Sunday, November 9, 2014


  1. Why are 16 year old girls excited about injecting synthetic hormones? If they start down this route, they could be injecting them for the rest of their lives.

    I argue that 16 year old girls are not mature enough to make rational informed consent. This is being done to them. The prefrontal cortex which is sometimes called the judgment center of the human brain isn't fully developed until the early to mid-twenties. Teenagers can't buy alcohol, serve in the military, or vote, but they are supposedly mature enough to take synthetic hormones that can effect their health.

    Below is an Informed Consent form for testosterone. I'm assuming this is for adults. Does a 16 year old girl really understand all of this? I seriously doubt it.

    I understand that is it not known exactly what the effects of testosterone are on fertility. I have been informed that if I stop taking testosterone, I may not be able to become pregnant in the future. I have been advised to undergo gamete (egg) banking if this is a concern of mine.

    _____ 3. I understand that brain structures are affected by testosterone and estrogen. The long term effects of changing the levels of one’s natal estrogen through the use of testosterone therapy have not been scientifically studied and are impossible to predict. These effects may be beneficial, damaging, or both.

    _____ 4. I understand that everyone’s body is different and that there is no way to predict what my response to hormones will be. I also understand that the right dosage for me may not be the same as for someone else. I further understand that I must follow my prescribed regimen of testosterone treatment to continue to receive hormone therapy at this clinic.

    _____ 5. I will have complete physical examinations and lab tests periodically as required to make sure I am not having an adverse reaction to testosterone and to continue good health care. I understand that this is required to continue testosterone therapy at this health center.

    _____ 6. I have been informed that using testosterone may increase my risk of developing diabetes in the future because of changes in my ovaries.

    _____ 7. I understand that the endometrium (lining of the uterus) is able to turn testosterone into estrogen and may increase the risk of cancer of the endometrium. Not having periods may increase this risk. Continued pelvic exams and cervical cancer screenings are strongly recommended unless there has been a removal of the ovaries, uterus, and cervix.

  2. I understand that testosterone therapy should not be relied upon to prevent pregnancy. Even with the cessation of periods, use of a barrier method of birth control is advised during sex where semen could enter the vagina or uterus.
    _____ 9. I understand the effects of testosterone therapy by itself will not provide protection from sexually transmitted diseases or
    HIV. Use of barriers and safer sexual practices are recommended to reduce chances of infections.
    _____ 10. The effects of testosterone therapy do not provide protection from cervical or breast cancer. Annual breast exams,
    monthly self-exams, and annual mammograms/cancer screenings after the age of 40 are highly recommended even after
    chest reconstruction.

    _____ 11. I understand fatty tissue in the breasts and body is able to turn excess testosterone into estrogen, which may increase
    my risk of breast cancer and decrease or impede the desired effects of testosterone therapy.

    _____ 12. I have been informed that testosterone may lead to liver inflammation and damage. I have been informed that I will be
    monitored for liver problems before starting testosterone therapy and periodically during therapy.

    _____ 13. I have been informed that if I take testosterone my good cholesterol (HDL) will probably go down and bad cholesterol
    (LDL) will go up. This may increase my risk of heart attack or stroke in the future. The rates for FTMs on testosterone are
    similar to that of natal males.
    _____ 14. I understand that testosterone therapy may cause changes in my emotions and moods and that my providers can assist
    me to find support services and other resources to explore and cope with these changes.