Hormonal Treatment Strategies Tailored to Non-Binary Transgender Individuals

    May 2020 in “ Journal of Clinical Medicine
    Carlotta Cocchetti, Jiska Ristori, Alessia Romani, Mario Maggi, Alessandra D. Fisher
    From the encyclopedia
    Cyproterone →

    a synthetic anti-androgen and weak progestogen that inhibits DHT binding to androgen receptor

    Spironolactone →

    powerful topical and oral anti-androgen used mostly by women

    Finasteride →

    Frontline, gold standard treatment for combatting androgenic alopecia

    Image
    Studysummary This review highlights the need for tailored hormonal treatment strategies for non-binary transgender individuals, emphasizing personalized care to enhance psychological well-being and quality of life.
    Our plain-language summary. Not medical advice or a treatment recommendation. Consult a qualified healthcare professional before changing treatment. Full disclaimer
    The document from May 26, 2020, highlights the absence of standardized hormonal treatment protocols for non-binary transgender individuals and underscores the necessity for personalized treatment plans to enhance their psychological well-being and quality of life. It suggests the use of various hormonal and non-hormonal compounds to fulfill the unique requests of non-binary clients, with an emphasis on the importance of clinicians collaborating with individuals to customize treatments that consider both benefits and risks. The review mentions specific dosages for antiandrogens like cyproterone acetate and spironolactone, and discusses the use of 5α-reductase inhibitors such as finasteride and dutasteride for preventing male pattern hair loss in binary AMAB transgender individuals. Additionally, it considers the use of GnRH analogs and non-hormonal compounds like minoxidil and eflornithine for hair growth modulation. The document concludes by stressing the need for more research on the efficacy and safety of these treatments for non-binary individuals.
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