N Nathan, J Wiggers, R Wyse, C M Williams, R Sutherland, S L Yoong, C Lecathelinais, L Wolfenden
Factors associated with the implementation of a vegetable and fruit program in a population of Australian elementary schools
Health education research
selfprescribed genderaffirming hormone therapy gaht common practice among transgender women especially resourcelimited countries yet effectiveness gaht regimen achieve female range sex hormone concentrations known describe use sex hormone concentrations various gaht regimens among transgender women self prescribe thailand retrospective study communitybased setting five hundred 27 records transgender women taking gaht receiving care community health center january 1 2018 december 31 2020 included analysis blood total testosterone estradiol concentration least 6month period gaht multiple gaht regimens identified including oral estradiol valerate ev transdermal 17estradiol gel injectable ev hydroxyprogesterone caproate injectable estradiol benzoate progesterone oral ev cyproterone acetate cpa oral contraceptive pills ocps common gaht regimen used 491 participants ocps contained 0035 mg ethinyl estradiol 2 mg cpa 252 group female range testosterone concentrations 50 ngdl oral ev cpa used 231 participants used 125 mg cpa 477 group female range testosterone concentrations statistical significance mean testosterone concentrations cpa 125 25 mg groups p 086 inadequate sex hormone levels found commonly selfprescribed gaht regimens provide information regarding efficacy safety gaht regimens health care providers working transgender women communitybased setting study reflected realworld situation provided hormonal profiles among transgender women taking selfprescribed gaht however issues recall medical literacy adherence medication may limit results combined hormonal contraceptive pill commonly used gaht regimen thai transgender women self prescribe gaht however regimen effective decrease testosterone concentrations recommended range less 50 ngdl overall selfprescription gaht appear effective reaching target sex hormone concentrations including health care providers prescription monitoring gaht may effective approach delivery gaht salakphet mattawanon n manojai n et al hormone concentrations transgender women selfprescribe gender affirming hormone therapy retrospective study j sex med 202219864871