I'm not a doctor but I know that hormones effect more than just secondary sexual features of the body. I think most ladies will agree with me that fluctuating hormones also can effect moods, headaches, tiredness, weight, etc.
The doctors agree, too.
Quote:
HARRY BENJAMIN INTERNATIONAL GENDER DYSPHORIA ASSOCIATION'S
THE STANDARDS OF CARE FOR GENDER IDENTITY DISORDERS -- SIXTH VERSION
...Side effects in biologic males treated with estrogens and progestins may include increased propensity to blood clotting (venous thrombosis with a risk of fatal pulmonary embolism), development of benign pituitary prolactinomas, infertility, weight gain, emotional lability, liver disease, gallston formation, somnolence, hypertension, and diabetes mellitus. .... Biologic males undergoing estrogen treatment should be monitored for breast cancer and encouraged to engage in routine self-examination. As they age, they should be monitored for prostatic cancer...Reductions in testosterone doses post-oophorectomy should be considered, taking into account the risks of osteoporosis.
IJ TRANSGENDER - THE STANDARDS OF CARE FOR GENDER IDENTITY DISORDERS- Effects of Hormone Therapy in Adults
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