25-06-2014, 08:52 PM
Clinical usefulness
This report is the first comparison of different estrogen and antiandrogen regimens used in a single assessment center in which funding is not a confounding factor in the recommendation for augmentation mammoplasty. The finding that self-medication with estrogen results in more requests for mammoplasty reinforces the importance of supervised and cautious initiation of estrogen therapy in transwomen with regard to satisfaction with breast development. Clinically, it is important to counsel individuals who are self-medicating that they may compromise their final breast outcome, and there should be strong advice not to self-medicate.
This report is the first comparison of different estrogen and antiandrogen regimens used in a single assessment center in which funding is not a confounding factor in the recommendation for augmentation mammoplasty. The finding that self-medication with estrogen results in more requests for mammoplasty reinforces the importance of supervised and cautious initiation of estrogen therapy in transwomen with regard to satisfaction with breast development. Clinically, it is important to counsel individuals who are self-medicating that they may compromise their final breast outcome, and there should be strong advice not to self-medicate.

