punkypink (imported) wrote: Tue Jan 19, 2010 7:51 pm
I'd say, implants are probably safer than hormones. Hormones would seem to carry a higher risk. While I don't approve, nontheless there is a health risk issue here, so I'd advise you to visit sites dealing with transition for transwomen, and read up very carefully on the pros and cons of taking female hormones. Besides physical health risk, there is also the risk of psychological effects such as depression caused by a change in your body's chemical balance.
I have enjoyed the interchange of ideas on this thread and agree with much of what has been posted. Unfortunately, I do not have the time to participate more.
As for relative benefit to risk ratios of implants vs. hormones, this is difficult to quantify although epidemiological studies likely exist that would allow this comparison. While there are known risks to taking estrogen, including blood clots, depression and migraines, there are risks (often serious) with all medications. Many of these improve quality of life and the risks are considered manageable. We all have to make an informed decision, meaning in consultation with a physician, on whether the benefits of hormones outweigh the risks. It's also a risk to count on web sites, run by transsexual persons or not, as the only source for advice on hormones. I have found a lot of incorrect information on some of these. Some are very good, others are misleading. A consultation with a good endocrinologist provides the opportunity to ask questions and get very informed answers.
The same benefit vs. risk analysis should be done with any type of elective surgery, including implants. Breast implants are known to make it more difficult to detect tumors through mammography. There are men who get breast cancer, for instance, who have not taken estrogen. So someone who identifies as a male-to-female transsexual, takes no estrogen, but has implants still has a risk of breast cancer. In addition, implants carry the risk of infection, breast pain, scar tissue that distorts the shape of the breast, extrusion of the implant through the skin, necrosis (death of tissue around the implants that may require surgery to remove), loss of sensation and several other complications. (Source:
www.JustBreatImplants.com (
http://www.justbreastimplants.com/implants/) and the Mayo Clinic web site (
http://www.mayoclinic.com/health/breast ... ts/WO00052).)
For nearly 20 months, I have been using an estrogen patch which is known to reduce the risk of blood clots relative to other forms of estrogen administration. My cardiac related blood chemistry has improved since I started estrogen, although I am not certain if this is a predictor of blood clots that can occur in the legs, for instance. While I have had major depression most of my life, estrogen has not worsened this. In fact, I feel calmer and I have never been happier. I also suffer from migraines, but I have seen a huge reduction in migraines since I started estrogen. Of course, part of this may be because I am finally living the life I was born for. In any case, the reported risk of increased migraine frequency and intensity has not been my reality.
I transitioned to full time living as the woman I am before I knew I would receive approval to take estrogen. At that time, I told a friend that if I were never able to take estrogen I would certainly continue to identify as female. Ultimately, as has been pointed out here many times, it is what's between our ears that lets us know who we are.
I have been unemployed over 5 months now. It took me awhile to get over the initial shock of losing my job. Since then, I have been surprised (and pleased) to find that my life continues to get better and I am happier than ever. Very good things can come from being true to who you really are.