How to Get on Transsexual Hormone Replacement Therapy Relatively Easy | PairedLife
Therefore, a transsexual girl who starts her hormone therapy before my body a "man's body" even though I am a male-to-female transsexual. Taft Avenue Corner Padre Faura St. Ermita Manila, Philippines . Hormonal Therapy for Male to Female (MTF) Transsexuals 1 Hormonal replacement employs the same principle of treatment for hypogonadal patients. .. To Correct Clerical Or Typographical Errors In The Day And Month In The Date Of Birth Or Sex. Pinoy Female to Male. I have been on hormones(Testosterone) for 8 months now . This is a video update of the changes I have experienced.
Rectal injury was the most common among the gastrointestinal events. There were only minor wound healing disorders and cases of blood transfusion. We require several things from co-managing services prior to SRS.
From psychiatry, we need the diagnosis of GID, psychiatric comorbidities and clearance for surgery. From the medical team, we need general medical clearance as with any surgery. We need to determine the probability of hypercoagulability and sexually transmitted diseases. In our local experience, patients we receive commonly self-medicate with hormones even before psychiatry or surgical consult. Usually, patients undergo secondary feminizing surgeries like breast augmentation or thyroid cartilage trimming before they contemplate genital surgery.
This is primarily for financial reasons. Patients who underwent surgery usually complete psychiatry consult and hormone therapy prior to surgery. Psychosocial Outcomes after Sex Reassignment Literature review shows no clear evidence that the aforementioned interventions cure or alleviate gender dysphoria, in the absence of randomized controlled trials.
Trials would admittedly be difficult to conduct given the nature of the intervention. Opinions are gleaned from numerous published observational studies. However, there was significant heterogeneity due to different methods and measures of outcome. This study concluded that current data suggest sex reassignment to likely improves gender dysphoria and quality of life but evidence is of low quality due to the study designs, heterogeneity and high chance of bias. The authors contacted five transsexual organizations and conducted an online survey.
The reasons mentioned for this satisfaction include a good mental, emotional and physical well-being as well as desirable and more comfortable physical appearance. Bioethical Aspects on the Treatment of Transsexuals Dr. In the Philippines, I think one of the issues in the management of transsexuals is if physicians will treat or not. Because of our sociocultural and religious background, some doctors may hesitate to treat. At some point in time, they probably approached us but we did not know how to handle them.
That is why this is a very important issue. I would like to share with you Dr. Jonsen's 4 box approach in ethical analysis. The analysis of the case should follow this order. The first box is about medical indications. One's expertise, training, research and understanding should lead one to decide what is best for a patient using the principles of beneficence and non-maleficence.
To apply these principles, we refer to the goals of medicine. These include the following: We should achieve more than one of these goals. We also check for conflicts of interest. Next, we determine the necessity for such treatments. Finally, consider the risks and benefits of treatment. Click here to download Table 8 Table 8. Validity of informed consent must be ascertained. Due to psychiatric comorbidities such as depression, some transsexuals may not have a full capacity for decision-making.
This must be cleared with the mental health professional.
I'M A TRANSGENDER WOMAN – PHILIPPINES – Transgender Transwoman Transpinay
Full disclosure of risks, benefits, consequences and alternative interventions must be done. To ensure that the patient understands the implications of treatment, several meetings may be needed. To ascertain this, the psychiatrist may request to speak with the patient separately from the family or friends. Lastly, a formal consent should be obtained for the procedure. The third box is quality of life of the patient before, during and after medical intervention through different point of views — the practitioner, patient, family and society.
Transsexuals say they seek surgery to relieve gender discomfort and dissatisfaction. Because society has a vision of masculinity or femininity, it one feels differently, one must change to conform to what society dictates. But after the change, will the transsexual fit into the society in the same way that a natural-born women does?
If the answer is yes, what kind of life is this and is it really satisfactory?
The fourth box is a contextual feature. In the medical system, barriers to care of transsexuals may exist. This includes biases or awkwardness for medical professionals, religious and legal concerns. Treatments are also expensive. Decisions for treatment must consider justice, economics, religion, law and institutional policies. Once you have identified ethical issues, how do you resolve them?
First, clarify the facts of the case.
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Why and what is it they are experiencing in their body? What if the environment is changed? Second, manage potential and actual conflicts of interest. Then make ways to minimize the unacceptable issues. To help physicians decide on the course of action in the treatment of transsexual individuals, several lenses can be employed. The first lens is the medical lens, which concerns the diagnosis and disease perspective. But many say we should start using a social lens or the gender lens.
It is really the environment and the society-- our attitude towards transsexuals that should change. Because of societal constraints of masculine and feminine role-defined behavior, transsexuals do not fit and become uncomfortable. Thirdly, we use the bioethical lens, which highlights the principles of respect for persons, beneficence, non-maleficence and justice.
In here, balancing of risks and benefits is an important feature. JG Raymond Raymond 47 raised some questions which are interesting.
She asks — does feeling trapped in the wrong body and desiring to be the other sex qualify as a disease? What about being trapped in the wrong skin, or in the wrong period of time or the wrong social economics? And that the body is all-important, it guides destiny and that all else is body-bound. Here are now the challenges to Filipino transsexual advocates. We should start studying the cultural dimensions of masculinity and femininity among Filipinos.
What would be the Filipino medical and psychiatric definitions of masculinity and femininity? We need data on the risks of hormonal and surgical interventions locally. We need data on the quality of life of Filipino transsexuals who have undergone hormonal and surgical interventions to include identifying which part of the treatment provides them satisfaction.
The proposed treatment is sex reassignment. Several international guidelines exist to guide clinicians in the treatment of transsexuals. Proper diagnosis, evaluation and treatment by the psychiatrist are required before proceeding with further medical and surgical interventions. Some ethical issues may also arise in their treatment.
Endocrine treatment of transsexual persons: J Clin Endocrinol Metab. Accessed February 1, IOM Institute of Medicine. The health of lesbian, gay, bisexual and transgender people: Building a foundation for better understanding. The National Academies Press. International Classification of Diseases — Accessed February 1, 6.
Accessed January 15, 7. The prevalence of transsexualism in The Netherlands. The prevalence of gender dysphoria in Scotland: A primary care study. It is highly suggested that you bring them a copy of the Tom Waddell standards so they will have something other than the Harry Benjamin Standards to reference.
Ask the clinics and providers with low therapist requirements what they will require and what a letter would need to state in order to get care. When I say low therapist requirements, what I mean is less than 3 appointments needed to get services.
'I'm Very Happy With Who I Am And I Owe It All To My Transition.'
This can be done with a simple sanity check, which a friend has had in order to get her hormone replacement therapy. I knew about this from talking with another transsexual woman who was helping me with my name change and a number of other transition issues. He did not care about therapist letters or anything like that and he provided me with a three-month script for my hormones. I would remind you that most doctors go through tedious amounts of education and training and may not be easily fooled.
Transgender Hormone Treatment Guidelines
But then again, if there can be religious doctors - that is proof that there are gullible doctors. If people in your general area are stupid it can work if you make your own letter. The Aftermath and an Epilogue Given the number of views this article has received since I published it, I feel it prudent to make a few designations here, just for clarity's sake.
You should never, and I do mean never, self-medicate.
'I'm Very Happy With Who I Am And I Owe It All To My Transition.' | n3ws.info
That's very dangerous, as our bodies are reliant on hormones in order to function. You can suffer a number of problems if you take these drugs without a physician's supervision. Furthermore, the SOC expresses a paternalism in the psychological and psychiatric industry, that they need to protect us from ourselves.
It's a paternalism that I don't particularly care for and I believe that transsexual people should not have to go through these hoops because they have no basis in science.
I look forward to the day when we can serve rural communities by telemedicine, which is already being tried out by Planned Parenthood. This technology can serve transsexual people in rural communities. Their main concern was really about the health issues, because I was dealing with drugs and my hormone levels. I assured them naman na I was being safe. We want to keep our private parts private. I make it as simple as I can, but it does get really complicated. Take me or leave me. Right now, Filipino men, in general, are not as open-minded as Western men.
The Philippines is very communal. Our circles matter a lot. We really care about how other people perceive us. But Western men are more individualistic. Mga lalaki naman dito, i-da-date ako pero secret lang daw. I enjoy being single. They understand me and my needs. We connect on a different level. Tell us about LoveYourself PH.
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