Hormones 2016

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Transgender Definitions Transman A female-to-male (FTM) transsexual man (transman) is someone who was labelled female at birth but has a male gender identity and therefore transitions to live completely and permanently as a man (LGBT, 2014b). Female-to-male transsexual men can be described as straight if they are attracted to women, gay if they are attracted to men or bisexual if they are attracted to both men and women (LGBT, 2014b). Transsexual This is typically used to describe people who identify as transgender who are transitioning toward the gender with which they identify. This may include socially presenting (e.g., clothing, hair, mannerisms, overall gender expression) as the gender with which they identify, or it may include more extensive changes like taking hormones and/or surgical procedures to modify their body (for National Statistics, 2009). Transsexualism This term is used to describe a person who has "transitioned", or is in the process of "transitioning", or intends to transition from male to female or female to male. For a transsexual person, the process of "transitioning", may involve a variety of treatments including: hormone therapy, surgery and hair removal. People who have transitioned do not necessarily identify as trans any longer; they may identify as simply a man or a woman. Some transsexual people may not transition due to family or other social constraints (LGBT, 2014c) (for National Statistics, 2009). When people complete their transition, they may no longer regard themselves as part of the trans umbrella. They might consider having been transsexual to just be an aspect of their medical history which has now been resolved and so is no longer an issue in their life. In such cases, they simply describe themselves as men or as women and it is most disrespectful to insist on calling them trans, transgender or transsexual against their wishes (LGBT, 2014b). Transvestite A transvestite individual feels compelled to wear clothing normally associated with the opposite sex, but does not desire to live permanently as a member of the opposite sex (LGBT, 2014c). 632 Version 2016.3576– – Document LATEXed – 1st May 2016 [git] • Branch: 1.5 @ 26b5e6d • Release: 1.5 (2016-05-01)
Transphobia Transwoman A male-to-female (MTF) transsexual woman (transwoman) is someone who was labelled male at birth but has a female gender identity, and therefore transitions to live completely and permanently as a woman (LGBT, 2014b). Male-to-female transsexual women can be described as straight if they are attracted to men, lesbian if they are attracted to women or bisexual if they are attracted to both men and women (LGBT, 2014b). Transphobia Examples of Transphobic Crime - • A 16 year old trans girl, on her way to school, regularly experienced people shouting insults from their cars like, "Girl with a cock", "There’s the he/she/it", "Tranny boy" and other names. • An 18 year old received 84 abusive and threatening text messages within three days after she told her former school class that she had transitioned. • An older boy pulled up the skirt of a 12 year old trans girl to look at her genitals. • A trans women was discovered at a bus station by another woman who then engaged in yelling abuse, spitting, punching, kicking and trying to scratch the trans woman’s face. • A trans police officer was outed by the press under the headline "Lady Boy in Blue". She was then threatened by a group of young men, near her home; her car was vandalised. • An elderly trans man was surrounded by a teen-age gang who shouted insults and poked him with sticks. • A 15 year old trans girl was beaten up on her way home. • A trans woman was raped at knife-point on her way home. • An assailant approached a trans woman, after realising she was transsexual, punched her to the ground, undid his trousers and forced her to perform an act of oral sex on him. • A son murdered his father on discovering he was a transsexual person (GIRES, 2010). The following are a few examples of transphobic attitudes - • The belief/insistence that trans women are not "real women", • The belief/insistence that trans men are not "real" men, • The belief/insistence that non-binary genders are invalid. You are either ’male’ or ’female’, there are no other options available. • The belief/insistence that transsexual people are gay people in denial and wish to have sex reassignment surgery to attempt to restore ’heteronormativity’, 633 Version 2016.3576– – Document LATEXed – 1st May 2016 [git] • Branch: 1.5 @ 26b5e6d • Release: 1.5 (2016-05-01)
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Sharon Kimble (S.E.N.,R.G.N.) Hormo
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Contents Leuprorelin Acetate . . .
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Contents Sperm banking . . . . . .
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List of Tables 13.10Reference range
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List of Figures 3.1 Positive and ne
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This document understandable format
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About the author About the author M
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Chapter 2 README FIRST This chapter
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Cyproterone Acetate • nocturia,
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Dydrogesterone Common side-effects
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Estradiol Valerate Cardiovascular
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Goserelin Common side-effects Gastr
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Oestrogel Also known as Regaine, Ro
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Testosterone • oedema, (Abramovit
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Triptorelin Common side-effects Gas
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Chapter 3 Preamble What are hormone
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Side effects want to keep your weig
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What changes will I see? 9 You can
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What changes will I see? Changes to
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What changes will I see? Female-to-
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What changes will I see? Changes to
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What changes will I see? Effect Bod
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Common therapies Oestrogens, conjug
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Drugs used in Female to Male transi
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How oestrogen works DNA’s genetic
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Hormone effects in male→female
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Hormone effects in female→male
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Hormone effects in female→male Ga
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Hormone effects in female→male De
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An overview of the endocrine system
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The major endocrine glands Table 4.
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The Biochemistry of Sex Hormones Fi
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The Biochemistry of Sex Hormones Fi
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Female Genital Anatomy • Epididym
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Female Genital Anatomy of the breas
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Chapter 6 Hormones Estradiol Valera
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Estradiol Valerate If you are signi
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Estradiol Valerate Deferasirox - Th
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Estradiol Valerate Siltuximab - The
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Estradiol Valerate • Nausea, •
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Estradiol Valerate Metabolism - Est
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Oestrogel • Significant increase
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Oestrogel Interactions Drug interac
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Oestrogel • breast swelling, •
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Sandrena • A history of endometri
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Sandrena Breastfeeding Sandrena is
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Sandrena Psychiatric disorders •
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Testosterone Testosterone Administr
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Testosterone being. Examples includ
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Testosterone • Amenorrhoea, • o
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Testosterone Disopyramide - Testost
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Testosterone Effects on Lab Test Re
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Testosterone Schedule IV - Drugs th
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Dutasteride Contains Dutasteride 50
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Dutasteride Pharmacodynamics The on
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Finasteride Effects on Lab Test Res
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Finasteride Pharmacodynamics Finast
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Finasteride Patient Teaching Tell p
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Bicalutamide Pharmacology Bicalutam
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Bicalutamide Hepatic Hepatic side e
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Bicalutamide Cisapride - The serum
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Cyproterone Acetate Administration
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Cyproterone Acetate How it works Th
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Cyproterone Acetate Estradiol - The
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Cyproterone Acetate Repaglinide - T
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Flutamide Note Should be taken afte
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Flutamide Interactions Drug-drug Wa
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Flutamide Contraindications Sensiti
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Goserelin Shelf life Drogenil = 60
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Goserelin Typical dosage Pre-op 3.6
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Goserelin • Sexual dysfunction,
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Goserelin Ciprofloxacin - Goserelin
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Goserelin Itraconazole - Itraconazo
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Goserelin Sorafenib - Sorafenib may
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Leuprorelin Acetate Self-care tips
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Leuprorelin Acetate which leads to
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Leuprorelin Acetate Anagrelide - Le
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Leuprorelin Acetate Flupentixol - L
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Leuprorelin Acetate Mifepristone -
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Leuprorelin Acetate Tacrolimus - Ta
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Triptorelin Triptorelin Alternative
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Triptorelin Insulin Regular - The t
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Triptorelin • anorexia, • gout,
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Triptorelin Distribution The volume
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Triptorelin The suspension vehicle
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Triptorelin • Triptorelin may rai
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Chapter 9 Progestogens Dydrogestero
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Dydrogesterone Pharmacodynamics Dyd
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Dydrogesterone Danaparoid - The the
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Progesterone Contains Cylcogest - P
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Progesterone • Fatigue, • heada
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Progesterone Bosentan - The serum c
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Progesterone Repaglinide - The ther
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Chapter 10 Other useful drugs This
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Emla Cream Slight erythema is frequ
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Emla Cream Typical dosage Electroly
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Minoxidil Warning Do not use near y
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Vaniqa Eflornithine is a prescripti
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Vaniqa Patients may need to continu
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Ethinylestradiol Contains Ethinyles
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Ethinylestradiol • Headache, •
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Ethinylestradiol Bortezomib - The m
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Ethinylestradiol Secobarbital - The
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Medroxyprogesterone Acetate Warning
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Medroxyprogesterone Acetate Route T
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Medroxyprogesterone Acetate Atazana
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Medroxyprogesterone Acetate Insulin
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Medroxyprogesterone Acetate Topiram
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Oestrogens, conjugated Action Mimic
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Oestrogens, conjugated Vaginal - cr
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Oestrogens, conjugated Cyclosporine
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Spironolactone Spironolactone - liq
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Spironolactone Contraindications Hy
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Spironolactone Chlorphenamine - The
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Spironolactone Racepinephrine - Spi
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Spironolactone Warning You should b
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Breast Self Examination can be succ
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Deep Vein Thrombosis - You should a
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Deep Vein Thrombosis Epidemiology
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Osteoporosis Treating a DVT Treatme
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Osteoporosis Your sex - Women are m
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Prostate cancer Height loss and ost
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Testicular Self Examination Figure
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Testicular Self Examination Signs o
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Urinary Tract Infections - UTI’s
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Urinary Tract Infections - UTI’s
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Blood testing What To Expect After
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Blood testing Production of red blo
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Blood testing Proper handling of th
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Blood groups Antigens and antibodie
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Alkaline phosphate - ALP Male Femal
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Blood Glucose High bilirubin levels
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Cholesterol HDL (Good) Cholesterol
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Cholesterol • Stroke, • Serious
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Dehydroepiandrosterone sulphate - D
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Dihydrotestosterone - DHT elevation
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Follicle stimulating hormone - FSH
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High-density lipoprotein - HDL In m
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Low-density lipoprotein - LDL relat
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Liver function tests Indications Th
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Luteinizing hormone - LH Other test
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Oestrogen Test Conventional SI Unit
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Prolactin - PRL Low oestrogen level
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Sex hormone binding globulin - SHBG
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Testosterone Test Conventional SI U
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Thyroxine, free - T4 Raised testost
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Blood, urea and nitrogen - BUN •
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Full Blood Count - FBC Mean corpusc
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Full Blood Count - FBC Lymphocytes
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Full Blood Count - FBC More commonl
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Full Blood Count - FBC High platele
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International Normalised Ratio - IN
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Prostate specific antigen - PSA •
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Prostate specific antigen - PSA Dig
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Thyroid function test - TFT Once ag
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Urine and electrolytes • collect
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Urine and electrolytes Normal Value
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Urine and electrolytes What abnorma
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Urine and electrolytes • Low magn
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Albumin What abnormal results mean
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Chapter 15 Sexually transmitted inf
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Chlamydia It’s passed on from one
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Chlamydia the eyes - if they come i
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Genital herpes Genital herpes Genit
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Genital herpes ⋆ vaginal discharg
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Genital herpes • If urinating is
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Genital warts • Use condoms (male
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Genital warts How will I know if I
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Genital warts Because HPV is spread
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Gonorrhoea Signs and symptoms You m
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Gonorrhoea Sometimes you may be ask
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Hepatitis You can always go back to
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Hepatitis • rimming • fingering
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Hepatitis • as a result of blood-
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Hepatitis • have close contact wi
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Hepatitis • jaundice, • mental
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HIV Why should I get treated? Hepat
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HIV A woman with HIV can transmit t
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HIV • people who have caught anot
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HIV An HIV test should only be done
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HIV • PEP is an emergency measure
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HIV Treatment is usually recommende
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Molluscum contagiosum Molluscum con
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Molluscum contagiosum When to seek
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Molluscum contagiosum The treatment
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Molluscum contagiosum Pulsed-dye la
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Pubic lice What are the signs and s
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Scabies Finding empty eggshells (de
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Scabies Scabies mites can survive o
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Shigella What should I do if I thin
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Syphilis Statistics for 2014 showed
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Syphilis The latent stage can conti
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Syphilis You will be prescribed ano
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Trichomoniasis How is it passed on?
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How to avoid sexually transmitted i
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Condoms Avoid other types of contac
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Condoms • If you are having anal
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Condoms Some men and women are sens
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Condoms Are there different types o
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Condoms Disadvantages • Some coup
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Condoms If you buy condoms online,
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Condoms • Now put your index or m
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Condoms Risks There are no serious
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Condoms Don’t use lotion or oils
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Bacterial vaginosis - BV Women with
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Bacterial vaginosis - BV The level
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Bacterial vaginosis - BV Things to
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Proctitis Proctitis Proctitis is so
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Thrush Symptoms • Irritation, bur
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Thrush It is very important to take
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Thrush Avoid Men should also try to
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Urethritis Urethritis Urethritis is
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Urethritis Other infections A numbe
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Urethritis You will be asked not to
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Urethritis NGU and sexually transmi
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Urethritis • epididymitis is infl
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Vaginal Thrush What to do if you ha
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Vaginal Thrush Emollients and antif
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Vaginitis • Pain when you wee,
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Accessing your health records • A
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Accessing your health records An at
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Adrenal Fatigue Symptoms said to be
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Adrenal Insufficiency Adrenal Insuf
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Bio-equivalence Product Presentatio
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Bio-equivalence Generic Brand Form
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Blood levels Active ingredient Bran
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Blood levels Hormone Female Male Bl
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Blood tests • SHBG, • testoster
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Blood tests Analyte Specimen Conven
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Blood tests Analyte Folliclestimula
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Blood tests Analyte •Content leve
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Body fat Analyte Specimen Conventio
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Breast Development Figure 17.2 - Th
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Breast disorders • As time passes
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Breast disorders Symptom Causes Com
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Breast disorders The breast is palp
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Breast disorders CBE is usually par
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Breast disorders Red flags Certain
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Breast disorders Nipple discharge c
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Breast disorders Cause Suggestive f
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Breast disorders the area around th
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Breast disorders Diffuse bilateral
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Breast Implants Saline implant rupt
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Breast Screening What is the NHS Br
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Breast Screening • some cancers a
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Coming out A personal experience. W
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Consent and Informed Consent Consen
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Cycling Hormones? thanks to its ant
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E-numbers Drug names Medicines norm
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Expiry dates What to do? There are
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Further discussion of Vitamin D Fac
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Gender expression) related to that
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Getting a urine sample or otherwise
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Grapefruit Juice • avoid cocaine,
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Grapefruit Juice Generic Brand Clin
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Heamatological Reference Values Ana
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How to Take Your Tablets. This last
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Implants, Testosterone and Estradio
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Infection? Labial redness variable
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Injections Syringe size Your syring
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Injections 4 Using your "Ampoule Op
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Injections 10 Where appropriate a
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Injections Figure 17.9 - This shows
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Kegel exercises Kegel exercises Fig
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Lactation the muscle for a count of
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Liver damage All products absorbed
Page 541 and 542:
Male pregnancy root), preventing th
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Measuring Your Transition • Measu
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Menopause suggest a specific influe
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Menopause Male menopause Male menop
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Menopause Men normally experience a
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Menopausal symptoms Menopausal symp
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Mood swings and depression See also
Page 555 and 556:
Oestrogen and Alzheimer’s Disease
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Pelvic examination • manual, •
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Pharmacodynamics Pharmacodynamics T
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Premarin Premarin This drug is, sup
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Prescriptions Medical exemptions Pe
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Prostate cancer Prostate cancer The
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Regimes Hormone regimes for transge
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Regimes Name Dosage When taken OR 5
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Regimes Parenterally (i.m. or subcu
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Safety of HRT • Getting older,
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Sexual Health Dementia Evorel [estr
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Sexual Health Mammography Women sho
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Skin care Skin care One of the unfo
Page 581 and 582: Skin care Sensitive Skin Please not
Page 583 and 584: Skin care Sanitise your tools Wash
Page 585 and 586: Skin care • Lemon juice works wel
Page 587 and 588: Sleep more often reported a variety
Page 589 and 590: Sleep The stages of NREM sleep and
Page 591 and 592: Sleep Sleep fragmentation results f
Page 593 and 594: Smoking and taking hormones Many st
Page 595 and 596: Stopping hormones prior to surgery
Page 597 and 598: Stress management Stress management
Page 599 and 600: Stress management A single episode
Page 601 and 602: Stress management Reach out - Make
Page 603 and 604: Stress management Why you react to
Page 605 and 606: Stress management Reframe your thou
Page 607 and 608: Stress management • Stressing abo
Page 609 and 610: Stress management Try aromatherapy
Page 611 and 612: Stress management your mind as well
Page 613 and 614: Stretch marks Maintain healthy rela
Page 615 and 616: Supplies Supplies In the UK Nu-Care
Page 617 and 618: Testosterone replacement therapy, m
Page 619 and 620: The real side effects of testostero
Page 621 and 622: The real side effects of testostero
Page 623 and 624: The risks of breast cancer One stud
Page 625 and 626: Thrush "The FDA has reviewed the av
Page 627 and 628: Transgender Definitions 1 It can’
Page 629 and 630: Transgender Definitions Cross Dress
Page 631: Transgender Definitions Dyke This i
Page 635 and 636: Transphobia When referring to trans
Page 637 and 638: Treatment aims • online abuse,
Page 639 and 640: Urinary Tract Infections 1 IU 45.5
Page 641 and 642: Vitality Children Vaginitis usually
Page 643 and 644: Vitamins Age Folate µg Niacin mg R
Page 645 and 646: Vitamins Deficiencies - Inadequate
Page 647 and 648: Vitamins Recommended Dietary Allowa
Page 649 and 650: Vitamins Food Sources - Avocado, ba
Page 651 and 652: What is a ’vitamin’? that contr
Page 653 and 654: Zoff Review the material again - Re
Page 655 and 656: Books Made In God’s Image: A Reso
Page 657 and 658: Email This site is strictly for MTF
Page 659 and 660: Some web sites Some web sites All l
Page 661 and 662: Chapter 19 Appendix 1 American vs B
Page 663 and 664: How to evaluate health information
Page 669 and 670: Glossary A | B | C | D | E | F | G
Page 671 and 672: Glossary cancerous malignant . . .
Page 673 and 674: Glossary G gastric lavage stomach w
Page 675 and 676: Glossary lipophilic the ability to
Page 677 and 678: Glossary spermatogenesis Spermatoge
Page 679 and 680: Acronyms A | B | C | D | E | F | G
Page 681 and 682: Acronyms HRT Hormone Replacement Th
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Bibliography [AB, 2011] CellaVision
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Bibliography [Beastall, Ferguson, O
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Bibliography [Burger, 2002] H. G. B
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Bibliography [Corona, Maseroli, Ras
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Bibliography [drugbank, 2014b] 2014
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Bibliography [Fogelman, 1991] L Fog
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Bibliography [Gossman, 2014] MV Gos
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Bibliography [helpguide, 2016b] 201
Page 699 and 700:
Bibliography [L. Johnson, 2014] LE
Page 701 and 702:
Bibliography [Kuper, Mantzoros, Lag
Page 703 and 704:
Bibliography [Lippert, A. O. Mueck,
Page 705 and 706:
Bibliography [mayoclinic, 2014c] 20
Page 707 and 708:
Bibliography [MIMS, 2016a] MIMS 201
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Bibliography [NHS, 2014f] 2014f HIV
Page 711 and 712:
Bibliography [O’Sullivan, 2013] M
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Bibliography [Rasgon, Geist, Kenna,
Page 715 and 716:
Bibliography [Sabon, Cheng, Stommel
Page 717 and 718:
Bibliography [takingcharge, 2010] t
Page 719 and 720:
Bibliography [ucsfhealth, 2009b] 20
Page 721 and 722:
Bibliography [unknown, 2015e] 2015e
Page 723 and 724:
[wikipedia, 2016] 2016 Tanner scale
Page 725 and 726:
Medroxyprogesterone Acetate 215 Oes
Page 727 and 728:
interaction Carbamezapine . . . . .
Page 729 and 730:
depressed mood . . . . . . . . . .
Page 731 and 732:
liver failure . . . . . . . . . . .
Page 733 and 734:
transient erythema . . . . . . . .
Page 735 and 736:
pancreatitis . . . . . . . . . . .
Page 737 and 738:
Vaniqa acne . . . . . . . . . . . .
Page 739 and 740:
Aminophylline Cyproterone Acetate .
Page 741 and 742:
Capromab Bicalutamide . . . . . . .
Page 743 and 744:
Nelfinavir . . . . . . . . . . . .
Page 745 and 746:
Edetic Acid Cyproterone Acetate . .
Page 747 and 748:
C1 Esterase Inhibitor (Human) 213 C
Page 749 and 750:
Leuprorelin Acetate . . . . . . . 1
Page 751 and 752:
Propofol . . . . . . . . . . . . .
Page 753 and 754:
Progesterone. . . . . . . . . . . .
Page 755 and 756:
Maprotiline . . . . . . . . . . . .
Page 757 and 758:
Glimepiride . . . . . . . . . . . .
Page 759 and 760:
Bicalutamide . . . . . . . . . . .
Page 761 and 762:
Goserelin . . . . . . . . . . . . .
Page 763 and 764:
Saxagliptin Cyproterone Acetate . .
Page 765 and 766:
Tasimelteon Cyproterone Acetate . .
Page 767 and 768:
Goserelin . . . . . . . . . . . . .
Page 769 and 770:
Index of STI’s A Avoidance . . .
Page 771 and 772:
Curettage . . . . . . . . . . . . .
Page 773 and 774:
General Index A Accessing someone e
Page 775 and 776:
What happens? . . . . . . . . . . .
Page 777 and 778:
Importing hormones. . . . . . . . .
Page 779 and 780:
S Safety of our regimes . . . . . .
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