluate the risks and benefits of including total hysterectomy and oophorectomy for female-to-male transsexual people as part of sex reassignment surgery.

So, that penultimate one, the one about screening for prostate cancer in trans women – are you listening, Prostate Cancer Charity and Jon Snow/Channel 4?

3 Responses to “Endocrine Society recommendations for the long-term treatment of transsexual people”

  1. sharav Says:

    The wording in a couple points is awkward, and they probably should have requested some assistance. e.g.

    “for biological(my emphasis) men in male-to-female transsexual people”

    we’ve seen that before, haven’t we?

  2. Helen G Says:

    sharav:

    Yes indeed.

    Mind you, I’m equally uncomfortable with terms like “male-to-female” and “sex reassignment surgery”, too.

    But, if nothing else, it’s an organisation of healthcare professionals which, at least, seems to accept that we do transition medically, rather than telling us we’re mentally ill and trying to talk us out of our transvestic fetishism with reparative therapies.


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