A new law regulating the online sale of certain drugs, including hormones, threatens to sever a lifeline for China’s transgender community
“Sometimes [transgender people] even face domestic violence,” Huang tells TIME. “Their parents will forbid them from buying [HRT drugs] and will lock them inside their house, and even send them to some schools forTo be sure, there have been developments in domestic transgender healthcare. In 2021, the country’s first ever clinic for transgender children and adolescents was opened in Shanghai’s Fudan University Children’s Hospital.
Dr. Greg Mak, a veteran psychiatrist in Hong Kong who chairs the Asia Professional Association for Transgender Health, says those born with male sex characteristics, for example, who take the hormone estradiol will experience feminizing effects, such as enlargement of breasts. But without proper check-ups and management, Mak says those using estradiol may experience serious side effects like breast cancer, endometrial cancer, and deep-vein thrombosis.
“There are quite a lot of misunderstandings with respect to the choice of drugs to use, their expectation, the possible medical complication without medical assessment or follow-up,” Mak tells TIME.
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