Transvestia

The presence or absence of scalp hair in older men is (except in cases in of scalp disease) controlled by their inheritance. Some men lose their hair early and some not at all. Some lose it in one pattern and some in another. It is doubtful that the administra- tion of estrogens except in doses large enough to have other side effects would greatly alter this, especially if the hair has been gone for sometime. Estrogenic applications to the scalp itself might be something else again because the material would be concentrated locally rather than diluted into the whole blood volume.

CONTRAINDICATIONS: There is one primary problem for the male who takes estrogens. That of course is the fact that over a certain dosage (specific for him) he will become impotent, that is lose the power of erection.' After a certain age he might lose it anyhow or prostatic surgery or other pathologic conditions might deprive him of this ability too. But most TVs who talk about hor- mones are middle aged and less are not likely to be "over the hill" for some time yet. Moreover the majority of TVs (70%) are mar- ried. To lose their sexual function may well be not only a loss to them but a deprivation of their wife from something she is entit- led to, namely a satisfactory sexual life with her husband. While it is true that cessation of hormone therapy in most cases permits recovery of potency it may not if the dosage has been too high or too long continued. At the same time one is caught in a squeeze, to take enough to cause any appreciable breast developments like- ly to be enough to at least temporarily greatly reduce or possibly destroy potency. On the other hand a husband and father is really not in a position, except in exceptional cases, to develop a pair of breasts that amount to anything. So if he cannot allow himself to carry the process to its logical conclusion why attempt it at all?

A further contraindication is more subtle and my pass un- noticed. "Libido is a psychoanalytic term referring to sex drive or desire, but in a broader sense it refers to general desires such as the desire to live. In order to have a sexual relation one has to be “driven" to it or have a desire for it of sufficient intensity to make him take the necessary steps. Now in the total drive to live the sexual drive is only a part. However we know that estrogen cuts

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