Pre-op trans women basically have PCOS

A really interesting study conducted by researchers at Cedars-Sinai Medical Center found that trans women who have not had their testes removed (and who thus have higher levels of testosterone) experience:

  • Worse metabolic health (more insulin resistance)
  • More hepatosteatosis (fatty liver) / higher risk of NAFLD
  • Increased risk of heart disease

Sound familiar?

My hope is that research into PCOS can keep trans women healthier and research into the endocrine and metabolic particulars of transitioning will shed some light on PCOS. The standards aren’t widely agreed upon, but many researchers believe we should be on the lookout for PCOS in cis men, too. (It’s often called Stein–Leventhal syndrome, since cis men lack ovaries.)


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