{"id":171618,"date":"2025-11-24T16:05:12","date_gmt":"2025-11-24T22:05:12","guid":{"rendered":"https:\/\/tecscience.tec.mx\/en\/?p=171618"},"modified":"2025-11-25T16:20:04","modified_gmt":"2025-11-25T22:20:04","slug":"hormone-replacement-therapies","status":"publish","type":"post","link":"https:\/\/tecscience.tec.mx\/en\/health\/hormone-replacement-therapies\/","title":{"rendered":"Access to Hormone Therapies Reduces Depression and Anxiety in Trans People"},"content":{"rendered":"\n<p>Gender-affirming hormone therapy is <strong>essential for the health and well-being of transgender people<\/strong> who choose to use it. However, in Mexico and Latin America, access is still limited in coverage, standardization, and medical follow-up.<\/p>\n\n\n\n<p>&#8220;Each person can exercise their bodily autonomy to create a body they want to inhabit,&#8221; says <strong><a href=\"https:\/\/genero.posgrado.unam.mx\/siobhan-fenella-guerrero-mc-manus\/\" target=\"_blank\" rel=\"noreferrer noopener\">Siobhan Guerrero<\/a><\/strong>, researcher at the <a href=\"https:\/\/ceiich.unam.mx\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Center for Interdisciplinary Research in Sciences and Humanities<\/strong><\/a> (CEIICH). <\/p>\n\n\n\n<p>Guerrero explains that choosing to use hormone replacement therapy is related to the free development of one&#8217;s personality and the right to <a href=\"\/en\/human-social\/improving-medical-care-towards-the-lgbtiqa-community\/\">access healthcare<\/a>, which should be a guarantee for the transgender and non-binary community.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Scientific Evidence on its Benefits<\/h2>\n\n\n\n<p>There is growing evidence demonstrating that these treatments\u2014whether it is testosterone, estrogen, or other hormones\u2014have many benefits, primarily related to psychological well-being.<\/p>\n\n\n\n<p>Studies show that these therapies reduce gender dysphoria\u2014the psychological distress experienced when a person&#8217;s gender identity does not align with the sex they were assigned at birth\u2014improve their <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/34394009\/\" target=\"_blank\" rel=\"noreferrer noopener\">quality of life<\/a>, and <a href=\"https:\/\/academic.oup.com\/jes\/article\/5\/4\/bvab011\/6126016\" target=\"_blank\" rel=\"noreferrer noopener\">decrease cases of depression, anxiety, and suicidal ideation<\/a>.<\/p>\n\n\n\n<p>&#8220;It\u2019s positive in terms of mental health and personal development in their work, study, and family environments,&#8221; says Guerrero. &#8220;For me, this is reason enough to say that these types of technologies should be accessible to the trans and non-binary community.&#8221; <\/p>\n\n\n\n<p>But despite the evidence, progress toward universal access remains slow.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to Ensure Safe and Supervised Access<\/h2>\n\n\n\n<p>For Guerrero, in addition to making sure that trans people who wish to use gender-affirming hormone therapy as part of their transition have access to it, it is essential that this occur with clinical monitoring and within an appropriate legal framework.<\/p>\n\n\n\n<p>\u201cMany of these technologies, if they aren&#8217;t used under medical supervision, can have negative effects on the kidneys, liver, or even the brain,\u201d she says.<\/p>\n\n\n\n<p>The researcher affirms that specialized care must be non-pathologizing, since it is now recognized that being a trans person is not a pathology but a gender identity.<\/p>\n\n\n\n<p>She also emphasizes the importance of knowing that there are trans people who choose to undergo their transition without medication or surgical interventions. \u201cThis in no way makes them second-class trans persons,\u201d she clarifies.<\/p>\n\n\n\n<p>To ensure safe use, protocols must be defined and procedures and medications standardized.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"N\u00facleo de Investigaci\u00f3n de Impacto en Salud\" width=\"800\" height=\"450\" src=\"https:\/\/www.youtube.com\/embed\/yPhGLXVgGlI?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Progress and Issues to be Solved<\/h2>\n\n\n\n<p>A recent study conducted in Australia found that <a href=\"https:\/\/jamanetwork.com\/journals\/jamanetworkopen\/fullarticle\/2809058?utm_source=chatgpt.com\" target=\"_blank\" rel=\"noreferrer noopener\">initiating testosterone therapy immediately in transgender and gender-diverse adults has better outcomes than waiting<\/a>. In the country, the protocol for receiving this hormone takes three months, as patients are placed on a waiting list and must undergo a rigorous evaluation. <\/p>\n\n\n\n<p>These findings could guide public health policies to reduce waiting times.<\/p>\n\n\n\n<p>Despite progress, some gaps remain in research on the potential side effects associated with these treatments. There is also an urgent need for treatments designed specifically for transgender people. \u201cMany of these technologies were not designed for the transgender population, such as hormone blockers, which were designed for cisgender adolescents who had an early-onset puberty,\u201d Guerrero explains.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Risks of Self-Medication and Use of Non-Prescribed Hormones<\/h2>\n\n\n\n<p>Among the greatest risks of not having standardized care are the use of non-prescribed hormones, <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC8942532\/?utm_source=chatgpt.com\" target=\"_blank\" rel=\"noreferrer noopener\">self-medication<\/a>, the purchase of hormones through informal or illegal means\u2014such as the dark web\u2014and unsafe injection practices.<\/p>\n\n\n\n<p>Self-medicating with unregulated hormones can lead to unsafe substances, incorrect doses, and no clinical monitoring.<\/p>\n\n\n\n<p>It is estimated that between 20 and 40% of trans and non-binary people have used non-prescribed hormones at some point during their transition. <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC4802845\/?utm_source=chatgpt.com\" target=\"_blank\" rel=\"noreferrer noopener\">Structural barriers<\/a>\u2014such as cost, regulation, lack of trained healthcare professionals, and limited access\u2014contribute to dangerous practices within this community.<\/p>\n\n\n\n<p>\u201cUnfortunately, there are few endocrinology professionals who really have enough knowledge to support trans people,\u201d says Guerrero.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Remaining Challenges to Guarantee Trans Rights and Safety<\/h2>\n\n\n\n<p>Protecting the safety, dignity, and well-being of the trans community requires more than expanding access to regulated therapy.<\/p>\n\n\n\n<p>According to Guerrero, it is urgent to address issues such as <a href=\"https:\/\/almascautivasorg.wordpress.com\/wp-content\/uploads\/2019\/02\/la-situacic3b3n-de-acceso-a-derechos-de-las-personas-trans-en-mc3a9xico.-investigacic3b3n-completa.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">access to education and employment<\/a>, the elimination of discrimination in public services and spaces, the prevention of violence and trans femicides, their psychological well-being, political representation, and the investment in public policies that protect them.<\/p>\n\n\n\n<p>\u201cWe need to prevent the impoverishment of trans lives,\u201d she says. \u201cPerhaps the best way to intervene is to prevent the chains of violence by intervening in homes, schools, the public sphere, and workplaces.\u201d<\/p>\n\n\n\n<p>In Mexico City and other major cities across the country, the researcher sees a glimmer of hope that leads her to believe this is possible. \u201cI\u2019m not going to tell you that Mexico doesn\u2019t have problems with intolerance,\u201d she concludes. \u201cBut all things considered, I think our society has been moving in the right direction; I see social change that is still very incipient, but it\u2019s there.\u201d<\/p>\n\n\n\n<p>Ensuring safe and regulated access to hormone replacement therapies contributes to improving the mental health of trans people and is part of a broader effort to ensure that they can have dignified lives that are free from violence.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><strong><em>Did you find this story interesting? Would you like to publish it? Contact our content editor to learn more: <a href=\"mailto:marianaleonm@tec.mx\" target=\"_blank\" rel=\"noreferrer noopener\">marianaleonm@tec.mx<\/a>.<\/em><\/strong><\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Medical supervision and an appropriate legal framework are key to ensuring that people who need them can access hormone therapies safely.<\/p>\n","protected":false},"author":12,"featured_media":171619,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_eb_attr":"","footnotes":""},"categories":[86],"tags":[224],"class_list":["post-171618","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health","tag-health"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v21.0 (Yoast SEO v27.5) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>How to ensure access to gender-affirming 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Guti\u00e9rrez Jaber","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/d136e90158f5aac8a8da8abe38806ceebb853d4d6d17967fb867b912b35483a9?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/d136e90158f5aac8a8da8abe38806ceebb853d4d6d17967fb867b912b35483a9?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/d136e90158f5aac8a8da8abe38806ceebb853d4d6d17967fb867b912b35483a9?s=96&d=mm&r=g","caption":"In\u00e9s Guti\u00e9rrez Jaber"},"description":"Periodista de ciencia y artista visual. Mi trabajo ha sido publicado en medios como Science, Science News, Newsweek, Nexos, \u00bfC\u00f3mo ves?, entre otros. Estudi\u00e9 Biolog\u00eda en la Facultad de Ciencias de la UNAM y ah\u00ed descubr\u00ed mi pasi\u00f3n por comunicarle a todas las personas el conocimiento cient\u00edfico y su relevancia social. Creo que la ciencia, al fomentar el pensamiento cr\u00edtico, puede empoderar a la humanidad y, al ser la base de los avances tecnol\u00f3gicos, puede ayudarla a vivir en las mejores condiciones posibles.","url":"https:\/\/tecscience.tec.mx\/en\/author\/igutierrez\/"}]}},"_links":{"self":[{"href":"https:\/\/tecscience.tec.mx\/en\/wp-json\/wp\/v2\/posts\/171618","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/tecscience.tec.mx\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/tecscience.tec.mx\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/tecscience.tec.mx\/en\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/tecscience.tec.mx\/en\/wp-json\/wp\/v2\/comments?post=171618"}],"version-history":[{"count":0,"href":"https:\/\/tecscience.tec.mx\/en\/wp-json\/wp\/v2\/posts\/171618\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/tecscience.tec.mx\/en\/wp-json\/wp\/v2\/media\/171619"}],"wp:attachment":[{"href":"https:\/\/tecscience.tec.mx\/en\/wp-json\/wp\/v2\/media?parent=171618"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tecscience.tec.mx\/en\/wp-json\/wp\/v2\/categories?post=171618"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tecscience.tec.mx\/en\/wp-json\/wp\/v2\/tags?post=171618"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}