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Risk of venous thromboembolism (VTE) in estrogen-treated male-to-female transsexuals. A review of literature and observations from 9 European centers for Gender Dysphoria

Risk of venous thromboembolism (VTE) in estrogen-treated male-to-female transsexuals. A review of literature and observations from 9 European centers for Gender Dysphoria

Four cases of VTE with oral estradiol, one on Premarin and five on transdermal estrogen (currently most prescribed E2 ), were reported., One surgical center reported a low but significant incidence of postoperative VTE with LMWH and stopping of hormones. One center did not stop hormones before operation and observed no postoperative VTE in > 100 operated patients with only LMWH prophylaxis. No VTE was observed in the other centers which all stopped hormones and used LMWH.
The incidence of VTE in estrogen-treated MtF has much decreased in recent years, probably due lower estrogen dose and avoiding EE. However, the risk of VTE appears still increased compared to women (3/10,000), even to estrogen-using women (OC and HRT). Postoperative VTE incidence is low but significant, even in subjects who stopped estrogen before surgery. Peri-operative prophylaxis with LMWH is mandatory. Stopping estrogens before surgery seems prudent but we have insufficient data to recommend it.

Conference: WAS Glasgow 2011
Areas of Interest / Categories: WAS 2011

WAS 2011

Trauma Relief: An Integrated Approach for Working with Sexually Abused Clients

Sexually traumatized patients often have problems with flashbacks, nightmares and avoidance. This workshop teaches an integrated method for trauma relief, combining knowledge from NLP, psycho dynamic therapy, cognitive therapy and modern trauma research. The method is based on the human memory storing system, which functions in the same way in all human beings. This means that the method easily can be used cross-culturally and for all gender combinations.

All you ever wanted to know about penile implants

Some Biblical Principles for Sexuality

To explore how sexual health and sexual ethics are represented in the Bible and how these are relevant to the 21st century. God created humans as physical and relational beings. Sexuality is a good, healthy element of that created physical relatedness, with three functions: relational bonding; mutual pleasure; and procreation. The biblical pattern for sexual expression which best accords with these functions is heterosexual monogamy.

Sexual health Public health

How should the Public Health Model be applied so it really contributes to improved sexual health for all?  Public Health recognizes three levels of prevention - Primary, Secondary and Tertiary.  Primary prevention involves prevention of the disease or injury itself, Fluoride, Immunization, Education to avoid smoking and substance abuse. Secondary prevention blocks the progression of an injury or disease from an impairment to a disability. An impairment has already occurred, but disability may be prevented through early intervention.

Sexual assault is bad for your sexual health

The limits of school-based sex education: Lessons from rigorous evaluations in the UK

The UK has among the highest teenage pregnancy and STI rates in Western Europe and strategies to reduce these outcomes have a high priority. This paper seeks to draw lessons from the rigorous evaluations of three sexual health initiatives: SHARE (a cluster randomised trial (CRT) of teacher-delivered sex education), RIPPLE (CRT of peer-delivered school sex education) and Healthy Respect Phase 2 (a quasi-experimental study of a multi-component Scottish national sexual health demonstration project encompassing youth friendly sexual health drop-ins, social marketing, branding, a parenting component and SHARE).

UNESCO Symposium: Cost, Cost-effectiveness and Scale-up of Sexuality Education

This symposium will focus on presentation of the results and discussion of a ground-breaking study into the cost and cost-effectiveness of sexuality education (SE) in six countries, commissioned by UNESCO in 2010. Why an economic analysis? Policy-makers all over the world, involved in decisions on school-based sexuality education (SE) programmes, are facing three important economic questions: what are the costs of developing the programmes, what are the costs of implementing and scaling up the programmes, and do the programmes provide value for money?

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