Hormones are not the key to younger women’s sexual function

Monash University, 22 July 2020

A Monash University study into the causes of sexual dysfunction in young women has found social factors play just as important a role as hormone levels, and hormone therapy should not be prescribed as the only treatment.

The study uncovered that while hormones, including androgens like testosterone, play a role, the things that matter more are whether a woman has children (parity), being partnered or taking psychoactive medication for depression or other mental health issues.

New Gender Affirming Care Resource

Sexual Health Infolink (NSW Ministry of Health), 2019

As more services are beginning to provide hormonal therapies to trans and gender diverse people, the NSW Sexual Health Infolink (SHIL) has consolidated the key resources to guide best practice.

Bookmark SHIL’s Gender Affirming Care page for quick access to:

  • Clinical guidelines and patient fact sheets about hormonal therapies,
  • Specialist trans and gender diverse clinical services,
  • Counselling and peer support services,
  • Information and resources for family and friends.

The Sexual Health Infolink is a NSW Ministry of Health funded telephone and internet based information and referral service. It has been operating since 1989 and is staffed by specialist sexual health nurses.

International consensus on testosterone treatment for women

Jean Hailes, 2 September 2019

The first Global Position Statement on the use of testosterone in the treatment of women, led by the International Menopause Society (IMS), was published in four leading international medical journals today.

The statement has been authored by a diverse team of leading experts based around the world and has been endorsed by internationally-esteemed medical societies.

It follows years of debate regarding testosterone therapy for women and, for the first time, provides agreement among experts and medical societies about how testosterone could be prescribed for women.

Access the statement: 

Transgender women taking PrEP have lower levels of PrEP drugs than cisgender men

aidsmap/nam, November 9th 2018

A study presented at October’s HIV Research for Prevention conference (HIVR4P) in Madrid shows that transgender women who are taking feminising hormones and also taking pre-exposure prophylaxis (PrEP) have levels of the PrEP drugs tenofovir and emtricitabine in their blood that are about 25% lower than those in cisgender men, and levels in rectal tissue cells about 40% lower. Tenofovir levels in rectal tissue were 44% lower.

However, the study also confirmed that the interaction between hormones and PrEP did not appear to go the other way; blood levels of estradiol, the one hormone all of the transgender women took in one form or another, do not appear to be affected by PrEP.

 

Do Estrogen Therapies Affect Sexual Function in Early Postmenopause?

JAMA Internal Medicine, 2017

Transdermal estrogen therapy delivered through the skin modestly improved sexual function in early postmenopausal women, according to an article published by JAMA Internal Medicine.

Declining estrogen levels around the menopausal transition are commonly associated with sexual dysfunction, which can be an important determinant of women’s health and quality of life.

In the new article, Hugh S. Taylor, M.D., of the Yale School of Medicine, and his coauthors report on an ancillary study of a clinical trial that examined changes in sexual function in recently postmenopausal women.

 

A Fate Worse than Death? Being Transgender in Long-term Care

Psychology Benefits Society blog ( American Psychological Association), Oct 26, 2017

“I would kill myself.” This is what a 70 year-old transgender woman told me recently when I asked what she would do if she needed long-term care. While this sounds dramatic, it is a common sentiment among older transgender and gender nonconforming (TGNC) adults (Witten, 2014).

Many TGNC older adults do not have family caregivers available to meet their needs for assistance in later life, having been rejected and ostracized by their families of origin according to a study by Grant and colleagues (2011), and long-term care services may be their only option.

Read more of Being Transgender in Long-term Care