Recommendations for the Use of Testosterone in Male Transgender*
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista brasileira de ginecologia e obstetrícia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032018000500275 |
Resumo: | Abstract Gender incongruence is defined as a condition in which an individual self-identifies and desires to have physical characteristics and social roles that connote the opposite biological sex. Gender dysphoria is when an individual displays the anxiety and/or depression disorders that result from the incongruity between the gender identity and the biological sex. The gender affirmation process must be performed by a multidisciplinary team. The main goal of the hormone treatment is to start the development of male physical characteristics by means of testosterone administration that may be offered to transgender men who are 18 years old or over. The use of testosterone is usually well tolerated and improves the quality of life. However, there is still lack of evidence regarding the effects and risks of the long-term use of this hormone. Many different pharmacological formulations have been used in the transsexualization process. The most commonly used formulation is the intramuscular testosterone esters in a short-term release injection, followed by testosterone cypionate or testosterone enanthate. In the majority of testosterone therapy protocols, the male physical characteristics can be seen in almost all users after 6 months of therapy, and themaximum virilization effects are usually achieved after 3 to 5 years of regular use of the hormone. To minimize risks, plasmatic testosterone levels should be kept within male physiological ranges (300 to 1,000 ng/dl) during hormonal treatment. It is recommended that transgender men under androgen therapy be monitored every 3 months during the 1st year of treatment and then, every 6 to 12 months. |
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Recommendations for the Use of Testosterone in Male Transgender*transgender mengender incongruencegender dysphoriaAbstract Gender incongruence is defined as a condition in which an individual self-identifies and desires to have physical characteristics and social roles that connote the opposite biological sex. Gender dysphoria is when an individual displays the anxiety and/or depression disorders that result from the incongruity between the gender identity and the biological sex. The gender affirmation process must be performed by a multidisciplinary team. The main goal of the hormone treatment is to start the development of male physical characteristics by means of testosterone administration that may be offered to transgender men who are 18 years old or over. The use of testosterone is usually well tolerated and improves the quality of life. However, there is still lack of evidence regarding the effects and risks of the long-term use of this hormone. Many different pharmacological formulations have been used in the transsexualization process. The most commonly used formulation is the intramuscular testosterone esters in a short-term release injection, followed by testosterone cypionate or testosterone enanthate. In the majority of testosterone therapy protocols, the male physical characteristics can be seen in almost all users after 6 months of therapy, and themaximum virilization effects are usually achieved after 3 to 5 years of regular use of the hormone. To minimize risks, plasmatic testosterone levels should be kept within male physiological ranges (300 to 1,000 ng/dl) during hormonal treatment. It is recommended that transgender men under androgen therapy be monitored every 3 months during the 1st year of treatment and then, every 6 to 12 months.Federação Brasileira das Sociedades de Ginecologia e Obstetrícia2018-05-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032018000500275Revista Brasileira de Ginecologia e Obstetrícia v.40 n.5 2018reponame:Revista brasileira de ginecologia e obstetrícia (Online)instname:Federação Brasileira das Sociedades de Ginecologia e Obstetrícia (FEBRASGO)instacron:FEBRASGO10.1055/s-0038-1657788info:eu-repo/semantics/openAccessCosta,Laura Bregieiro FernandesRosa-e-Silva,Ana Carolina Japur de SáMedeiros,Sebastião Freitas deNacul,Andrea PrestesCarvalho,Bruno Ramalho deBenetti-Pinto,Cristina LagunaYela,Daniela AngerameMaciel,Gustavo Arantes RosaSoares Júnior,José MariaMaranhão,Técia Maria de Oliveiraeng2018-07-20T00:00:00Zoai:scielo:S0100-72032018000500275Revistahttp://www.scielo.br/rbgohttps://old.scielo.br/oai/scielo-oai.phppublicações@febrasgo.org.br||rbgo@fmrp.usp.br1806-93390100-7203opendoar:2018-07-20T00:00Revista brasileira de ginecologia e obstetrícia (Online) - Federação Brasileira das Sociedades de Ginecologia e Obstetrícia (FEBRASGO)false |
dc.title.none.fl_str_mv |
Recommendations for the Use of Testosterone in Male Transgender* |
title |
Recommendations for the Use of Testosterone in Male Transgender* |
spellingShingle |
Recommendations for the Use of Testosterone in Male Transgender* Costa,Laura Bregieiro Fernandes transgender men gender incongruence gender dysphoria |
title_short |
Recommendations for the Use of Testosterone in Male Transgender* |
title_full |
Recommendations for the Use of Testosterone in Male Transgender* |
title_fullStr |
Recommendations for the Use of Testosterone in Male Transgender* |
title_full_unstemmed |
Recommendations for the Use of Testosterone in Male Transgender* |
title_sort |
Recommendations for the Use of Testosterone in Male Transgender* |
author |
Costa,Laura Bregieiro Fernandes |
author_facet |
Costa,Laura Bregieiro Fernandes Rosa-e-Silva,Ana Carolina Japur de Sá Medeiros,Sebastião Freitas de Nacul,Andrea Prestes Carvalho,Bruno Ramalho de Benetti-Pinto,Cristina Laguna Yela,Daniela Angerame Maciel,Gustavo Arantes Rosa Soares Júnior,José Maria Maranhão,Técia Maria de Oliveira |
author_role |
author |
author2 |
Rosa-e-Silva,Ana Carolina Japur de Sá Medeiros,Sebastião Freitas de Nacul,Andrea Prestes Carvalho,Bruno Ramalho de Benetti-Pinto,Cristina Laguna Yela,Daniela Angerame Maciel,Gustavo Arantes Rosa Soares Júnior,José Maria Maranhão,Técia Maria de Oliveira |
author2_role |
author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Costa,Laura Bregieiro Fernandes Rosa-e-Silva,Ana Carolina Japur de Sá Medeiros,Sebastião Freitas de Nacul,Andrea Prestes Carvalho,Bruno Ramalho de Benetti-Pinto,Cristina Laguna Yela,Daniela Angerame Maciel,Gustavo Arantes Rosa Soares Júnior,José Maria Maranhão,Técia Maria de Oliveira |
dc.subject.por.fl_str_mv |
transgender men gender incongruence gender dysphoria |
topic |
transgender men gender incongruence gender dysphoria |
description |
Abstract Gender incongruence is defined as a condition in which an individual self-identifies and desires to have physical characteristics and social roles that connote the opposite biological sex. Gender dysphoria is when an individual displays the anxiety and/or depression disorders that result from the incongruity between the gender identity and the biological sex. The gender affirmation process must be performed by a multidisciplinary team. The main goal of the hormone treatment is to start the development of male physical characteristics by means of testosterone administration that may be offered to transgender men who are 18 years old or over. The use of testosterone is usually well tolerated and improves the quality of life. However, there is still lack of evidence regarding the effects and risks of the long-term use of this hormone. Many different pharmacological formulations have been used in the transsexualization process. The most commonly used formulation is the intramuscular testosterone esters in a short-term release injection, followed by testosterone cypionate or testosterone enanthate. In the majority of testosterone therapy protocols, the male physical characteristics can be seen in almost all users after 6 months of therapy, and themaximum virilization effects are usually achieved after 3 to 5 years of regular use of the hormone. To minimize risks, plasmatic testosterone levels should be kept within male physiological ranges (300 to 1,000 ng/dl) during hormonal treatment. It is recommended that transgender men under androgen therapy be monitored every 3 months during the 1st year of treatment and then, every 6 to 12 months. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-05-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032018000500275 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032018000500275 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1055/s-0038-1657788 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Federação Brasileira das Sociedades de Ginecologia e Obstetrícia |
publisher.none.fl_str_mv |
Federação Brasileira das Sociedades de Ginecologia e Obstetrícia |
dc.source.none.fl_str_mv |
Revista Brasileira de Ginecologia e Obstetrícia v.40 n.5 2018 reponame:Revista brasileira de ginecologia e obstetrícia (Online) instname:Federação Brasileira das Sociedades de Ginecologia e Obstetrícia (FEBRASGO) instacron:FEBRASGO |
instname_str |
Federação Brasileira das Sociedades de Ginecologia e Obstetrícia (FEBRASGO) |
instacron_str |
FEBRASGO |
institution |
FEBRASGO |
reponame_str |
Revista brasileira de ginecologia e obstetrícia (Online) |
collection |
Revista brasileira de ginecologia e obstetrícia (Online) |
repository.name.fl_str_mv |
Revista brasileira de ginecologia e obstetrícia (Online) - Federação Brasileira das Sociedades de Ginecologia e Obstetrícia (FEBRASGO) |
repository.mail.fl_str_mv |
publicações@febrasgo.org.br||rbgo@fmrp.usp.br |
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1754115944083357696 |