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Multiple myeloma Clinical testing Bibliometric analysis Research trends Therapeutic strategies Collaboration networks. Transgender Hormone misuse Gender-affirming treatment Sex hormone drugs Lung adenocarcinoma Screen Surveillance Accessibility Lung cancer Equity
Open Access Case Report

Navigating Barriers: Hormone Misuse Among Transgender Women in Mainland China Due to Restrictive Medical and Societal Norms：A Case Report

by Xu Yang 1,*  and  Jiatong Pan 2
1
Maksim Tank Belarusian State Pedagogical University, Gomel region, 247760, Byelorussia
2
Hankou University
*
Author to whom correspondence should be addressed.
JMMR  2024 1(1):7; https://doi.org/10.69638/jmmr202405002
Received: 9 January 2024 / Accepted: 28 May 2024 / Published Online: 31 May 2024
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Abstract

Background

The stringent and challenging procedures required for transgender women to access legitimate gender-affirming medical services in Mainland China often lead them to procure sex hormone medications from unlicensed providers. This situation is exacerbated by pervasive societal biases against transgender individuals, particularly transgender women, who encounter significant hostility. This dynamic underscores the urgent need for reforms to simplify the processes involved in accessing transgender medical services in Mainland China.

Case Presentation

This article presents a case of hormone misuse by a transgender woman in Mainland China, who experienced breast development, atrophy of male genitalia, diminished testosterone levels, and elevated estradiol and prolactin levels due to self-administered hormone therapy. The individual resorted to purchasing hormones from non-credentialed sources after her parents refused to authorize formal gender-affirming treatment. Despite psychiatric intervention, the patient continued to self-medicate with hormones obtained from these unqualified sources, leading to ongoing genital atrophy.

Conclusions

There is a compelling need to alleviate the procedural barriers to gender-affirming treatment in China and to revise regulations that require parental consent prior to such treatment. Without these changes, a significant number of transgender individuals will remain unable to access proper medical care, potentially leading to increased instances of hormone therapy misuse among this population.

Keywords: Transgender; Hormone misuse; Gender-affirming treatment; Sex hormone drugs;
Copyright: © 2024 by Yang and Pan. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (Creative Commons Attribution 4.0 International License). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
Cite This Paper
APA Style
Yang, X., & Pan, J. (2024). Navigating Barriers: Hormone Misuse Among Transgender Women in Mainland China Due to Restrictive Medical and Societal Norms：A Case Report. Journal of medical management research, 1(1), 7. doi:10.69638/jmmr202405002
ACS Style
Yang, X.; Pan, J. Navigating Barriers: Hormone Misuse Among Transgender Women in Mainland China Due to Restrictive Medical and Societal Norms：A Case Report. Journal of medical management research, 2024, 1, 7. doi:10.69638/jmmr202405002
AMA Style
Yang X, Pan J. Navigating Barriers: Hormone Misuse Among Transgender Women in Mainland China Due to Restrictive Medical and Societal Norms：A Case Report. Journal of medical management research; 2024, 1(1):7. doi:10.69638/jmmr202405002
Chicago/Turabian Style
Yang, Xu; Pan, Jiatong 2024. "Navigating Barriers: Hormone Misuse Among Transgender Women in Mainland China Due to Restrictive Medical and Societal Norms：A Case Report" Journal of medical management research 1, no.1:7. doi:10.69638/jmmr202405002

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ACS Style
Yang, X.; Pan, J. Navigating Barriers: Hormone Misuse Among Transgender Women in Mainland China Due to Restrictive Medical and Societal Norms：A Case Report. Journal of medical management research, 2024, 1, 7. doi:10.69638/jmmr202405002
AMA Style
Yang X, Pan J. Navigating Barriers: Hormone Misuse Among Transgender Women in Mainland China Due to Restrictive Medical and Societal Norms：A Case Report. Journal of medical management research; 2024, 1(1):7. doi:10.69638/jmmr202405002
Chicago/Turabian Style
Yang, Xu; Pan, Jiatong 2024. "Navigating Barriers: Hormone Misuse Among Transgender Women in Mainland China Due to Restrictive Medical and Societal Norms：A Case Report" Journal of medical management research 1, no.1:7. doi:10.69638/jmmr202405002
APA style
Yang, X., & Pan, J. (2024). Navigating Barriers: Hormone Misuse Among Transgender Women in Mainland China Due to Restrictive Medical and Societal Norms：A Case Report. Journal of medical management research, 1(1), 7. doi:10.69638/jmmr202405002

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