However, according to the director of SBEM, Karen de Marca, there is little publicity on the subject, which generates ignorance on the part of those who could benefit and can lead to health risks for the trans population. “Not knowing how to proceed causes people to end up using medications on their own. Most people learn from other users. What they tell me is: ‘I went to the website, I went to YouTube, I went to Instagram and there was a person talking about how to use it and I used it’, says the doctor.
“The risks are complications with high doses, people with thrombosis, myocardial infarction, liver complications and complications in aesthetic procedures, which cause necrosis”, adds the endocrinologist, who coordinates the Multidisciplinary Gender Identity Outpatient Clinic (AMIG) at the Luiz Capriglione State Institute of Diabetes and Endocrinology (IEDE) of the Rio de Janeiro State Health Department.
She says that it is common for patients to seek medication on their own or with poor guidance when faced with misinformation or excessive delays in accessing therapy.
The risks are complications with high doses, people with thrombosis, myocardial infarction, liver complications and complications in aesthetic procedures, which cause necrosis.
“Private treatment is expensive, because you have to take medication and have to go to many appointments. And most of these people have had a hard time integrating themselves into society, finishing their studies, advancing professionally, having the resources to pay for private consultations, and many do not have health insurance. So, the treatment is very expensive and they have to wait in line at the SUS. And the SUS waiting list is very long, which ends up making them seek treatment that is not recognized or guided.”
According to the doctor, the wait for sex reassignment can take up to 10 years due to bottlenecks in the supply of therapy in some locations. The endocrinologist advocates that investments be made to value this type of care and attract more specialists to the area.
The guide is based on information from the National Association of Transvestites and Transsexuals (ANTRA) and the company ASA Saúde Educacional, which, in turn, also recommends the Citizenship Map of the Brazilian Association of Lesbians, Gays, Bisexuals, Transvestites, Transsexuals and Intersex (ABGLT).
Source: Maxima
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