happousai (imported) wrote: Mon Jun 17, 2002 4:40 am I just had a thought:
If a boy is born without testicles, and then goes on HRT, does that mean he'll be dependent on (and presumably have to pay for?) HRT for the rest of his life in order to avoid osteoperosis?
(Does anyone know whether osteoperosis affects the Hijra from India, btw?)
If the boy without testicles goes on HRT to initiate puberty, he will need testosterone
to avoid osteoporosis. Not much research seems to have been done on those who do NOT use HRT, since there are so few of them. I believe most parents and doctors will initiate puberty by HRT if it hasn't started by age 16, and the heck with the boy's consent.
Now the Italian castrati, castrated before puberty, seemed to have lived very long lives without problems with osteoporosis. Perhaps the body adjusts somehow when puberty fails to start? As noted, very scant data on this subject.
As for the Hijra of India, some are castrated before puberty, some after, but again nobody seems to be keeping medical records. I would assume that those castrated after puberty are indeed at risk from osteoporosis, but how many would live long enough for that to become a problem?