You are seeing Julie, a 31 yr old male to female transgender patient. Julie reports she has been having difficulty being compliant with her oral estrogen therapy and questions what alternative approaches to her estrogen therapy are available. She is concerned about her continued significant facial hair growth, and decreased sexual drive. She is afraid that if she continues to have these symptoms that she will be less desirable to her partner and their relationship will deteriorate.
Discuss the role, as well as the risks/benefits of estrogen therapy for male to female transgender transition and maintenance.
Discuss alternatives to estrogen therapy.
Discuss the role that hormones play in sexual drive for male to female transgender patients
Outline your plan for evaluation and management for Julie