Global Coagulation Assays in Transgender Women on Oral and Transdermal Estradiol Therapy
Hui Yin Lim, Shalem Y Leemaqz, Niloufar Torkamani, Mathis Grossmann, Jeffrey D Zajac, Harshal Nandurkar, Prahlad Ho, Ada S Cheung
The Journal of Clinical Endocrinology & Metabolism | ENDOCRINE SOC | Published : 2020
CONTEXT: The thrombotic effects of estradiol therapy in transgender women are unclear. Global coagulation assays (GCA) may be better measures of hemostatic function compared with standard coagulation tests. OBJECTIVE: To assess the GCA profiles of transgender women in comparison to cisgender controls and to compare how GCA differ between routes of estradiol therapy in transgender women. DESIGN: Cross-sectional case-control study. SETTING: General community. PARTICIPANTS: Transgender women, cisgender male and cisgender female controls. MAIN OUTCOME MEASURES: Citrated blood samples were analyzed for (i) whole blood thromboelastography (TEG®5000), (ii) platelet-poor plasma thrombin generation (..View full abstract
Awarded by Heart Foundation Health Professional Scholarship
Awarded by Australian Government National Health and Medical Research Council Early Career Fellowship
Dr Hui Yin Lim is a recipient of the co-funded National Health and Medical Research Council Postgraduate Scholarship and Heart Foundation Health Professional Scholarship (#1151535). Ada Cheung is supported by an Australian Government National Health and Medical Research Council Early Career Fellowship (#1143333) and receives research support from the Viertel Charitable Foundation Clinical Investigator Award, Endocrine Society of Australia Postdoctoral Award and the Royal Australasian College of Physicians Vincent Fairfax Family Foundation.