This class includes micronized bioidentical progesterone Prometrium as well as a number of synthetic progestins. Some trans herbalists believe it can stimulate the production of estrogen. However, since testosterone is of particular concern is insuring maximal feminization, the calculation of bioavailable testosterone in transgender women may still be of value. Hormones and surgery can be expensive or not accessible. Second, this arm of the WHI involved the use of conjugated equine estrogens in combination with medroxyprogesterone in a sample of menopausal women, some of whom were as long as 10 years post-menopausal at the time of hormone initiation.
Polyamory and Health.
Approach to patients with known hypercoagulative state who use transdermal estradiol and present with acute VTE. As with other situations involving maintenance of hormone therapy menopause, contraceptionannual visits are sufficient for transgender women on a stable hormone regimen. A report of 11 transgender women with a history of activated protein C resistance the mechanism of action implicated in the hypercoagulable state associated with the Factor-V Lieden mutation using transdermal estradiol without anticoagulation found no clotting events after a mean of 64 months of therapy.
Approach to patient using oral or injected estrogen at time of first diagnosis of VTE.