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Hormone Therapy for Transgender and Non-binary Individuals

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Hormone therapy helps transgender and non-binary individuals to transition to the gender they identify themselves as. Read this article to know more.

Medically reviewed by

Dr. Pandian. P

Published At December 26, 2023
Reviewed AtDecember 26, 2023

Introduction

Society has undergone a considerable transformation recently towards more acceptance of gender diversity. Because of this, more and more transgender and non-binary people want access to complete healthcare services compatible with their specific identities. Hormone therapy has become one of the most effective solutions for affirming one's gender identity and promoting personal well-being. Hormone therapy is essential to the transition process because it enables people to acquire secondary sexual traits more compatible with their gender identity. This article explores the medical implications of hormone therapy for transgender and non-binary people and their potential hazards.

Who Are Transgender and Non Binary Individuals?

People who identify as transgender or non-binary are those whose gender identity differs from what they were assigned at birth.

  • Transgender: People who identify as transgender do not necessarily fit the gender they were given at birth. For instance, a transgender woman is a person who was assigned male at birth but identified as female, and a transgender man is a person who was assigned female at birth but identified as male. Transgender people may go through social, medical, or legal transitions to match their physical appearance and gender presentation with their gender identity.

  • Non-binary: Non-binary people have a gender identity that does not exclusively correspond to being male or female. They might identify as neither gender, both genders, a mix of genders, or a gender that does not fit into the conventional binary division between male and female. Non-binary people may describe themselves as genderqueer, genderfluid, agender, bigender, or gender non-conforming when describing their gender identification.

What Is Hormone Therapy?

A medical approach to alter hormone levels in the body is hormone therapy, commonly known as hormone replacement therapy (HRT) or hormone treatment. Accomplishing therapeutic aims entails introducing particular hormones or drugs that can either supplement or inhibit specific hormones. Menopause, gender dysphoria, several types of cancer, and a few endocrine disorders are just a few of the problems that are frequently treated with hormone treatment. Different hormones and administration techniques are used depending on the ailment being treated. Hormone therapy is vital to the transition process for those with gender dysphoria.

What Are the Benefits of Hormone Therapy in Transgender and Non Binary Individuals?

Hormone replacement therapy (HRT) can benefit transgender and non-binary people undergoing medical transition. Hormones create bodily changes consistent with a person's gender identity. Here are some expected benefits of hormone therapy for transgender and non-binary people, while precise effects and advantages may differ depending on an individual's gender identification, assigned sex at birth, and treatment objectives:

  • Secondary Sexual Traits: Physical characteristics that fit a person's gender identity can emerge from hormone therapy.

  • Relief From Gender Dysphoria: The term 'gender dysphoria' describes the anguish or discomfort that results from a person's gender identity not matching their given sex at birth. By causing bodily changes consistent with a person's gender identification, hormone therapy might lessen gender dysphoria.

  • Emotional Well-Being: For transgender and non-binary people, hormone therapy can positively impact their emotional well-being and mental health. Hormone therapy can, for many people, result in an improved perception of one's body.

  • Improvement in Self-Confidence: Individuals may feel more at ease with their bodies if they observe physical changes consistent with their gender identity.

  • Social Integration and Acceptance: Hormone therapy-induced physical changes can aid transgender and non-binary people in assimilating into their preferred gender roles and promoting acceptance from others.

  • Sexual Performance: Hormone therapy may have an impact on these areas. Trans women, for instance, can see a drop in spontaneous erections and testicular volume, while trans men would see an increase in desire and clitoral enlargement.

What Are the Hormone Therapies Used in Transgender and Non-Binary Individuals?

Transgender and non-binary people frequently use hormone therapy during their medical transition. Different hormone therapy may be used depending on the targeted gender-affirming objectives and unique health issues.

1. The main objective of feminizing hormone therapy is to inhibit the effects of testosterone while introducing feminizing effects. The typical drugs taken include:

  • Estrogen: Estradiol is typically used to deliver this hormone. It can be administered intravenously, topically (with patches or gels), or transdermally. Estrogen encourages breast growth, distributes body fat, softens skin, and can lessen body hair and muscular mass.

  • Anti-androgens: These drugs are used to reduce testosterone's effects. Anti-androgens like Spironolactone and Cyproterone acetate are frequently administered. They function by preventing the generation and activities of testosterone.

2. Testosterone supplementation in masculinizing hormone therapy aims to introduce masculinizing effects. The typical drugs taken include:

  • Testosterone: Testosterone can be given subcutaneous pellets, transdermal patches, gels, or muscle injections. It encourages the growth of facial and body hair, makes the voice deeper, increases muscular mass, and can change how fat is distributed.

What Are the Ill Effects of Hormone Therapy in Transgender and Non-Binary Individuals?

A few potential side effects of hormone therapy for transgender and non-binary people include:

  • In transgender women, estrogen medication, for instance, there may be a higher risk of blood clots, heart disease, and stroke. Testosterone therapy for transgender men can potentially affect cardiovascular health and raise the risk of polycythemia (an increase in red blood cells).

  • Hormones can affect mood and emotions, which can lead to emotional shifts. Some people may go through mood swings, increased emotional sensitivity, or changes in their mental health. While many claim that their mental health has improved since beginning hormone therapy, it is crucial to remember that everyone's experiences will differ.

  • Hormones are essential for maintaining bone density and for good bone health. Hormone therapy can affect bone health and raise the risk of osteoporosis or bone fractures, particularly when estrogen or testosterone levels are reduced in transgender people.

Conclusion

In conclusion, hormone therapy has been demonstrated to be an essential tool for promoting the physical and mental health of transgender and non-binary people. Hormone therapy significantly reduces gender dysphoria and improves the overall quality of life by allowing people to align their bodies with gender identities. Hormone therapy has numerous impacts that span both the physical and mental spectrums. Additionally, hormone therapy can improve mental health by lowering levels of gender dysphoria-related anxiety, despair, and discomfort. It is crucial in enabling people to live true lives, encouraging inclusivity, and developing a more understanding and accepting society by offering a path to physical congruence.

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Dr. Pandian. P
Dr. Pandian. P

General Surgery

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