Hormonal effects

Response to hormonal treatment is variable between patients. This is particularly notable and potentially problematic for males. As with people born female, breast development spans a continuum. Patients may erroneously believe that more hormone will result in greater breast development. They neglect the fact that people born female have quite adequate female hormone production but the limiting factor is tissue response. In addition to breast development, male patients report increased hip and buttock fat, skin softening, and loss of sex drive and erection capacity.

Androgen treatment to the female results in voice deepening, facial hair growth, general body hair growth, menses cessation, clitoral hypertrophy, and increased sex drive.

Cross-sex hormonal effects are more pronounced in females. The deepening voice and beard growth and perhaps scalp hair loss can metamorphose the female's appearance dramatically. For the male, vocal retraining is required and perhaps surgical alteration of the larynx to effect a woman's voice. Extensive facial hair electrolysis is usually mandatory.

Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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