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By: Michael Searles
Published: May 26, 2024
Transgender men are suffering from “postmenopausal” problems like incontinence in their 20s because of taking testosterone, a study has revealed.
Experts analysed 68 transgender men who were taking the cross-sex hormone to change their identity from female to male and found that 95 per cent had developed pelvic floor dysfunction.
The participants, who were as young as 18 and had an average age of 28, had bladder and bowel symptoms that medics would expect to see in a woman after the menopause.
Experts said the impact of the sex-changing drugs on bodily functions are under-researched and under-reported, with people “not being informed of the risks at gender clinics”.
Around 87 per cent of the participants had urinary symptoms such as incontinence, frequent toilet visits and bed-wetting, while 74 per cent had bowel issues including constipation or being unable to hold stools or wind in. Some 53 per cent suffered from sexual dysfunction.
The researchers said the rate of urinary incontinence, where urine unintentionally leaks, was around three times higher in transgender men than women, affecting around one in four compared to eight per cent of the general female population.
Other trans men suffered from frequent urinating including during the night, burning sensations, hesitancy, urgency and difficulty in going, while others had issues defecating.
Almost half had an “orgasm disorder”, while a quarter suffered from pain during sexual intercourse.
Experts warned that the drugs were putting young people on “exactly the same trajectory” as those going through the menopause. A third of the participants in the study were students.
Elaine Miller, a pelvic health physiotherapist and member of the Chartered Society of Physiotherapy, said: “A lot of women are absolutely fine until the menopause and then they start to get leaky. That appears to be exactly the same trajectory for female people who take cross-sex hormones, but there hasn’t been much in the way of research.”
She said she had worked with around 20 detransitioners who sought help for pelvic floor issues - and many more from around the world had been in touch - but that there was a “stigma” around incontinence and that people were “embarrassed” and minimised the issue.
“Wetting yourself is something that just is not socially acceptable, and it stops people from exercising, it stops them from having intimate relationships, it stops them from travelling, it has work impacts,” she said.
“The impact a bit of leaking has on these young people’s lives is huge. It really needs to be properly discussed within gender clinics because I would expect that almost 100 per cent of female people that take cross-sex hormones will end up with these problems,” she added, noting that the study was “robust” and probably underplayed the issue.
“It’s really sad when we hear people say, ‘nobody ever told me this’, and they should have been informed of the risks in gender clinics.”
The menopause causes a loss of muscle mass and body strength, which affects the pelvic floor and can cause incontinence.
Women who start the menopause early or prematurely, under the age of 45, should be offered Hormone Replacement Therapy (HRT) on the NHS because the oestrogen can help prevent the onset of conditions such as coronary heart disease, osteoporosis and dementia.
Taking testosterone may accelerate the menopausal process because it stops the ovaries from functioning and reduces the amount of oestrogen the body produces.
Testosterone is also known to affect muscle mass and hair loss, and has been linked to blood clots and gallstones, but there has been little research into pelvic floor issues and incontinence.
Ms Miller said the treatment for trans men was “the same as with any other postmenopausal female, which seems kind of ludicrous when you’re talking about people that are in their early 20s”.
“It’s making sure they are not constipated, getting them into a routine where they are not dehydrating themselves because they’re worried about having an accident. A lot of it is about bladder and bowel education about what is normal, and doing pelvic floor exercises, which can make a big difference,” she added.
Kate Barker, chief executive at the LGB Alliance, said the group had “consistently spoken out about the damage done by these experimental surgeries, the overwhelming majority of which are carried out on LGB [lesbian, gay and bisexual] people”.
“Our annual conference has heard testimony from detransitioners who live every day with the consequences of actions they took when they were very young - sometimes in their teens - including permanent sterilisation and loss of sexual function,” she said. “This has finally been officially confirmed by the Cass Review.”
The Cass Review saw the NHS stop prescribing puberty blockers outside of clinical trials and a pause to cross-sex hormones being given to under 18s. It called for more care to be given in the treatment of under 25s and the health service is reviewing adult clinics as a result.
The authors of the study, led by Lyvia Maria Bezerra da Silva at the Federal University of Pernambuco, Brazil, said the findings “showed a high frequency of at least one of the pelvic floor dysfunction symptoms” and that more research into the impact of testosterone was needed because the “long-term effects are still unknown”.
The research was published in the International Urogynecology Journal.
[ Via: https://archive.today/wNl3q ]
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Abstract
Introduction and Hypothesis
The objective of this research is to explore the effects of hormone therapy using testosterone on pelvic floor dysfunction (PFD) in transgender men. We hypothesize that PFD might be prevalent among transgender men undergoing hormone therapy. Therefore, this study was aimed at verifying the frequency of these dysfunctions.
Methods
A cross-sectional study was conducted between September 2022 and March 2023 using an online questionnaire, which included transgender men over 18 years old who underwent gender-affirming hormone therapy. Volunteers with neurological disease, previous urogynecology surgery, active urinary tract infection, and individuals without access to the internet were excluded. The questionnaire employed validated tools to assess urinary symptoms, such as urinary incontinence (UI), as well as sexual dysfunction, anorectal symptoms, and constipation. The data were analyzed descriptively and presented as frequencies and prevalence ratios with their respective confidence intervals (95% CI), mean, and standard deviation.
Results
A total of 68 transgender men were included. Most participants had storage symptoms (69.1%), sexual dysfunction (52.9%), anorectal symptoms (45.6%), and flatal incontinence (39.7%). Participants with UI symptoms reported moderate severity of the condition.
Conclusions
Transgender men on hormone therapy have a high incidence of PFD (94.1%) and experience a greater occurrence of urinary symptoms (86.7%).
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kdblossomhospital · 2 years
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Infertility Counselling And Support: When And Where To Find
Infertility is a condition that can make you sick both physically and mentally and it touches all aspects of your life. It can also affect your relationship and you might start hating yourself. But how you deal with this situation depends on your life experiences and personality as well. There are several treatments available through which you can easily deal with a situation such as IVF, egg, sperm, embryo donation, or gestational carriers. It would be good if you take the help of an IVF specialist or infertility counselor near you. If you are looking for the best fertility clinic, then you must visit KD Blossom as we offer the best IVF counseling and services irrespective of gender. KD Blossom is also known as one of the best fertility clinics in Ahmedabad as we are masters in infertility assessment, counseling, endoscopy, ICSI, IUI, and IVF. Read this blog carefully as this may help you decide whether you seek professional help regarding your fertility issues or not.
About Infertility Counseling And Challenges Related To Infertility
Infertility counseling is a kind of physiotherapy that is specially designed to support individuals or couples who are facing challenges around fertility. If you are not able to conceive and are thinking of going for IVF treatment or thinking of adoption or surrogacy, then you must talk to an infertility counselor. They can help you throughout the entire process and will also help reduce stress. Infertility can be stressful for both genders, and it can put a strain on the relationship between partners. This stress occasionally resulted in symptoms of common health issues such as depression and anxiety. Therefore, if you are facing fertility issues then see an infertility counselor as soon as possible to get rid of these challenges. Infertility counselors can treat many symptoms of infertility, such as anxiety, sadness, guilt, shame, conflicts with partners, and so on. Infertility counselors in Ahmedabad also help in dealing with some common challenges, such as wondering about options, considering egg, and sperm adoption, facing relationship problems, dealing with social, cultural, or family pressure, and so on. If you are looking for the best IVF centre in Ahmedabad, then you must visit KD Blossom Hospital, as we offer basic infertility assessments and treatments and also use the latest and newest techniques to bring hope and happiness back to your life. Give us a chance to change your lives.
When Do We Need To Visit An Infertility Counselor?
You must visit an infertility counselor when you feel depressed and anxious and find it hard to live your life productively. If you want to have a baby through other technological options, then you must see an infertility counselor, as they will help you out with what option would be best for you based on your medical condition. Here are some signs that you can treat with the help of an IVF counselor:
Worthlessness, guilt, sadness
Anxiety, agitation
Marital problems
Depression
Loss of interest in sex
Mood swings
Social isolation
Difficulty in having intercourse
Increased use of alcohol or drugs
Changes in weight, body, and appetite
Where Can​ I Get Support?
If you are dealing with infertility, then there are various sources through which you can get support such as books, blogs, and one-on-one counseling. This would help you understand the emotional and physical aspects of infertility. Some social groups are helping couples to reduce the feeling of isolation and are providing opportunities to learn about the causes of infertility. Here, you also can share your experience with other couples suffering from the same issue. If you are looking for IVF counseling or an IVF specialist in Ahmedabad, then visit KD Blossom Hospital as we have a team of experienced IVF doctors in Ahmedabad who makes a thorough assessment of the cause of infertility in both the male and female partners as well as assessment for endocrine disorders, all under one roof.
Who Should Go For IVF Counseling?
There are several patients who are advised to go for IVF counseling but they need to understand both the pre-and post-aspects of IVF treatment. The patient needs to understand what they are going to do and how they will cope with the effects and implications of the IVF treatment. Treatment doesn't need to work for everyone as it doesn't work all the time. Therefore, infertility counseling is important so that you can be prepared for any outcome or failed attempts. The counselor may suggest you try a second attempt again in a few months but you must not take stress if you face a failed attempt. If your counseling and treatment are successful, then it will help you understand the role of parents and cope with the associated challenges.
Original Source: https://kdblossom.co.in/blogs/infertility-counselling-support-when-and-where-to-find-it.html
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arunbeniwal-blog · 6 years
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masseurrsvp · 8 months
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