Hormone treatment to induce breast development in trans women
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Trans woman - Start of hormone treatment after 18 years of age - More than one year of hormone treatment - Underwent vaginoplasty or orchiectomy - Sufficient knowledge of the Dutch language - BMI 18-30 kg/m2
Exclusion criteria
Exclusion criteria: - No regular follow-up visits at the clinic for gender dysphoria - Previous use of progesterone/ progestin (not including cyproterone acetate) - History of breast augmentation or reduction surgery - Active treatment for depression - Current use of progesterone/ progestin including cyproterone acetate (e.g. because of increased bodily hair growth after vaginoplasty) - Severe familial dyslipidemia (e.g. Familial Hypercholesterolemia) - Serum estradiol concentration > VUmc reference range (150-400 pmol/L) at last visit prior to baseline - Any of the following contraindications for the use of micronized progesterone (Utro-gestan): Known, past or suspected breast cancer; Known or suspected estrogen-dependent malignant tumours (e.g genital tract carcinoma); Thrombophlebitis; Previous or current thromboembolism disorders (e.g. deep venous thrombosis, pul-monary embolism); Known thrombophilic disorders; Acute liver disease, or a history of liver disease as long as liver function tests have failed to return to normal (<2.5xULN); Known hypersensitivity to the active substances or to any of the excipients (Sunflower oil, Soya lecithin, Gelatin, Glycerol, Titanium dioxide); Porphyria; Cerebral hemor-rhage. Interfering medication (SPC). - Mental health issues that prevent participation - History of epilepsy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The main study parameters include change in breast size as determined by measurement of breast volume and determination of the bra cup size. | — |
Secondary
| Measure | Time frame |
|---|---|
| Serum progesterone levels, patient satisfaction, mood changes, sleep quality, and adverse events are secondary endpoints. | — |
Contacts
Amsterdam UMC, location VUmc