The transgender patient in primary care: practical advice for a 10-minute consultation

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Figure 1. UK locations of specialist gender identity clinics.

Box 1. Side-effects of hormonal preparations for trans men and women. ²

Trans women	Trans men
• Breast development takes 2 years	• Beard and body hair growth
• Decreased hair loss	• Male pattern baldness
• Reduced muscle bulk	• Enlarged clitoris
• Erection/orgasm harder to achieve	• Heightened libido
• Weight gain	• Acne
• Reproductive implications, such as infertility	• Sleep apnoea
	• Weight gain
	• Reproductive implications, such as infertility

Box 2. Risks of hormonal preparations for trans men and women. ²

Medications for trans women	Medications for trans men	Self-medication
Thrombosis	Polycythaemia	Non-genuine or inactive product
Gallstones	Hyperlipidaemia	Contaminated/harmful preparation
Elevated liver enzymes	Cardiovascular disease	May have contraindications
Hypertriglyceridemia	Hypertension	Inadequate monitoring, such as liver fuction tests
Hyperprolactinaemia	Type 2 diabetes	Over- or underdosing
Type 2 diabetes