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Manufacturer Detail

By Market Players:F. Hoffmann-La Roche, Novartis, Novo Nordisk, Amgen, ANI Pharmaceuticals, Bayer, Eli Lilly, Hisamitsu Pharmaceutical, Ipsen, Merck, Mylan Laboratories, Orion, QuatRx Pharmaceuticals, Teva Pharmaceutical Industries, TherapeuticsMD

By Application

By TypeEstrogen Replacement Therapy, Growth Hormone Replacement Therapy

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2020-2025 Global and Regional Hormone Replacement Therapy Industry Production, Sales and Consumption Status and Prospects Professional Market Research...

Ireland has come a long way over the past few decades, in relation to respecting the rights of the LGBTQ+ community. But there is a lot more to be done in the area, especially in relation to Trans rights

The question came up in conversation with friends recently. The more I thought about it afterwards, the more convinced I was that it was incredibly important to use this column to talk about the issue.

With that in mind, I had the absolute pleasure of sitting down with Lilith Keeva Carroll who works as the National Community Development Officer with TENI and talking to her not just about her own experiences, but also about trans rights in general. It turned out to be a very educational conversation indeed.

From the start of our conversation, I am struck by the strength it must take to stand up and speak your truth when society isnt ready to acknowledge or could even be fighting against you. Lilith came out as transgender at the age of 31, She recalls having to block out the noise of society telling me who I should and shouldnt be; and battling against the rigid gender roles that are thrown at all of us.

Lilith speaks fascinatingly about the start of her transition and the new challenges with which she was faced. I now moved through the world in a different way, she recalls. I was doing at 31 what girls did when they were 12: trying to figure out what works for you and learning things you previously werent able or allowed to do.

There was a difference too in the way other people saw Lilith. Theres a change in the worlds perception of you, she observes, moving from the feeling of erasure to then having to grapple with hyper-visability, where people would now read me as a woman, or a trans-woman, or I could even be misgendered.

Im interested to hear about the kind of help and support provided for trans people within the Irish healthcare system. How does Lilith rate it? The models of healthcare that exist in Ireland are quite regressive, she says. When you look at the likes of Argentina, they have a much more progressive model in terms of healthcare and informed consent. You just have to look at the waiting lists and the personal testimonies of trans people, and their experiences with our healthcare, to see that its a real struggle.

Lilith points out that, while top surgery (breast augmentation) is available for trans women, its equivalent for trans men (mastectomy) is not. As a result, the option of transitioning surgically represents a huge challenge in Ireland. Where relevant, trans people have to seek these operations elsewhere and, with the cost of surgery and travel starting around 10,000 but often running considerably higher a lot of trans people (including Lilith) have to turn to fundraising for their own healthcare.*When you look at the economic status of trans people, its incredibly low, Lilith says, and so a lot of people are stuck with this system, which acts as a barrier to their bodily autonomy. In Ireland, there are parallels between abortion rights, and the policing of womens bodies in that regard, and trans peoples bodily autonomy and the policing of their bodies in society, either legally or institutionally.

Talking to Lilith, I have to think hard, again and again, about who is making these decisions around trans bodies? Who is creating the hoops that trans people have to jump through? Not me, Lilith laughs.

What she really means, of course, is that trans people are not involved in a decision-making process that hugely affects their lives and their well-being. The reality is that, whether they are seeking hormone replacement therapy or making a completely unrelated visit, serious barriers exist that block trans people from receiving the health care they need and deserve. Lilith explaines that, in reaction to this, the community has had to take on the responsibility of providing support and information to trans people.

Dealing with the health system, there isnt a clear path, she says, so unfortunately it falls back onto the community to give each other tips and to share our experiences. At TENI we do the best we can to provide the information where the healthcare, education and sex education systems have failed. But putting that responsibility on the community does come with risks. Transitioning is a hard process anyway, but (its even more so) if you are struggling with your mental health or with being disabled. Or in direct provision or battling homelessness.

The issues that affect wider society, hit trans people hard, particularly around housing and immigration. If you are an immigrant or person of colour or sex worker, these barriers that block trans people become even greater.

All of these difficulties notwithstanding, Lilith still speaks positively about the role Ireland might take on, when it comes to the progression of trans rights globally. In this, she has been encouraged by the support she found within the feminist community in Ireland, compared to the UK and the USA.

The approach here is inclusive and not based on colonialism, she says. A lot of the ideas of what a woman is supposed to be stems from a colonial past, that doesnt exist in Ireland. I guess the best example of that was the TERFs Out movement around the time of Repeal, when UK feminists were coming over and attempting to impose their very singular feminist views and it just wasnt accepted here.

Transphobic attacks are more common in the UK and the USA than they are in Ireland and transphobic views can often find their way into the ideology of feminist groups. I ask Lilith how we might make sure these things dont happen here.You see the young people that are coming in and thats hopeful, exciting and encouraging, she says. Its about defending that and making sure that it doesnt get rolled back with the discourse that is happening either side of us. With the rise of the far-right (across the world), its important for us not to fuel or feed into that here. And if we dont feed into it, then Ireland could lead the way for trans-rights.

Progressive legislative changes have already been introduced in Ireland, including both the right to correct your gender on your passport; and recognising 16 and 17 year-olds transgender rights, provided they have the support of their parents. However, serious issues and challenges remain: for example, the law still doesnt recognise the rights of non-binary people or trans people under the age of 16.

As we come to the end of our conversation, I too feel the hope that Lilith expresses about the potential for progress on trans rights in Ireland. She makes an analogy between the erasure that trans people have felt and the erasure that Ireland experienced as a country. Asserting a belief in trans rights is very much linked to Irish cultural identity, she insists. Our feminism is so strong here because we have had to fight for our rights against the Catholic Church and our colonial past. Irish people have had to fight for everything and, as a result, we know what we can achieve. There is still work to be done and, as a country, we need to address the sweep it under the carpet culture that allows us to ignore issues.But I am really hopeful that Ireland can lead the way, she concludes. We are now in a place where we can define our future for ourselves, and carve out a space for the trans community and trans rights in Ireland.

You can find Liliths fundraiser here: gofundme.com/f/keeva039s-surgery-fund

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Sex Column: Trans rights are the next big step toward equality in Ireland - hotpress.com

CLAIRE Dunwell thought she was going crazy when, after turning 40, she began to suffer heart palpitations, migraines and crippling anxiety.

After going back and forth to her GP, she was given medication for anxiety, beta-blockers for her heart and even sent for an ECG heart check.

6

Claire, 42, now knows she is going through the perimenopause, a phase before menopause when hormone levels can fluctuate. She is now undergoing hormone replacement therapy to ease the effects. But it should all have been diagnosed sooner.

A Mumsnet poll found one in four women with menopausal symptoms sees a GP three times before getting the right help. One in four is told she is too young to be perimenopausal.

Here, Claire, a writer who lives in Wakefield, West Yorks, with husband Ian, 55, a chip shop owner, and sons Sam, 13, and Louie, ten shares her story.

SOAKING up the rays, I should have been living my best life.

It was last August, blazing hot, and we were halfway through a two-week family holiday in Crete.

6

While my husband Ian had his head buried in a book, planning his next trip to the all-inclusive bar, I was frantically searching Google on my phone, hoping for answers to explain the way I was feeling.

Since hitting 40 the previous February, I had been plunged into a dark, unfamiliar world.

I had become anxious, irritable and zapped of energy.

When my head wasnt thick with brain fog it throbbed with migraines, and trying to concentrate on anything for longer than half an hour had become a battle.

I felt like someone I didnt recognise not the fun, happy-go-lucky person I was in my carefree twenties and thirties.

6

Id always been fit, healthy and a cup half full kind of girl.

I exercised three times a week, ate healthily and was incredibly lucky to have a loving husband, two healthy children, great friends and a successful career.

From the outside looking in, I had it all.

But on the inside, I had suddenly lost control.

Even the most mundane jobs such as unloading the washing machine and trying to pair up socks overwhelmed me.

FACT:

1 in 4 women with symptoms have to see GP 3 times to get right help

Headaches, fatigue, anxiety and palpitations made matters worse.

It was three months after I turned 40 when the repeat trips to my GP surgery began.

I beat myself up for wasting precious NHS time.

I felt like a fledgling hypochondriac.At each visit, doctors tried hard to treat my list of ailments but nothing worked for long.

6

For the migraines, which Id never suffered before and became so unbearable I struggled to hold conversation and just wanted to sleep, a doctor prescribed Sumatriptan.

I took it when the migraines hit and although they helped with the head pain, they made me feel sick and groggy.

At another appointment, this time with a nurse, it was suggested I try a high dose of aspirin as soon as I felt a migraine coming.

If that didnt work, she would refer me to a local migraine support group.

Next came the unexplained anxiety and heart palpitations, which were at their worst during the two weeks before my period.

FACT:

A quarter are told they are too young to be premenopausal

Some days, I felt as though I was going crazy.

I could be enjoying coffee with a friend one minute and gripped by an irrational panic the next.

My heart raced, worrying something terrible was about to happen.

My husband took the brunt of my bad moods.

I felt exhausted all the time because nodding off on the sofa by 9pm most nights meant I struggled to get a good nights sleep.

I was less tolerant with the kids too.

All of this was completely out of character.

Despite the odd night every few weeks when I woke up in the night drenched in sweat, it never dawned on me that it could be down to my hormones.

6

Sobbing to my GP at yet another appointment, I was prescribed Citalopram, an anti-anxiety medication which I hoped could be a magic pill.

I was desperate to try anything.

They even gave me an ECG for the palpitations, but it showed my heart was perfectly normal.

Its only now, looking back, that I realise it was around this time my periods changed.

Some months they were lighter than normal and others they were shorter in length.

Neither me, nor my GP, made the link that I could be heading towards The Change.

It was during that family holiday to Crete last year that I finally reached the end of my tether.

I was six months into the Citalopram but because it wasnt making any difference, I stopped it.

FACT:

The average woman hits menopause at age 51

I made another appointment with my GP and was handed a prescription for beta blockers which slow the heart rate and can help with anxiety.

Instead, they left me feeling spaced out and sluggish, so I could only take them at night.

It was during my son Louies routine asthma check-up last September when everything began to fall into place.

Tearful, I begged a friendly nurse for five minutes of her time.

Youre not going crazy, she reassured me, as I blurted everything out.

Youre perimenopausal.

The nurse said how all my symptoms were likely to be down to a drop in my hormone levels.

At first, the idea seemed ridiculous.

I was 41, and the average age women reach menopause when regular periods stop is 51.

But the more I pieced together my sudden onset of symptoms, the more it made sense.

When I asked if there was a blood test I could have to check my hormone levels, I was told it would be difficult to get a reliable result because hormones fluctuate daily.

The nurse prescribed the mini Pill hoping the top-up of progesterone would help. She suggested trying oestrogen later.

6

I went away feeling both relieved and confident that I was finally on the right path.But while the mini Pill helped with the migraines and eased the anxiety, it caused frequent heavy bleeding.

I was determined to find another solution, so I tracked down Dr Louise Newson, a GP specialising in menopause, and author of the Haynes Menopause Manual.

At her clinic in Stratford-upon-Avon she talked through my symptoms and I was given a blood test which found I had low levels of both oestrogen and testosterone.

While Louise said my results suggested I was perimenopausal, she stressed it is better to go on a patients symptoms than blood tests alone.

Hormone levels change all the time, she told me.

We could do three tests on three consecutive days and get completely different results, so the most important part of the diagnosis is the history from the patient.

When Louise went on to explain how it is not unusual for some women to experience menopausal symptoms up to a decade before The Change, I felt a huge weight lift.

Louise explained: Without hormones, its like trying to drive a car without oil.

The menopause occurs because our ovaries run out of eggs and stop producing hormones.

Many women find that their hormone levels start reducing several years before this.

Louise said that the perimenopause could be just as mentally and physically draining as the real thing.

Your age is key to diagnosis

THE average woman experiences the menopause when regular periods stop aged 51. But hormone levels can fluctuate several years earlier and in some people this can have side-effects.

This is known as the perimenopause.

Dr Louise Newson, pictured, says: Most women get some symptoms linked to changing hormone levels during perimenopause.

Some have symptoms for a decade before the menopause. Guidance from the National Institute for Health and Care Excellence (Nice) says that if a woman is over 45, we dont need to test for perimenopause or menopause.

If theyre 40 to 45 tests can be useful, and if theyre under 40 its important to get a diagnosis. In these situations a woman experiencing menopausal symptoms should seek help and advice from a doctor who specialises in the menopause.

Cells in our hearts, brains, bones, muscles, bladders and blood vessels respond to oestrogen so when levels reduce, all kinds of symptoms can ensue.

My hot flushes, night sweats, low mood, anxiety, joint pains, headaches and even my reduced libido could all be attributed to this fluctuation.

Low testosterone levels can also lead to brain fog, low energy, reduced stamina and reduced libido.

In my case, Louise prescribed an oestrogen gel as well as progesterone tablets, a type of Hormone Replacement Therapy.

She told me: The only way to find out if a drop in hormones is causing the symptoms is by replacing them and then seeing what happens.

The guidelines are very clear that for the majority of women who take HRT, the benefits outweigh the risks.

The menopause needs to be seen as a long-term female hormone deficiency rather than just a natural process that causes symptoms.

By replacing these hormones, we can really improve our future health as well as our symptoms.

I never imagined Id be taking HRT at the age of 42, but I could not contemplate going on for several more years feeling like I had been.

Four weeks into the treatment, Ive found it has already made a huge difference.

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Mums migraines, anxiety & palpitations were driving her crazy for two years until she was diagnosed with p - The Sun

The 21 year old make up artist has been overwhelmed by the massive response

A GoFundMe page set up on Thursday has raised more than 700 towards breast augmentation surgery for a transwoman.

Jamie Scott, a makeup artist from Prestonpans, was shocked when she found out that her two bosses had set up the page to help her through her transition.

The total amount being raised has a 6000 target towards the life changing surgery.

Joleen Clark, the organiser wrote: Our beautiful Jamie is the very talented MUA at our salon, Beyond the Mirror hair and beauty in the lovely coastal town of Musselburgh.

Jamie has struggled with her gender identity from when she was old enough to remember, and has had to face many challenges and hurdles on her journey.

Three years ago, Jamie started her transitioning from male to female with the love and support of her family and friends, however this has never been an easy process.

At the moment NHS Scotland require people living with gender dysphoria to have a lived experience of their gender for at least 12 months before hormone replacement therapy is given, but in many cases it can take longer.

For Jamie, it took over two years for the hormones to be approved and released to her by her doctor.

The post continued: Due to the tragic passing of a beautiful young transgender lady in our community we - Amy and Joleen, Jamies bosses - decided we wanted to help Jamie on her journey.

We want to see this most beautiful person feel like the amazing woman she is. Jamie is the most loving, generous, funny, witty lady with the biggest heart so we are asking you, our local community to help make a difference in this lovely ladies life by helping her have breasts which we know would mean the absolute world to her.

21-year-old Jamie said: Im from a tiny little coastal town called Prestonpans and I started transitioning when I was 19.

There has always been judgement, where Im from theres barely anyone like me, its been hard. Im unhappy with my body and I dont feel like myself, my body isnt what it should be.

I expressed it to my bosses and they contacted my family first before they created the fundraiser, I am completely overwhelmed by it.

However, the GoFundMe page has not come without controversy and backlash, she has been subjected to messages stating that she does not deserve the money being donated and it should go to other causes.

Its been horrible, Jamie said, Prestonpans isnt a place for people like me and it is hard.

She described her condition as seeing a stranger when she looks in the mirror and feeling trapped in the wrong body.

Theres a lot of judgement, Jamie continued, A lot of people in the area stare, even people Ive known for years who knew me before I began transitioning and knew I was going through this still look, but I feel dishonest being in my own body. I wake up and I dont feel like myself, going through with the survery will change my life, it will be like a sense of being set free.

The fundraiser has a 6000 target, and her bosses have told her they will help as much as they can, with donations and tips to go towards the end goal.

Jamie said: People cant judge the journey im on unless theyve experienced it themselves, everyone battles their own thing and Ive always fought this by myself.

The number of trans people has tripled and it is making it harder for people to get help, it is just a waiting game.

What I would tell young people who felt like me today is that they need to fight to be themselves but it is a worthwhile fight.

To help other transwomen in the community, Jamie along with her salon now run a trans night, which encourages trans people, who may not be confident enough to visit a salon during the day to come along to the evening free of judgement to the safe space.

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GoFundMe set up for East Lothian transwoman's breast augmentation raises over 700 in 24 hours - Edinburgh News