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The American College of Cardiology and Hormone Replacement Therapy

Donica

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I have been a pro advocate of HRT long before I started my transition journey. It's no secret that cis women usually outlive their cis male counterparts. The ACC believes it's because of estrogen, among other lesser things. The ACC also believes that HRT has rejuvenating qualities for cardiovascular disease and strokes. Below are two papers by the ACC, one from 2017, and the other from 2019. I'm glad to see at least someone is doing these studies. Perhaps you can take these documents with you on your next visit with your Endocrinologist or Cardiologist in case they're HRT shy. Have a look!

Hormone Replacement Therapy Associated with Lower Mortality - American College of Cardiology (acc.org)

Menopause Hormone Therapy: What a Cardiologist Needs to Know - American College of Cardiology (acc.org)
 
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OzGirl

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Thanks Donica, it is yet another study disproving the outcomes of the Womn’s Health Initiative, even though it looked at ‘80’s and early ‘90’s data which would have been on synthetic hormones. The WHI is a dangerous document hich has caused much suffering and probably loss of life, it recommendations have been disproven so many times, and yet conservative medicos keep using it.

This reminded me of an article I read in the early ‘90’s about a mid 50’s senior nurse who was in a court case to have her husband castrated. (He was for it) She presented a comprehensive medical case proving it would lengthen his lifespan, and reduce risk of illness, but the medical profession were fighting the decision. I never found out the outcome of this trial, but it highlighted the resistance of medicos to adopt procedures which are proven to improve lifespan and quality of life.

Hugs,

Allie
 

Linde

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My endocrinologist keeps me at a hormone level of a 30's something woman. It seems that taking 200 mg progesterone daily, along with estrogen is even more beneficial for the heart.

Linde
 

michelle_the_belle

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It makes sense. The effects of testosterone on the blood in terms of increasing overall viscosity and increasing the action of platelets are well known, I can’t imagine any endocrinologist doesn’t know this. I think the trans community are still fighting against outdated ideas about the dangers of HRT leading doctors to ignore the benefits, both physical and psychological.
 

OzGirl

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It makes sense. The effects of testosterone on the blood in terms of increasing overall viscosity and increasing the action of platelets are well known, I can’t imagine any endocrinologist doesn’t know this. I think the trans community are still fighting against outdated ideas about the dangers of HRT leading doctors to ignore the benefits, both physical and psychological.

Many doctors, including endos, trained more than a decade ago on data which was from last century, and which has been widely discredited as it was based on synthetic hormones which carry higher risks. It comes down to lazy health providers who don’t make any effort to stay current in their knowledge outside of the pharmaceutical company junkets. This is why it is critical for our welfare to be educated in our treatment and willing to push or walk away from uneducated doctors. We get one shot at transition and life, and so many doctors mess it up (I would suggest that most trantioners are getting incorrect treatment from their doctors, as good providers are rare), but it is worth finding a good doctor to give the best shot at the life you need.

Hugs,

Allie
 

michelle_the_belle

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couldn't agree more but I also think that there is an element of transphobia in the whole equation. They dress it up as concern of course but they willfully ignore the proven benefits and point to outdated information which they use as a cloak to hide their bigotry. I had to fight really hard to get the treatment that I did and there was an element of luck involved as well but the level of transphobia in the medical community is just disgusting and it needs to stop
 
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