Hormone Therapy

Increased rate of pancreatitis in gender diverse and transgender patients on hormone therapy: a case series study.

TL;DR

Gender diverse and transgender patients on gender-affirming hormone therapy had a significantly increased rate of pancreatitis compared to those not on hormone therapy, with a relative risk of 6.96 (95% CI 2.76 to 848.78).

Key Findings

Pancreatitis occurred in 7 of 1333 patients on gender-affirming hormone therapy and in 0 of 615 patients with no history of GAHT use.

  • 7 patients on GAHT developed pancreatitis out of 1333 total GAHT-exposed patients
  • 0 patients without GAHT history developed pancreatitis out of 615 total unexposed patients
  • This represents a relative risk of 6.96 (95% CI 2.76 to 848.78) for development of pancreatitis in patients with exposure to GAHT
  • Study design was a retrospective case series analysis

There is limited data on the incidence of gastrointestinal-specific pathology in gender non-conforming populations prior to this study.

  • The study population included gender non-conforming (GNC) and transgender individuals
  • The study specifically examined patients exposed and not exposed to gender-affirming hormone therapy (GAHT)
  • The authors note clinicians working with GNC individuals should be aware of this possible association between GAHT and pancreatitis

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Citation

Podboy A, Casey C, Buerlein R, Strand D, Shami V, Wang A. (2024). Increased rate of pancreatitis in gender diverse and transgender patients on hormone therapy: a case series study.. BMJ open gastroenterology. https://doi.org/10.1136/bmjgast-2023-001312