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Scared I might be slowly killing myself with this

Started by Hideyoshi, August 05, 2013, 06:10:13 AM

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Hideyoshi

I've always been a really paranoid person when it comes to my health.  I know that being trans doesn't have the greatest outlook for health, but I'm just wondering exactly how much damage I'm inflicting on my body, and how fast it can potentially come to bite me.

Before I go on, I realize this is a YMMV thing based on many factors.

I get my blood tested bimonthly, checking clotting values, liver and kidney function, among other things.  I've never gotten any news back from those tests so I'm going to assume that's fine. 

My primary question is how BAD is HRT compared to.. let's say... alcoholism?  Or cigarette addiction?  Or diabetes?  Is the outlook for a trans person's health really as bad as I hear?
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Christine167

Unless you suffer from liver or kidney damage then I wouldn't worry about it. It sounds like you are following a doctors care and that your lab values are in range.

HRT shouldn't cause the same visible damage as say smoking or drinking because it won't do the same vascular damage as smoking and you aren't dehydrating the fool out of yourself every day with booze.

Diabeties also affects vascular structure. Untreated it can literally kill the blood supply to extremities.

HRT as far as I know does not do that. The worst would be that an unmonitored user would damage their kidneys or liver resulting in End Stage Renal Disease or Jaudice/Cirosis. And you already know the risks for blood clots so just take care of yourself and don't add to your risk factors.

If 30-60yr old women start their own HRT to treat menopause for 40+ years of their life and don't suffer horrible health effects I think we all will be fine as well. So relax and trust your body. It will let you know when something is wrong and you do have a doctor :)
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Jennygirl

Also factor in that you shouldn't need a high "feminizing" dose of hormones your entire life.. only until you are done with second puberty :)

Removal of the T makers through orchi or SRS should also allow a lower dose- or in general... less medication.

I dunno how your endo likes to operate, but mine has mentioned both of these points multiple times during our visits.

If you don't want to worry about health problems besides that of a cisfemale, pellet implants really are the way to go. During my initial consult, my endo actually told me I would avoid many if not all of the T related health problems as well as oral hormone side effects and likely live 5-10 years longer (similar to a cisfemale) as long as I stick with the implants or creams. I'm hoping the creams become available soon because then we will just be able to order them online... It will be much less $$ and hopefully accessible to everyone regardless of location.
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JennX

Quote from: Jennygirl on August 05, 2013, 07:00:56 AM
Also factor in that you shouldn't need a high "feminizing" dose of hormones your entire life.. only until you are done with second puberty :)

This is not true. My E dosage has remained the same postop. Removing your testes will not impact your body's need for the same needed dosage of external estrogen. If you need X mgs of E before SRS/Orchiectomy, you'll still need X mgs of E after. The whole reduced E dosage after testes removal is a huge myth. You won't need T blockers anymore.

If you think about it, after several years on HRT, most cis-males will have experienced chemical castration by that point anyway... And their dosage remains the same... Why would it change with testes removal? Mine didn't, and neither did it for several other postop MTFs I know.

As for what long term HRT usage may or may not cause, there really haven't been enough long term studies. But from the few I've read, there is little to worry about as long as your liver function is closely monitored, and you are a non-smoker in good health.
"If you want the rainbow, you gotta put up with the rain."
-Dolly Parton
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Dreams2014

As somebody who aims to begin transition within this next year, what are the health concerns for transgenders? We talking anything serious? Shorter life expectancy etc?
Farewell to my friends, farewell to the life I knew. I burn what once was, and in the ashes I am born anew.
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sushitime

I am also very curious about this, are you saying that the health consequences of HRT could shave decades off of life expectancy?
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Renee

Personally, I'm fine with whatever tradeoffs that may occur with taking hrt versus not taking it.  And really there isn't enough real information on what long term effects there might be for trans people. Just try not to abuse yourself too much and enjoy your life, you could always get hit by a truck tomorrow...
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sushitime

Certainly, but as someone who is currently in therapy and strongly considering HRT / transition, health consequences are an important factor to weigh. If there are any studies / statistics available, I'd like to review this information before making a decision so that I can be as informed as possible regarding the benefits and drawbacks. A five year reduction in average life expectancy I could probably live with. A decade or two, I'm not so sure.
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warlockmaker

These were my great concerns. I have been increadibly healthy and don't drink or smoke. So I studied, spoke to doctors and therapists before I chose to begin HRT. Yes, there slight % increases with certain problems but you seems to have control with blood tests. It does have a possible benefit  - the female hormone reduces and could delay the chance of Alzheimers/Dementia. Also, you will have significantly much less chance of prostate cancer and skip all the other male related sex cancers. Plus u wont get and reproductive cancers which cis women face. All in all GO FOR IT.
When we first start our journey the perception and moral values all dramatically change in wonderment. As we evolve further it all becomes normal again but the journey has changed us forever.

SRS January 21st,  2558 (Buddhist calander), 2015
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kathyk

Quote from: JennX on August 05, 2013, 08:24:40 AM
This is not true. My E dosage has remained the same postop. Removing your testes will not impact your body's need for the same needed dosage of external estrogen. If you need X mgs of E before SRS/Orchiectomy, you'll still need X mgs of E after. The whole reduced E dosage after testes removal is a huge myth. You won't need T blockers anymore.

If you think about it, after several years on HRT, most cis-males will have experienced chemical castration by that point anyway... And their dosage remains the same... Why would it change with testes removal? Mine didn't, and neither did it for several other postop MTFs I know.

As for what long term HRT usage may or may not cause, there really haven't been enough long term studies. But from the few I've read, there is little to worry about as long as your liver function is closely monitored, and you are a non-smoker in good health.

This is kind of what my doctor has said, except she added it still depended on the amount of estrogen that shows in tests since our bodies change as we age (I'm old).  But I completely trust her since she's been so right on other stuff.





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mrs izzy

Not sure when things changed with the aspect of starting HRT but far as i know before one can start they are supposed to be aware of all health risks involved.

I have been on HRT for a long, long time and have yet had any health issues other then the side effects of the meds.  HRT drugs mtf and ftm are taken for the side effects we are looking to get ie: libido suppression or incresed, breast developmennt, body fat redistribution or muscle mass incresed, softer skin etc. I have added a list of just the Estrogen, you can do a search for your other drugs. As you will see there are a whole host of possible things that could happen. As i have said to so many others its all about less is more. Always take the least amount of any drug you need. I know so many want things to happen overnight but they do not. It takes time for second Puberty to set in. Also many keep looking at there E and T numbers but that always is not the best was to go about HRT. Let your body tell you how things are progressing. Sometimes being more worried about a number will put things out of balance and will stall or even stop process. To end this up just listen to your body, relax and look towards tomorrow over today. Remember if you get any of the bad side effects you will have to stop HRT and none of us ever want that.

Izzy
Estrogen
Possible Side Effects:

The most common side effects include enlargement or tenderness of the breasts (both sexes), swelling of the ankles and legs, loss of appetite, weight changes, retention of water, nausea, vomiting, abdominal cramps, and feeling of bloatedness. The estrogen patch can cause skin rash, irritation, and redness at the patch site.

Less common side effects are bleeding gums, breakthrough vaginal bleeding, vaginal spotting, changes in menstrual flow, painful menstruation. pre-menstrual syndrome, no menstrual period during and after estrogen use, enlargement of uterine fibroids, vaginal infection with Candida, a cystitis-like syndrome, mild diarrhea, jaundice or yellowing of the skin or whites of the eyes, rash, loss of scalp hair, and development of new hairy areas. Lesions of the eye and contact-lens intolerance have also been associated with estrogen therapy. You may experience migraine headache, mild dizziness, depression, and increased sex drive (women) or decreased sex drive (men).

Rare side effects include stroke, blood-clot formation, dribbling or sudden passage of urine, loss of coordination, chest pains, leg pains, difficulty breathing, slurred speech, and vision changes. Men who receive large estrogen doses as part of the treatment for prostate cancer are at a greater risk for heart attack, phlebitis, and blood clots in the lungs.
Mrs. Izzy
Trans lifeline US 877-565-8860 CAD 877-330-6366 http://www.translifeline.org/
"Those who matter will never judge, this is my given path to walk in life and you have no right to judge"

I used to be grounded but now I can fly.
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Joanna Dark

From what I have read HRT is safe over time. There are zero incidents of liver disorder in every long-term study I have seen. I imagine some of these people had liver damage to begin with or Hep C as many trans women have drug problems and still no liver deaths in all studies. I haven't seen one. DVT is more of a problem but still not significant. But really it doesn't matter. What are you going to do stop? That opens up a whole other can of worms if you are like me. So really if I am going to die at least I'll die fabulous!
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Sarah Louise

I'm diabetic, have nerve damage from diabetes, have high blood pressure, thyroid problems, etc.

Hormones have NOT changed one blood test reading, all hormones did was help me to develop, look more feminine, and be Happy with myself.

As long as your under a doctor's care you should be Fine.
Nameless here for evermore!;  Merely this, and nothing more;
Tis the wind and nothing more!;  Quoth the Raven, "Nevermore!!"
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Nicolette

I've been on HRT for 19 years, since my early 20s. I am incredibly healthy and have never had any HRT related illnesses. What would they be? Of course, it could be that only 'survivors' of HRT can speak for themselves. Alcohol, smoking and being overweight present more dangers than HRT alone. Combine these then perhaps the subject title starts to come into play.
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Dreams2014

Quote from: Sarah Louise on August 05, 2013, 11:38:16 AM
I'm diabetic, have nerve damage from diabetes, have high blood pressure, thyroid problems, etc.

Hormones have NOT changed one blood test reading, all hormones did was help me to develop, look more feminine, and be Happy with myself.

As long as your under a doctor's care you should be Fine.

So having diabetes did not cause you any problems on HRT? This is encouraging as I have been worried that if I am diabetic (not had a test yet) then it may prevent me from transitioning.
Farewell to my friends, farewell to the life I knew. I burn what once was, and in the ashes I am born anew.
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Sarah Louise

Let me be careful on how I state this, Diabetes adds major complications and while it has not prevented me from taking hormones (with quarterly blood tests) it has kept me from having surgery (along with a couple of other issues).

Having surgery will depend on each surgeon and their feelings about how severe your medical issues are.  I've had diabetes for almost 50 years, I have had a minor heart attack (if there is such a thing as minor), I have thyroid issues and Do Not Heal from cuts or other injuries, based on that I was turned down for SRS each time I tried.
Nameless here for evermore!;  Merely this, and nothing more;
Tis the wind and nothing more!;  Quoth the Raven, "Nevermore!!"
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Nicolette

Sarah Louise, that sounds like type I diabetes. Some SRS surgeons don't like to operate on diabetics. Is the reason because you do not heal as well?
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mrs izzy

It comes down to everyones body reacts to drugs in a differnt way. Some have no issues and others have issues up to encluding death.

Before i could even start HRT from my doctor i had to know the benifits and risks and sign off that i understood i could have complications up to and encluding death.

Over the years i know of 7 who had issues with there HRT and had to stop, 5 worked on getting there orchiectomy sooner then there GCS and 2 of the sisters passed due to pulmonary embolism.
With that said i know of hundreds who had no or limited bad side effects so by % if you keep sight that HRT are drugs and respect them as such all should be without issues. Work close with your doctor.

Izzy
Mrs. Izzy
Trans lifeline US 877-565-8860 CAD 877-330-6366 http://www.translifeline.org/
"Those who matter will never judge, this is my given path to walk in life and you have no right to judge"

I used to be grounded but now I can fly.
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Danielle Emmalee

Quote from: iiii on August 05, 2013, 11:45:53 AM
Well, you increase the risk of being murdered from 0.4% to 10% (doubtful to these statistics but whatever), so you're on average gonna lose quite many years of your life.

But anyway, if you consider not taking HRT because of a possibility of a shortened life span of 5 years, then I really don't think HRT is for you.

Well for one thing, the risk of being murdered stat is definitely wrong.  I'm not sure about the 10% but I can tell you the 0.4% is way too high, especially if we're only talking about English speaking countries.  I have a strong feeling 1 in 10 people who use hormones do not get murdered.

Discord, I'm howlin' at the moon
And sleepin' in the middle of a summer afternoon
Discord, whatever did we do
To make you take our world away?

Discord, are we your prey alone,
Or are we just a stepping stone for taking back the throne?
Discord, we won't take it anymore
So take your tyranny away!
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mrs izzy

Quote from: Nicolette on August 05, 2013, 11:51:55 AM
Sarah Louise, that sounds like type I diabetes. Some SRS surgeons don't like to operate on diabetics. Is the reason because you do not heal as well?

Dr Brassard will not if you are on insulin.  I think you could be also turned away if just on pills if there are other issues. 

Izzy
Mrs. Izzy
Trans lifeline US 877-565-8860 CAD 877-330-6366 http://www.translifeline.org/
"Those who matter will never judge, this is my given path to walk in life and you have no right to judge"

I used to be grounded but now I can fly.
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