The Pros and Cons of HRT

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Andrew (imported)
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The Pros and Cons of HRT

Post by Andrew (imported) »

I have been in touch with Jeff Adams, Dr. Spector's former assisstent. He has given me permission to reprint the page on HRT that was originally on his web page. I reprint it below. I am wondering if this could be made a permanent part of the forthcoming FAQ? In any case, I think it is an important document, and should be read by every Eunuch and those contemplating the operation.

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By Jeff Adams

The Pros and Cons of Hormone Replacement Therapy

The American Medical Association Encyclopedia of Medicine defines Hormone Replacement Therapy as: Β“The use of a synthetic or natural hormone to treat a hormone deficiencyΒ…Β”

The hormone Testosterone is greatly reduced in the blood of a Eunuch after castration. The remaining sex hormones in the body are produced by the adrenal glands and are only about 5% of the pre-castration level in an adult. Some Eunuchs choose Hormone Replacement Therapy after their surgery. Either the male hormone testosterone or the female hormone estrogen can be used.

Testosterone Β– Pros: Testosterone has the benefit of increasing the bone and muscle mass in an adult, as well as providing a strong libido. The male hormone also provides greater stamina and maintains male secondary sexual characteristics.

Testosterone Β– Cons: Testosterone has been linked to the advancement of bone and prostate cancer. It causes male pattern baldness and is known to increase male aggressiveness. It has been suggested that testosterone is the reason males live on average 10 to 15 years shorter lives than Women and Eunuchs.

Estrogen Β– Pros: Estrogen has the benefit of maintaining some libido, although diminished for an adult male. It also maintains bone mass and may prevent osteoporosis. Lower levels cause no or very little feminization of the body. Higher levels can cause moderate increase in breast size and body shape.

Estrogen Β– Cons: This is a female hormone being taken by a relatively male body. The changes in attitude and feeling for the non-transgendered may not be acceptable. Estrogen, however, is a far milder hormone than testosterone and causes fewer negative health effects. All HRT must be monitored (testosterone or estrogen) because they may both cause some liver damage. HRT should always be monitored by a doctor.

General HRT Pros and Cons: In general there are three camps on HRT. Transsexuals need HRT in order to modify their bodies to become female. Eunuchs are split into two. The Eunuch who wishes to maintain some or all of his sexuality would most likely use Testosterone. He would be as normal as any adult male in appearance and feeling, and subject to all male ills associated with this hormone. He may also choose to use estrogen. Again, there are few negatives to estrogen. This would stop most health problems associated with no HRT.

Finally Β– No HRT

Pros: If you choose not to take HRT, you will develop to varying degrees (depending on age of castration) certain features. Your skin will become softer, the hair as well. You will develop the Β“eunuch calmΒ”, an indescribable feeling of peace and calm.

Cons: You may gain weight (10 to 50 pounds depending upon your metabolism). You will also be at a greater risk for osteoporosis and should take regular calcium supplements for life (1500 mg per day).

This page is presented to give some information and get people thinking. I personally advocate no HRT (but that is just my opinion for me). For more information, contact your family doctor.

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Paolo
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Re: The Pros and Cons of HRT

Post by Paolo »

My only advice on this is that if you're going to do it, DO IT, as far as HRT goes.

The roller coaster ride from going down and up and then down again is NO fun at all. If you want to experience that just for the hell of it, be my guest! You won't like it, though. If you don't want HRT, then don't get it and enjoy the plunge.

One thing I didnt' see on this FAQ from Jeff at office is 'an increase in anxiety and nervousness and tremors,' which I had. Of course, this might fall under "agression."

In fact, my latest GP still thinks that the major anxiety attack that I had that landed me in the ER was brought on by the HRT doing its thing to my body when I'd been at a naturally low level for so long. You should also take into consideration your personality type as well. LOW doses of the stuff over time would probably be better for high strung people like me - or NONE at all.

This is sort of a contradiction as well, at least in my case. Perhaps one of those "your mileage may vary" issues. I haven't settled down one bit - being hypogonadic and not taking HRT now. I did gain two inches of waistline though ... heh. OH well, 34" is just right, and that's fine.
Andrew (imported)
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Re: The Pros and Cons of HRT

Post by Andrew (imported) »

Paolo wrote: Mon Jul 01, 2002 8:26 am My only advice on this is that if you're going to do it, DO IT, as far as HRT goes.

The roller coaster ride from going down and up and then down again is NO fun at all. If you want to experience that just for the hell of it, be my guest! You won't like it, though. If you don't want HRT, then don't get it and enjoy the plunge.



I am assuming from this post that you are referring to Testosterone HRT. Your posting confirms my decision to totally avoid THRT. However, as you may have read from another posting of mine, I have started low level Estrogen HRT to deal with the hot flashes. I am, of course, monitoring myself physically and mentally and emotionally.

After 4 days, I have noted no mental or emotional changes from my current eunuch calm. My hot flashes are no longer every hour, but can vary from 1 hour 45 minutes to two and a half hours.

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Paolo
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Re: The Pros and Cons of HRT

Post by Paolo »

Yes, Testosterone HRT, I should have said that. I have no idea what going on and off and on and off of Estrogens would do. Sounds like a job for Pippa and Sherry to me.

I was given fluoxymesterone, which is used to lower estrogen levels in women with cancers that feed on estrogens and also given to little boys who don't or can't begin puberty on their own. I can't imagine taking this stuff on regular basis!

Good luck on the low dose estrogens though. I'm sure the girls can provide us with the answers when they see the post.:)
Andrew (imported)
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Re: The Pros and Cons of HRT

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Paolo wrote: Mon Jul 01, 2002 9:05 am Yes, Testosterone HRT, I should have said that. I have no idea what going on and off and on and off of Estrogens would do. Sounds like a job for Pippa and Sherry to me.

I was given fluoxymesterone, which is used to lower estrogen levels in women with cancers that feed on estrogens and also given to little boys who don't or can't begin puberty on their own. I can't imagine taking this stuff on regular basis!

Good luck on the low dose estrogens though. I'm sure the girls can provide us with the answers when they see the post.:)

Now which of them is always exclaiming that estrogen is "breakfast of champions"?

As noted, I am on a low dose, currently 1.25 MG Premarin per day. Sherry et. al. are on much larger doses to feminize their bodies.

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Mac (imported)
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Re: The Pros and Cons of HRT

Post by Mac (imported) »

If I ever have a need for HRT, I will refuse to take testosterone. If the doctor would refuse to prescribe estrogen, I would just have to go without. I do not like the effects that testosterone has had on my body and sexual organs. Also, I am not looking forward to the effects that it could have on my prostate in the future.
Andrew (imported)
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Re: The Pros and Cons of HRT

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Mac (imported) wrote: Mon Jul 01, 2002 12:15 pm If I ever have a need for HRT, I will refuse to take testosterone. If the doctor would refuse to prescribe estrogen, I would just have to go without. I do not like the effects that testosterone has had on my body and sexual organs. Also, I am not looking forward to the effects that it could have on my prostate in the future.

If you will re-read what Jeff wrote, you will note that he specifically stated that "
Andrew (imported) wrote: Mon Jul 01, 2002 4:38 am Estrogen, however, is a far milder hormone than testosterone and causes f
ar fewer negative health effects."

At the levels I am taking to try and control the hot flashes (and perhaps slow down osteoporosis), I do not anticipate any problems. After five days on the stuff, the only change in me is the length of time between hot flashes. It is improving.

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Sherry (imported)
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Re: The Pros and Cons of HRT

Post by Sherry (imported) »

Andrew (imported) wrote: Mon Jul 01, 2002 9:09 am Now which of them is always exclaiming that estrogen is "breakfast of champions"?

As noted, I am on a low dose, currently 1.25 MG Premarin per day. Sherry et. al. are on much larger doses to feminize their bodies.

Actually, I am taking only 1mg Estrace per day. I see a GP doctor in my area for HRT, and I'm sure he has me on lower doses than his patients who have not been castrated. I'm not sure what he has planned for my HRT doses, but I will see him again this autumn. I don't plan to rush my doctor, as I am having feminizing effects with my regimen, so I am content to transform slowly and safely.

I have had happily unexpected effects even from my low dose. My mom is small-breasted, so I used to wonder if I would ever get any development at all, but I am most definitely developing. They're not large, but I think they're very good considering my low dose and my maternal history. I was already passable before HRT and I believe if I had to, I could have made my social transition without them. There seems to be no need to rush. If I did take higher doses to speed up feminization, I might find myself unable to pass as a man anymore before I had electrolysis finished and was ready for full time.

As for going on and off of Estrogen, I plan to stay on HRT constantly, so I'm afraid I won't be able to testify on the effects of
Paolo wrote: Mon Jul 01, 2002 9:05 am going on and off and on and off of Estrogen.
The best information for that would be to read about transsexuals who must discontinue their HRT around the time of their SRS. I think the fallout would be more severe in those who were not castrated before SRS.

I think Kelly is the one who called Estrogen the Breakfast of Champions.

I feel the same way as Mac does about this. Before Estrogen, I took no HRT at all for over 2 years after my castration. Many of my sisters were horrified that I would develop osteoporosis and who knows what else, but I was not going to take that T for anything. My whole idea was to get rid of testosterone.

Andrew, I am happy to hear that you are finally obtaining improvement of your hot flashes.
eunuch2Bnullo (imported)
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Re: The Pros and Cons of HRT

Post by eunuch2Bnullo (imported) »

Andrew,

Is Jeff a Dr.? I'm a eunuch, looking for a penectomy. Can he do that or refer me to a Dr that can/will?

Larry
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Re: The Pros and Cons of HRT

Post by kristoff »

eunuch2Bnullo (imported) wrote: Mon Oct 01, 2007 6:37 am Andrew,

Is Jeff a Dr.? I'm a eunuch, looking for a penectomy. Can he do that or refer me to a Dr that can/will?

Larry

Jeff is not even close to being a doctor, nor is he a member here any longer - as far as I am aware. For a short time he was an assistant to Felix Spector, a now retired D.O. who used to do castrations. None of the currently available surgeons in the US will do a penectomy, as far as I am aware, without at least some significant psychiatric review.

This is also a five year old thread. Please do not revive the antiques. Start new thread please.
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