Hormone Therapy

[Assessment of ovarian reserve during gender affirmation hormone therapy in trans men].

TL;DR

Despite high biological variability of anti-müllerian hormone, no significant changes in its levels were observed during gender-affirming hormone treatment with testosterone in trans men over 6 to 12 months.

Key Findings

Baseline testosterone and anti-müllerian hormone levels in trans men prior to treatment were within the reference range for biological women.

  • Basal testosterone level was 0.58 ng/ml
  • Basal anti-müllerian hormone (AMH) level was 2.89 ng/ml
  • Both values were described as 'within the range corresponding to biological women'
  • Measurements were taken in the early follicular phase using a chemiluminescent method
  • Study included 16 participants with a median age of 22.5 years

All trans men achieved testosterone levels within the male reference range after 6 to 12 months of gender-affirming hormone therapy.

  • The male population reference range for testosterone used was 3-9 ng/ml
  • All 16 individuals reached this range by the time of their semi-annual or annual control
  • Baseline testosterone was 0.58 ng/ml, confirming a substantial increase during treatment
  • Controls were conducted at 6 to 12 months after initiation of testosterone treatment

No significant differences in anti-müllerian hormone levels were observed before and after 6 to 12 months of testosterone treatment.

  • The p-value for the comparison of baseline and post-treatment AMH levels was p = 0.7630
  • AMH was measured at baseline and again at the 6 to 12 month control point
  • The study noted 'high biological variability' of AMH as a contextual factor
  • The prospective study included 16 participants

Gonadotrophins, estradiol, testosterone, and anti-müllerian hormone were measured at baseline in the early follicular phase using a chemiluminescent method.

  • Measurements were taken prior to the start of gender-affirming hormone treatment
  • The chemiluminescent method was used for all hormone assays
  • At the follow-up control, only testosterone and AMH levels were re-determined
  • The study was prospective in design with 16 participants meeting inclusion requirements

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Citation

Minotti F, Nagelberg A, Abdala R, Otero P. (2022). [Assessment of ovarian reserve during gender affirmation hormone therapy in trans men].. Medicina. https://pubmed.ncbi.nlm.nih.gov/35417388/