Medication
Dr Streed: Transgender individuals may seek any number of interventions to affirm their gender identity; CSHT is one such intervention.
Procedures
Dr Streed: Future research ideally should involve large prospective cohort studies that include cisgender men and women, transgender men and women who are receiving CSHT, and transgender men and women who are not receiving CSHT. Such studies should be powered to evaluate differences among various CSHT regimens.
Self-care
CSHT for transgender women has potential thromboembolic risks, but [thromboembolic events] are rarely seen with lower-dose transdermal and oral bioidentical estrogen formulations, and these are preferred to high-dose oral ethinyl estradiol formulations. Endocrinology Advisor: What are the implications for transgender men using CSHT?
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What can csht do for transgender individuals?
What is the future of csht research?
Does csht have thromboembolic risks?
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What is the best way to prevent CVD?
As such, primary prevention of CVD through risk factor modification, including tobacco cessation, maintenance of a body mass index of 25 kg/m 2 or less, and management of abnormal lipid levels, diabetes, and hypertension, is of great importance for the health of transgender individuals.
What are the disciplines that must collaborate and be in open dialogue to provide the best care for transgender patients?
Dr Streed: Because transgender individuals may seek out a number of interventions to affirm their gender identity, it is critical for clinicians to be aware of the multidisciplinary needs of their transgender patients. Urology, gynecology, endocrinology, and primary care are just some of the disciplines that must collaborate and be in open dialogue to provide the best care for transgender patients. In addition, specialists in fields such as dermatology, plastic surgery, otolaryngology, and voice coaching must be prepared to be involved in the complete care of transgender patients.
Is CSHT a transgender intervention?
Dr Streed: Transgender individuals may seek any number of interventions to affirm their gender identity; CSHT is one such intervention. CSHT for transgender women has potential thromboembolic risks, but [thromboembolic events] are rarely seen with lower-dose transdermal and oral bioidentical estrogen formulations, and these are preferred to high-dose oral ethinyl estradiol formulations.
Does CSHT cause cardiovascular disease?
Dr Streed: In transgender men, we found that CSHT, particularly with testosterone, is associated with worsening cardiovascular risk factors, such as increased blood pressure, insulin resistance, and lipid derangements, but not with increases in cardiovascular morbidity or mortality.
Does CSHT increase risk of CVD?
However, transgender men using CSHT had the same CVD risk as cisgender men or cisgender women who were not using HT. In addition, CSHT was not associated with an increased risk for CVD morbidity or mortality. 2 Data suggested transgender women using exogenous estrogen had a greater risk for thromboembolic events than cisgender women in the general population, but their risk was similar to that observed in cisgender women taking exogenous estrogen. 2 Transgender women taking CSHT also appeared to have a greater risk for CVD mortality than cisgender women in the general population.
What to do if you have a cyst on your skin?
If a cyst has developed on a specific internal organ rather than being visible on the skin, your doctor will schedule routine imaging appointments to monitor its growth. If it’s suspected that a cyst could be cancerous, a biopsy will be performed.
Can you remove a cyst?
The method for cyst removal depends on the type of cyst you have, its location, cause, and how much discomfort it’s causing you. The majority of cysts are non-cancerous and usually respond well to treatment.
Can a cyst be drained?
Most types of cysts can be drained by your doctor. During this procedure, your doctor inserts a needle directly into the cyst, allowing the fluid or other material to drain out, causing it to collapse. For one that’s very large, surgical removal may be required. If a cyst is cancerous, it will be surgically removed, along with any surrounding tissue that’s been affected.
Epidermoid cyst
An epidermoid cyst is a small, slow growing, benign cyst most commonly found on the face, head, neck, back, or genitals.
Breast cyst
Most breast lumps (such as cysts) are noncancerous, but there are many possible causes for a lump in your breast.
Ganglion cyst
A ganglion cyst is a round, gel-filled lump of tissue that usually appears along tendons or joints, especially in the hands, wrists, ankles, and feet.
Pilonidal cyst
A pilonidal cyst is a common skin condition that forms in the cleft at the top of the buttocks. It typically occurs after puberty.
Ovarian cyst
Ovarian cysts are fluid-filled sacs that develop on one or both of the ovaries.
Pilar cyst
A pilar cyst is a noncancerous, skin-colored, round bump that develops under the surface of the skin. It’s usually located on the scalp.
Mucous cyst
A mucous cyst is a fluid-filled swelling that occurs on the lip or the mouth.
PTSD vs Complex PTSD
Feeling stressed after a traumatic situation is common. You might feel anxious, have an increased heart rate, experience bad dreams, or get shaky. This is called post-traumatic stress or PTS. PTS can be very intense, however, the symptoms usually go away within a month. 1
Symptoms
Symptoms of PTSD are intense and persistent. They last long after the trauma has ended, usually more than one month, and include: 3 1
Diagnosing Complex Trauma
C-PTSD is not yet a diagnosis in Diagnostic and Statistical Manual of Mental Disorders ( DSM-5) or recognized by the American Psychiatric Association (APA). However, the World Health Organization (WHO) describes C-PTSD in the ICD-11. 8
Causes of C-PTSD
Those with C-PTSD suffer long-term and repetitive trauma and are often hurt by a caregiver. Most survivors were unable to leave the situation and felt trapped or controlled.
Complex Trauma Treatment
C-PTSD is treated similarly to PTSD. However, treatment is usually longer. It may include one or a combination of the following:
Coping With C-PTSD
Recovery from C-PTSD is a long process. It’s important to be easy on yourself or your loved one with C-PTSD. The following are coping mechanisms that are helpful when used along with treatment:
Summary
Complex PTSD, also referred to as C-PTSD, can result from chronic trauma that usually happens during childhood and adolescence. While it is similar to post-traumatic stress disorder (PTSD), it comes with an additional cluster of symptoms.
What to do if your syringe drains?
Wrap it in a bandage if it starts to drain and make an appointment with your doctor.
Do cysts need to be treated?
Skin cysts don’t need treatment most of the time. They’re usually painless and nothing to worry about, unless they get sore or infected. But if you have a cyst that bothers you or is embarrassing, you should discuss it with your doctor.
What is the best treatment for cysts?
Apple cider vinegar is another recommended natural remedy. It may help with cysts to a limited extent.
How to shrink a cyst?
1. Hot compress. Simple heat is the most recommended and effective home measure for draining or shrinking cysts. Here’s how it works: Heat may reduce the thickness of liquid in the cyst. In the case of liquid-filled epidermoid cysts, this may help fluid drain quicker into the lymphatic system.
What is a cyst in the body?
Cysts are hard lumps filled with various substances that form in the body. There are many different types. The most common types are epidermoid cysts, which grow right under the skin. Doctors or surgeons may help you remove these types of cysts. This is the only reliable way to remove one completely.
Can you prevent a cyst from forming?
You can’t prevent a cyst from forming, but you can prevent one from getting infected. The best way to do this is to avoid:
Do you have to remove a cyst?
Remember: If your cyst isn’t causing you problems, you don’t necessarily always need to remove it . If it bothers you aesthetically, gets infected, causes pain, or grows rapidly in size, then talk with your doctor. 1.
Why do you need to remove a cyst?
Larger cysts may need to be removed if they cause hair loss on the scalp, or interfere with clothing. When your cyst is removed you’ll be given a local anesthetic to numb your skin. Your healthcare provider will make a cut and squeeze out the protein inside.
How to reduce inflammation of cysts?
Help reduce inflammation by holding a warm towel against the cyst.
What tests are done to determine if a cyst is cancerous?
If your healthcare provider suspects that your sebaceous cyst is abnormal and possibly cancerous, he or she may order the following tests: An ultrasound to determine the contents of the cyst. A punch biopsy. This is where a small amount of the tissue from the cyst is removed and examined for signs of cancer.
How is a cyst drained?
Laser-aided excision. The cyst is drained when a laser makes a small hole.
What to do if you think a sebaceous cyst is infected?
If you think the sebaceous cyst is infected then you should see your healthcare provider right away. You might need antibiotics.
What is the treatment for syphilis?
There are no home remedies or over-the-counter drugs that will cure syphilis, but syphilis is easy to cure in its early stages. A single intramuscular injection of long acting Benzathine penicillin G (2.4 million units administered intramuscularly) will cure a person who has primary, secondary or early latent syphilis. Three doses of long acting Benzathine penicillin G (2.4 million units administered intramuscularly) at weekly intervals is recommended for individuals with late latent syphilis or latent syphilis of unknown duration. Treatment will kill the syphilis bacterium and prevent further damage, but it will not repair damage already done.
Is there a cure for syphilis?
What is the treatment for syphilis? There are no home remedies or over-the-counter drugs that will cure syphilis, but syphilis is easy to cure in its early stages.
