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    Estrogen — A generic term for any of a number of female sex hormones. They are responsible for bone growth and turnover, and hypogonadal states in both males and females can result in clinically significant bone loss. DHEA — An androgenic steroid hormone secreted largely by the adrenal cortex and internet viagra sales in human urine, or synthetic preparation of this hormone used as a nutritional supplement.

    Testosterone levels were higher with finasteride use. In these cases, and most adolescent cases, it is important to have a multi-disciplinary approach to treatment and management, and parental support is imperative.

    Cyproterone has been associated with uncommon episodes of fulminant hepatitis. An evaluation for testicular neoplasms should be performed with a scrotal exam as well as testing for elevated serum human chorianogonadotropin hCGlactate dehydrogenase LDHalpha-fetoprotein AFP levels, and possibly scrotal imaging.

    Spironolactone did not enhance testosterone suppression, and finasteride was associated with higher testosterone levels. We analyzed data on all transgender females seen in our clinic since treated with oral estradiol.

    Some studies have shown that testosterone has a negative effect on indices that may increase the risk of cardiovascular events. Overview of feminizing hormone therapy Primary author:

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    Even after discontinuation of hormone therapy, testicular function might not recover sufficiently to ensure conception. Adolescents also seek hormone therapy for treatment of gender dysphoria, .
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