Reproductive endocrinology

Adherence to Gender Affirming Hormone Therapy in Transgender Adolescents and Adults: A Retrospective Cohort Study

J Clin Endocrinol MetabPublished Retrospective cohort study

Authors' conclusion

GAHT discontinuation is uncommon when therapy follows Endocrine Society guidelines. Future research should include prospective studies with long-term follow-up of individuals receiving GAHT.

Study context

Population
Transgender and gender diverse (TGD) individuals prescribed estradiol or testosterone between January 1, 2000, and January 1, 2019, at academic centers; 231 (60%) assigned male at birth, 154 (40%) assigned female at birth
Participants
385 eligible participants
Exposure
Pediatric vs Adult
  • Pediatricn = 121
  • Adultn = 264
Outcome
Incidence and determinants of GAHT discontinuation
Follow-up
Average of 4 years (maximum 19 years) since GAHT initiation
Methodological detailsacademic centers, 2-phase process, Kaplan-Meier survival analyses
  • Academic centers
  • 2-phase process
  • Kaplan-Meier survival analyses

Main finding

As reported in the abstract

GAHT discontinuation · during follow-up

Discontinued gender-affirming hormone therapy (GAHT) during follow-up (phase 1)

6 participants

1.6%

Observational data: associations, not effects.

Original publication

Adherence to Gender Affirming Hormone Therapy in Transgender Adolescents and Adults: A Retrospective Cohort Study. J Clin Endocrinol Metab. Published 29 May 2023. doi:10.1210/clinem/dgad306

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