Everything you wanted to know about trans feminizing hormones

In this 3-part series, Annie Lakatos, NP, will share her clinical experience in extensively working with trans women, trans-feminine, AMAB individuals on their exploration and journey of using hormones (particularly estrogens, androgen blockers, and progesterone) to feel more comfortable in their skin. This session will cover how to get started, what to expect, effects and risks, and health maintenance. Bring your questions. Everyone is welcome!

PRESENTER: ANNIE LAKATOS, NP
Annie Lakatos has been a nurse practitioner since 2009 and works at Froedtert and the Medical College of Wisconsin in the Inclusion Health Clinic and the General Internal Medicine Clinic. She provides primary care, hormone replacement therapy and PrEP alongside preventive care and education. She is passionate about making each patient feel welcome and creating a space that is supportive and health-promoting for her patients.

Recorded on August 4, 2020.

Introduction 0:09
Presentation outline 2:12
Guidelines for HRT 3:03
WPATH standards of care 4:53
Where do the WPATH guidelines come from? 6:00
UCSF transgender guidelines 6:58
UCSF website 9:48
How to get started on HRT 10:43

Questions at your first visit 14:16
Inner workings of an appointment 17:49
What to expect after starting HRT 22:21
What I hear from my patients 30:22
Effects and risks of HRT 31:34
Timeline of effects of HRT 33:26
Risks associated with HRT 36:22
This is amazing! But what if… 38:14
Preventative health care 39:41

Q&A 41:29
How much does HRT cost? 42:05
Do physicians always prescribe hormone blockers with estrogen? 42:47
Does breast tenderness decrease over time? 43:24
Info for NPs learning to prescribe HRT? 44:21
Are there gel forms of estrogen? 45:51
Is this session being recorded? 46:27
How to navigate standards of care? 46:37
Can you speak more on fertility? Can trans women produce their own eggs? 48:53

What are recommended estrogen levels for trans women over 50? 50:02
Are there any circumstances where you would try Bicalutamide 53:07
Does HRT impact one’s risk of COVID-19 complications? 53:29
What anecdotal evidence have you seen for PMS symptoms? 55:13
Annie’s contact information 56:22
HRT and mental health effects 56:38
Do providers at the Inclusion Clinic also act as primary care physicians? 57:12

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PACT NOW = Preventing and Assisting with COVID-19 among Trans and Non-binary Wisconsinites. PACT NOW is a partnership between FORGE and Froedtert & the Medical College of Wisconsin, Inclusion Health Clinic.

This project is funded by the Advancing a Healthier Wisconsin Endowment at the Medical College of Wisconsin.