Government panel: Hormone therapy ‘not recommended’
Not all patients getting hormone replacement therapy have surgery, either because of cost or personal preference. Hormones are the chemical messengers of the body that travel through the bloodstream and send signals to various organs, affecting growth, metabolism, reproduction and mood. Even small changes can have big effects; for instance, during menopause, a womans body slowly produces less estrogen and progesterone, leading to hot flashes and thin bones. Continuous doses of female hormones will cause a male to see changes within the first few months of therapy such as softer skin, fat and muscle rebalancing, and breast development. Those changes start to become irreversible within six to nine months. The degree of effects of hormone therapy varies considerably among individuals. For example, the younger a patient starts hormones, typically the better they work, said Grace Kim, a District-based psychologist who has a number of transgender patients.
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Army will not provide Chelsea Manning hormone therapy
Inmates at the United States Disciplinary Barracks and Joint Regional Correctional Facility are treated equally regardless of race, rank, ethnicity or sexual orientation, Army spokesman George Wright told Politico. Wright continued that while all inmates are considered soldiers and are treated as such with access to mental health professionals including a psychiatrist, psychologist, social workers and behavioral science noncommissioned officers, the Army does not provide hormone therapy or sex-reassignment surgery for gender identity disorder. Mannings lawyer, David Coombs, said that Manning has not yet indicated whether she intends to seek gender reassignment surgery in addition to hormone therapy, but noted that he will fight to ensure Manning has access to hormone therapy and that she is comfortable in her skin and able to be the person that shes never had an opportunity to be, while incarcerated. The American Civil Liberties Union has also weighed in on the subject of Mannings access to hormone therapy, arguing that denying Manning hormone therapy may be a violation of her constitutional rights: Without the necessary treatment, gender dysphoria can cause severe psychological distress, including anxiety and suicide. When the government holds individuals in its custody, it must provide them with medically necessary care, ACLU staff attorney Chase Strangio said in a statement. The official policy of the Federal Bureau of Prisons and most state agencies is to provide medically necessary care for the treatment of gender dysphoria, and courts have consistently found that denying such care to prisoners based on blanket exclusions violates the Eighth Amendment of the Constitution. Katie McDonough is an assistant editor for Salon, focusing on lifestyle. Follow her on Twitter @kmcdonovgh or email her at kmcdonough@salo NASA California Rim Fire This is the view from the International Space Station, taken with a 50mm lens by an Expedition 36 crew member on August 24. Previous Next California Rim Fire NASA’s Aqua satellite used its Moderate Resolution Imaging Spectroradiometer (MODIS) to collect natural-color images of the Rim Fire’s rapid expansion.
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“The balance of benefits or harms may be different with young women, so you can’t say this absolutely applies to younger women making hormone therapy decisions,” Crandall said. The panel acknowledges research gaps when it comes to taking hormone therapy for chronic illness, particularly as it relates to this younger group of women. The average age of women participating in the Women’s Health Initiative was 64 years, well past the age that menopause usually begins. The task force recommendations “are aimed at older women, who are generally healthy asking, ‘If I take a pill a day, will I prevent a heart attack?’ ” Crandall said. Many doctors have already greatly limited how they apply the treatment, and the risks of hormone therapy are well-known among professional organizations. On its website, the American Congress of Obstetrics and Gynecologists warns against hormone therapy for preventing cardiovascular disease. The North American Menopause Society website stresses the same cardiovascular risks and advises that a woman’s personal risk factors should play a role in deciding whether to take hormone therapy.
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