The Estrogenic Burden on Vascular Risk in Male-to-Female Transsexuals
| Autor: | Devaki Nair, Emmanuel S. Ganotakis, Eirini Lioudaki, Dimitri P. Mikhailidis |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Male
medicine.medical_specialty medicine.drug_class medicine.medical_treatment Antiandrogen Prostate cancer Risk Factors Internal medicine Drug Discovery medicine Humans Risk factor Pharmacology Hemostasis business.industry Fibrinolysis Estrogens Androgen medicine.disease Androgen secretion Glucose Endocrinology Estrogen Transgender hormone therapy Body Composition Female Hormone therapy business Transsexualism |
| Zdroj: | Current Pharmaceutical Design. 16:3815-3822 |
| ISSN: | 1381-6128 |
| Popis: | Transsexualism refers to individuals that identify themselves as members of the opposite gender and who strive to acquire the physical appearance and psychosocial role compatible with that gender. Gender reassignment therapy is applied through hormonal treatment ± surgical intervention in addition to psychological support. Hormone treatment for male-to-female transsexuals includes estrogen supplementation ± suppression of androgen secretion or action. Sex hormones are important determinants of the metabolic profile. The impact on cardiovascular disease appears to be gender-related but overall evidence remains conflicting. Gender reassignment therapy has been associated with elevated triglyceride concentrations, often accompanied by an increase in high density lipoprotein levels, reduced circulating homocysteine (Hcy), uric acid and creatinine levels as well as an adverse effect on glycemic control. Markers of inflammation, oxidative stress and endothelial function are also affected in various ways, while alterations in hemostatic and fibrinolytic factors favor thrombosis (arterial and/or venous). Male-to-female transsexuals may be adversely affected by both estrogen administration and androgen deprivation, as reported in prostate cancer. Therefore, vascular risk factor screening and potential intervention may be required prior to and during gender reassignment therapy (both hormone and surgical). |
| Databáze: | OpenAIRE |
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