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View Diary: Male to Female in 3 Years: A Video (123 comments)

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  •  It's not just makeup (3+ / 0-)
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    JayRaye, Steveningen, SadieSue

    In fact, that's only a small part of it. The biggest change you see taking place in the video comes from the effects of hormone replacement therapy, which is a medical treatment that brings a trans woman's hormones in line with the normal levels for women.

    Hormone replacement therapy has major visible effects including changes in skin texture, fat distribution, hair texture and growth pattern, and musculature in the face and all over the body. It also has major invisible effects on everything from emotional regulation to digestion to sexual response. All of these changes combine to produce the mood improvement you see as the video progresses.

    "Let’s just move on, treat everybody with firmness, fairness, dignity, compassion and respect. Let’s be Marines." - Sgt. Maj Michael Barrett on DADT repeal

    by kyril on Wed Jan 09, 2013 at 03:05:35 PM PST

    [ Parent ]

    •  What about heart function? (2+ / 0-)
      Recommended by:
      kyril, Steveningen

      Testosterone is a key ingredient in all sorts of endocrine functions. Is it risky?

      This is a fascinating subject really. I have always thought so.

      •  There are some risks (6+ / 0-)

        For trans men, testosterone therapy increases blood volume and red blood cell count, which produces a slightly elevated risk of high blood pressure and heart disease (elevated compared to women, but comparable to other men). Other side effects include slightly elevated risks of some cancers and skin conditions, as well as male pattern baldness.

        However, we also often experience improvements in conditions like irritable bowel syndrome and depression. Disorders of menstruation disappear. After top surgery, our risk for breast cancer is comparable to other men's, and after a hysterectomy, we're at almost no risk of developing cancers of the reproductive organs.

        Trans women taking hormone replacement therapy before surgery must take an anti-androgen, which is the primary source of health risks for them. Many common anti-androgens, especially spironolactone (the most common) affect kidney function.

        But after surgery, the anti-androgen is discontinued and kidney function returns to normal. Trans women are not generally at elevated risk for most health conditions compared to other women. Their risk for testicular cancer is nonexistent after surgery, and they're at greatly diminished risk of prostate cancer and slightly diminished risk of heart disease after a few years of hormone treatment.

        "Let’s just move on, treat everybody with firmness, fairness, dignity, compassion and respect. Let’s be Marines." - Sgt. Maj Michael Barrett on DADT repeal

        by kyril on Wed Jan 09, 2013 at 04:11:45 PM PST

        [ Parent ]

    •  That's certainly helpful to know. (0+ / 0-)

      In the context of the video, though, given the person's seeming young age, it's very difficult to sort out what is the therapy you have identified and what is the routine physical transition from teen to adulthood.

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