Miami Diabetes & Endocrinology

01 — Overview

Below are the services that we provide. Please call our office 786-433-2450 if you have any questions or would like to schedule an appointment.

What are Sex Hormone Disorders?

Sex hormone disorders occur when there is either an overproduction or underproduction of the hormones responsible for sexual characteristics and development. In females, the main female hormone is estrogen which is primarily produced by the ovaries. Women also produce androgens. Testosterone and DHEAS are two of the androgens women produce. When these hormones are not in balance women may experience symptoms including menstrual cycle irregularities, hirsutism, acne and alopecia. In males, the main male hormone is testosterone. When males do not produce enough testosterone they may experience a decline in libido, erectile dysfunction, loss of muscle and loss of body hair.

Sex hormone disorders are resulted either due to excess production or due to the underproduction of sexual hormones which results in the improper development of sexual characteristics in a person. In females this may occur due to the decreased production of estrogen and in males this may result due to the decreased production of testosterone. Which results in PCOS, Hirsutism, androgen excess, menopause in females and hypogonadism, erectile dysfunction, gynecomastia in males. Women are found more than males with sex hormone disorders.

  • Gonadal dysgenesis
  • Hermaphroditism and androgen insensitivity syndromes
  • Klinefelter and kallmann syndrome
  • Menstrual function or fertility disorders
  • Erectile dysfunction
  • Hypogonadism and gynecomastia
  • Hirsutism
  • Menopause and perimenopause
  • Reproductive hormone disorders
  • Ovarian insufficiency

Transgender Medicine

Gender identity is your inner sense of being male, female, both, neither, or some other gender. For transgender people, their gender identity does not match the sex that they were assigned at birth. Sometimes gender identity is outside the two most common categories of male or female. People who feel this way may use the term “nonbinary.”

The process for recognizing, accepting, and expressing your gender identity is called a transition. There are many options for transitioning, including medical and nonmedical options.

What are the medical options for transitioning?

Medical options for transgender people in transition include:

  • Hormone therapy. This is medicine to help increase or decrease sex characteristics. For example, if you are in transition to male, the hormone testosterone helps develop male physical traits such as hair growth on the face or body. Or if you are in transition to female, you may take estrogen to produce female physical traits such as an increase in body fat and breast development.
  • Surgery or surgeries. These are procedures that change the look and the function of your physical sex so that it matches the gender you identify with.

Some transgender people in transition get surgery, some get hormone therapy, and some get a combination of both. These options may also include counseling.

02 — What are the nonmedical options for transitioning?

What are the nonmedical options for transitioning?

Many transgender people transition without using hormones or surgery. Nonmedical options include:

  • Living as your gender identity. This includes changing your clothing, name, speech or other things. You choose how you feel most comfortable expressing your gender identify.
  • Counseling, which may also be called psychotherapy or therapy. This is professional guidance to help a person, family, or group of people recognize and deal with transgender issues. It can be done one-on-one or as a family or group.
  • Getting support. It can be comforting and helpful to talk to people who know what you’re going through. You can find these people through local or online groups. If you don’t know where to find support, check with:

How can you support someone who is transgender?

  • Learn all you can about gender identity.
  • Learn to use the right pronouns (“he,” “him,” “she,” “her,” “they,” “them,” “ze,” “zir”). Ask which pronouns the person prefers.
  • If the person is changing their name, use that new name when you talk to or about the person.

03 — Start here

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