Feminizing hormone therapy using GnRH agonists as antiandrogens is not associated with adverse metabolic and bone effects in adult transgender women - Takeaways - MDSpire
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The Use of GnRH Agonists in Feminizing Hormone Therapy Does Not Lead to Negative Metabolic or Bone Health Outcomes in Adult Transgender Women

  • By

  • Brunet, Louise

  • Busiah, Kanetee

  • Moser, Mireille

  • Papadakis, Georgios E.

  • May 21, 2026

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  • 1

    GnRH agonists and estrogens in GAHT do not negatively impact metabolic health in adult transgender women.

  • 2

    Body mass index, fat mass index, and visceral adipose tissue remained unchanged during GAHT.

  • 3

    GAHT resulted in a significant reduction in lean mass indices after 12 months of treatment.

  • 4

    Participants showed an increase in plasma HDL-cholesterol levels during GAHT.

  • 5

    The percentage of participants with low bone mineral density decreased from 41% to 27% after 12 months of GAHT.

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