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Hormones 2016

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Side effects<br />

Transmen 4 can develop serious acne problems, and weight gain of greater<br />

than 10% is fairly common. Transmen face higher risks of breast cancer,<br />

diabetes, high cholesterol, hypertension, heart attacks, and liver disease.<br />

Smoking tobacco makes these risks even greater, so a person pursuing HRT<br />

should be or become a non-smoker.<br />

The most obvious risk with HRT is that once changes begin to occur, many<br />

of the changes are irreversible. Sterility results in both transwomen and<br />

transmen after prolonged treatment. If an transwoman thinks she would<br />

eventually like to father a child, she should seriously consider storing sperm<br />

in a sperm bank prior to starting HRT. (Also see Sperm banking) If an<br />

transman would like to have a child, it is sometimes possible to become<br />

pregnant after being on testosterone for a period of time, though pregnancy<br />

would require cessation of hormone treatment. It is possible to freeze eggs,<br />

but the technology has not sufficiently developed yet for this to be a longterm<br />

feasible solution for most people (University, 2014).<br />

Side effects<br />

Most drugs have some side-effects, and it is essential that the side-effects<br />

do not outweigh the benefits to you, the user. Because, if they do, then<br />

compliance with your regime will be scanty and full benefit will not be<br />

obtained. However, as with all medications, some people react differently<br />

to others. It is important for you to understand that there are side-effects to<br />

hormones, some side-effects may be acceptable, after all, you have come<br />

this far and a few slight adverse reactions are not going to slow you<br />

down now! These are the details you need to know however, to make<br />

an informed choice and to gain the maximum benefit from your hormone<br />

regime with the safest possible level of self-care. Side-effects are potential,<br />

NOT inevitable (unknown, 2005).<br />

Taking Progynova as an example; some people may experience problems<br />

with their "cardiovascular" system (heart and circulation). There may be<br />

some evidence of fluid build-up in the body and blood clotting, oedema<br />

or thromboembolism 5 - the latter can be quite a serious side-effect so you<br />

need to understand the symptoms of this. (See Deep Vein Thrombosis<br />

for more information). Taking oral medication also carries a slight risk of<br />

liver problems, so watch out for symptoms such as jaundice. You may also<br />

experience nausea and vomiting (some women report that this is only in<br />

the early stages), as well as abdominal cramps and bloating. A common<br />

side effect is weight gain, generally through fluid or sodium retention<br />

in the tissues. So attention to diet becomes even more important if you<br />

4 is someone who was labelled female at birth but has a male gender identity, and<br />

therefore transitions to live completely and permanently as a man (LGBT, 2014b)<br />

5 Blockage of a blood vessel caused by a blood clot carried by the bloodstream from its<br />

point of origin<br />

Version <strong>2016</strong>.3576– – Document LATEXed – 1st May <strong>2016</strong><br />

32<br />

[git] • Branch: 1.5 @ 26b5e6d • Release: 1.5 (<strong>2016</strong>-05-01)

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