Updated - 2016-08-18

As this page is now growing quite large I've split it up into different sections -

Documents - pdf's

Hormones 2016

Posted - 2016-05-01

Today I'm proud to announce the publication of "Hormones 2016" (gold cover edition) containing 780 pages of goodies, with one new hormone 'Triptorelin', and a major chapter called "README FIRST", which summarises all the drugs and gives their common side-effects, and links to their main entries. There is also a new chapter with 4 deprecated hormones, and the reasons why they should now not be used.

It also includes these new sections -

Accessing your health records
Blood tests and their results
Breast Screening
Deprecated Drugs
Expiry dates
Free prescriptions
Getting a urine sample
Getting older
Grapefruit Juice
Other infections that can be caused by an STI
Pelvic examination
Renewed Confidence in HRT
Sexually transmitted infections - STI’s
Sitting down?
Skin care
Stress management
Stretch marks
Treatment aims
Urine tests and their results

This replaces "Universal Hormones 2015" which is now removed.

Download - Hormones 2016 - version 1.5

Aging and trans

Posted - 2016-08-18

Part 1 - General Health

465 pages, 1.6MB, covering aging, the effects of aging, older folk and exercise, health 60+, lifestyle, suicide and self-harm, planning for the future, trans and getting older, and transphobia, and 2 indexes, along with a glossary and acronyms, and a comprehensive bibliography.

Download part 1 - Aging and Trans - part 1

Part 2 - General Conditions

480 pages, 1.9MB, covering Age-related Macular degeneration, Alzheimer’s disease, Arthritis, Asthma, Bronchitis, Cataracts, Chronic obstructive pulmonary disease, Coronary heart disease, Depression, Diabetes, Dysarthria, Dysphagia, Emphysema, Foot problems, Gender dysphoria, Glaucoma, Hearing loss, HIV/AIDS and older adults, Influenza, Leg ulcers, Meniere’s disease, Osteoarthritis, Osteoporosis, Pneumonia, Restless legs syndrome, Rheumatoid arthritis, Scabies, Shingles, Stroke, Urinary incontinence, Quality of life and 5 indexes, along with a glossary and acronyms, and a comprehensive bibliography.

Download part 2 - Aging and Trans - part 2

Part 3 - Mental Health

415 pages, 1.6MB, covering Abuse and neglect (a major section detailing differing abuse and its symptoms, and how to handle it), Alzheimer’s disease, Anxiety, Corticobasal degeneration, Creutzfeldt-Jakob disease, Dementia with Lewy bodies, Depression, Frontotemporal dementia, Huntington’s disease, Mixed dementia, Normal pressure hydrocephalus, Parkinson’s disease, Stress, Vascular dementia, Memory problems, Common dementia, Diet and mental health, Korsakoff’s syndrome, Mild cognitive impairment, Niemann-Pick disease type C, Posterior cortical atrophy, Progressive supranuclear palsy, Looking after someone with dementia, Motor neurone disease, Delirium, Complementary and alternative therapy, Confusion, How to stay safe online, Self-harm, Suicide, Talking treatments, and 5 indexes, along with a glossary and acronyms, and a comprehensive bibliography.

Download part 3 - Aging and Trans - part 3

Part 4 - Cancer

535 pages, 2.2MB, covering Understanding cancer, Living with cancer, Advanced cancer, bladder, bowel, kidney, lung, mouth, skin, cervical, female breast cancer, ovarian, womb, male breast cancer, prostate cancers, depression, nipple discharge, palliative care, quality of life, vaginal discharge, alcohol and cancer and 4 indexes, along with a glossary and acronyms, and a comprehensive bibliography.

Download part 4 - Aging and Trans - part 4

Herbal Hormones 2016

Posted - 2016-01-02

Its finally here, and here are the factoids -

757 hours in the writing, 636 pages, 14 chapters, 1 appendix, 4 indexes, 1 bibliography, 1 glossary, 1597 citations, and still only 3.3 mbs in size!

It has a "README FIRST" chapter giving very basic information about each herb, and links to the main section of that herb. With a very extensive glossary throughout the book, and my individual indexed comments about each herb.

Download - Herbal Hormones 2016 - version 1.0

Fair care for trans patients

Posted - 2016-09-15

Produced by the Royal College of Nursing

Download - Fair Care for Trans Patients

Report of the Care Quality Commission into the Charing Cross Gender Identity Clinic

Posted - 2016-05-12

This is the report of the Care Quality Commission into the Charing Cross Gender Identity Clinic and their inspection took place on 19th and 20th January 2016.

For further information see Report of the Care Quality Commission into the Charing Cross Gender Identity Clinic

Download - CQC Report into Charing X GIC

Effects of Sex Steroid Deprivation/Administration on Hair Growth and Skin Sebum Production in Transsexual Males and Females

Posted - 2016-04-08

And this is quite interesting. They say in their conclusion -

"estrogens plus antiandrogens in biological males block circulating androgens and sebum production almost completely, but inhibit hair growth only slowly. A strong reduction in hair-shaft diameter was the first sign of androgen deprivation, reaching its maximum after 4 months"

Its well worth a read, even if you only read the conclusion.

Download - Effects of Sex Steroid on TSs

The Transsexual Phenomenon

Posted - 2016-04-08

Looking through the logs I found that several people were looking for "phenomenon" and not finding it. I knew what the true title of the article was "The transsexual phenomenon" by Harry Benjamin published in 1966.

I knew that it used to be here, back when I had a wordpress site, and I've now found it and so here it is -

Download - The Transsexual Phenomenon

Transgender Equality

This is the report of the 'House of Commons - Women and Equalities Committee' their 'First Report of Session 2015–16' which was published on January 14, 2016 which has some very interesting conclusions and recommendations.

Download - Transgender Equality

The 'clinical management policy of Charing Cross GIC'

Posted - 2015-12-16

Download - Interim Gender Dysphoria Protocol and Service Guideline 2013/14

Download - CR181 Good practice guidelines for the assessment and treatment of adults with gender dysphoria

Download - Gender dysphoria services: a guide for General Practitioners and other healthcare staff

Pharmacological Treatment of Gender Dysphoria

Posted - 2015-11-26

Produced by the Devon NHS Trust and gives the most up-to-date pharmacological regimes, and also says what should not be used and the reason why.

Download - Pharmacological treatment of gender dysphoria

DOH - Transgender Experiences

Posted - 2015-09-07

A small booklet produced by the Department of Health "to help trans people and their families understand about the experiences of trans people, their rights and their choices. It also helps healthcare staff to understand about their role when caring for trans people". Published in 2009.

Download - DOH Transgender Experiences

Transgender Clinical Reference Guide

Posted - 2015-08-18

Whilst uploading the new site I came across this file which is a digest of the "Endocrine Treatment of Transsexual Persons" document, so here it is for you.

Download - Transgender Clinical Reference Guide

Counselling Transgendered, Transsexual, And Gender-Variant Clients

Posted - 2015-01-25

A guide for counsellors from Journal of Counselling & Development 2002.

Download - Counseling Transgendered, Transsexual, and Gender-Variant Clients

Nursing with dignity

Posted - 2015-01-25

A guide to cultural and spiritual awareness, from various sources.

This is Version 2 which is much improved.

Download - Nursing with dignity

Standards Of Care For The Health Of Transsexual, Transgender, And Gender Nonconforming People - Version 7

Posted - 2015-01-25

Standards Of Care For The Health Of Transsexual, Transgender, And Gender Nonconforming People - Version 7

This is the current version as used by the ‘The World Professional Association for Transgender Health’.

Download - Standards of Care, version 7

Guidance For GPs, Other Clinicians And Health Professionals On The Care Of Gender Variant People

Posted - 2014-12-15

Gender variant people are relatively rarely seen in GP surgeries. Many GPs say that they lack the knowledge to treat those experiencing gender variant conditions and, consequently, they are not confident to do so. The first part of this publication provides an overview of care for trans people that is particularly applicable to GPs. Department of Health guidelines dated 2008.

Download - Guidance for GPs, other clinicians and health professionals on the care of gender variant people

NHS Funding Processes And Waiting Times For Adult Service-Users

Posted - 2014-12-12

NHS Funding Processes And Waiting Times For Adult Service-Users

This publication will help you understand the processes involved in obtaining funding for treatment for gender variant conditions. It answers the questions that service-users typically ask, and it provides guidance on how to navigate this complex system with minimum delay. Your GP may also find this information helpful. Department of Health guidelines dated 2008.

Download - NHS funding processes

A Guide To Hormone Therapy For Trans People

Posted - 2014-12-03

This booklet has been produced by a team that includes doctors and trans people to help you understand and answer some of your questions about hormone treatment for trans people. If you are thinking about starting hormone therapy, you may find it helpful to share the information in this booklet with a spouse or partner or other family members. Department of Health guidelines dated 2007.

Download - A guide to hormone therapy for trans people

Endocrinology Handbook, May 2010 - NEW

Posted - 2014-12-03

The most current update of the "Endocrinology Handbook" published by the Imperial College Endocrine Unit, London.

Download - Endocrinology Handbook

Everything You Ever Wanted To Know About Sex Change – But Were Afraid To Ask

Posted - 2014-12-01

by Melanie. Written by an American but contains interesting information, some of which may be out of date now.

Download - Everything You Ever Wanted To Know About Sex Change – But Were Afraid To Ask

Endocrine Treatment of Transsexual Persons

Posted - 2014-12-01

The aim was to formulate practice guidelines for endocrine treatment of transsexual persons by medical practitioners, endocrinologists, surgeons, psychiatrists, and General Practitioners. This is the current version even though it is dated 2009.

First published in the Journal of Clinical Endocrinology & Metabolism, September 2009, 94(9): 3132–3154

Download - Endocrine Treatment of Transsexual Persons: An Endocrine Society Clinical Practice Guideline

Endocrine Treatment of Transsexual Persons - A Patient’s Guide

Posted - 2014-12-01

In 1923, the term transsexual was first used to describe persons who felt profound discomfort with their biological sex. Today, medical treatment, sometimes together with surgery, allows transsexual persons to make a male-to-female (MTF) or female-to-male (FTM) transition and to live a gender-appropriate life.

This is the patient guide that was released at the same time as the "Endocrine Treatment of Transsexual Persons".

Dated September 2009.

Download - Endocrine Treatment of Transsexual Persons - A Patient’s Guide

Documentary's - audio

Transgender Lives

Posted - 2015-12-17

A radio programme broadcast on Radio Scotland on the 31st March 2015.

Following several Scottish trans people who just talk about themselves and how normal they are.

Download the mp3 file - Transgender Lives - 2015-03-31

Becoming Myself: Gender Identity – 2

Posted - 2014-12-21

A radio programme broadcast on BBC Radio 4 on 19 December 2014.

The second in a two-part series, with this one covering trans-women.

Download the mp3 file - Becoming Myself - 2014-12-19

Becoming Myself: Gender Identity – 1

Posted - 2014-12-12

A radio programme broadcast on BBC Radio 4 on 12 December 2014. This is a mp3 file of 28MB size.

A revealing series which goes inside the Charing Cross Gender Identity Clinic in Hammersmith, London – the largest and oldest in the world – to explore the condition of gender dysphoria. This programme discusses trans-men.

Download the mp3 file - Becoming Myself - 2014-12-12

Gender Dysphoria on the radio

Posted - 2014-12-11

This is a radio programme first broadcast on BBC Three Counties Radio round about the end of June 2014. "Shrink Wrapped“ is the name of the series.

Download - Shrink Wrapped - Gender Dysphoria