Windy City Media Group Frontpage News


home search facebook twitter join
Gay News Sponsor Windy City Times 2021-06-09



GLMA sends action alert on national health issue for transgender women

This article shared 396 times since Fri Sep 2, 2016
facebook twitter google +1 reddit email

The Gay and Lesbian Medical Association ( GLMA ) is sending this message from our colleagues at Callen-Lorde, Fenway and Treatment Action Group. GLMA has joined this sign-on effort and encourages individual providers and other LGBT health organizations to do so as well. The deadline to sign-on is Sept 2, 2016.

In collaboration with our LGBT health provider and community partners, Callen-Lorde, Fenway, and Treatment Action Group seek to address the national shortage of injectable estrogen ( in the 40 mg/mL dosage ). We hope that you will review and sign on to the letter below.

The impact of the injectable estrogen shortage poses a serious public health issue for transgender women across the country who rely on hormones to live whole and healthy lives. The shortage is affecting the availability of Delestrogen and its generic counterpart estradiol valerate. Manufacturers spokespeople have said that the products are on back order, but cannot estimate release dates. The shortage began 18 months ago and has not since returned to market. We do not want our communities to turn to street or black market injections, which can contain harmful ingredients. The shortage is generating interesting and important discussion about pushing the FDA to approve estrogen for gender affirmation for trans women, ensuring fair pricing as well as the pros and cons to injectable versus pills and patches.

Recent articles:

- .

- .

The sign-on letter below urges manufacturers to restock this dosage of estrogen. We hope you'll join this effort. Please review the letter below and sign on using this link ( feel free to share with your networks as well ): The deadline to sign on is September 2, 2016 .

Text of the letter is below.

Paul Campanelli


Par Pharmaceutical at Endo International PLC

One Ram Ridge Rd

Chestnut Ridge, NY 10977

John Hendrickson

Chief Executive Officer

Perrigo, Inc.

515 Eastern Avenue

Allegan, MI 49010

September 2016

Dear President Campanelli and CEO Hendrickson:

We the undersigned — physicians, public health professionals, advocates and members of the lesbian, gay, bisexual ( LGB ), transgender and gender non-conforming ( TG/NC ) communities — write to share our deep concern about the national shortage of injectable estrogen. We urge that Par Sterile and Perrigo Pharmaceuticals restock and manufacture injectable estradiol in 40 mg/mL dosages. The impact of this shortage is a public health emergency for thousands of transgender women who rely on these hormones to live whole and healthy lives.

Hormone therapy to affirm gender identity is a medically necessary intervention for many transgender individuals.[1] It is often the first, and sometimes only, medical gender affirmation intervention accessed by transgender individuals looking to develop characteristics consistent with their gender identity.[2] Studies have shown that gender affirmation through hormone therapy can improve psychological adjustment and quality of life.[3],[4] One study found that once estrogen therapy began, transgender women experienced improvement in social functioning and reduced anxiety and depression.[5] The class of estrogen used for feminizing therapy is 17-beta estradiol and is commonly delivered to transgender women through a patch, oral or sublingual tablet, or injection.[6]

Further, in the last 10 years, many professional associations, including the American Medical Association, American Association of Family Physicians, the Endocrine Society, American Psychiatric Association, American Psychological Association, American College of Obstetricians and Gynecologists, and the American Public Health Association, have issued statements or guidelines supporting effective treatment protocols for Gender Dysphoria, and review articles have been published in major peer-reviewed journals such as the Journal of the American Medical Association, Nature, the Journal of Clinical Endocrinology, and Archives of Pediatric and Adolescent Medicine, among others.[7]

As you are aware, there is a current shortage of estradiol valerate Injection.[8] This shortage is affecting the availability of Delestrogen and its generic counterpart estradiol valerate. The shortage includes Delestrogen injection from Par Sterile Products and estradiol valerate injection from Perrigo, in both the 20 mg/mL and 40 mg/mL formulations. We understand from Par and Perrigo spokespersons that there is a manufacturing delay for Delestrogen as well as manufacturing issues for the generic counterpart. We also understand that both companies have these products on back order, but cannot estimate release dates. While Delestrogen injection is currently available from Par Sterile Products in the 10 mg/mL formulation, [9] injectable estrogen at the 40 mg/mL dosage is the highest dosage and very often prescribed to transgender women in our experience.[10] The shortage began 18 months ago and has not since returned to the market. In July 2016, a federally-qualified health center based in New York City received none of the 40 mg/mL and 20 mg/mL formulations in their weekly drug shipment and were told that the shortage would last until at least October.[11] This shortage impacts 900 transgender women at that clinic alone.

Due to the severity of the effects of this shortage on the wellbeing of transgender women, we urge you — the manufactures — to take immediate action by restocking the 40 mg/mL dosage of injectable estrogen in both brand and generic versions.

Manufacturers need to restore the 40 mg/mL dosage of injectable estrogen because it is the preferred regimen for many transgender women. Many patients started their transition with injectable estrogen years ago and rely on regular injections. Further, many transgender women on hormone therapy for gender affirmation experience injectables as more effective than patches or pills. Some providers are working to educate patients about the efficacy of patches and pills; but this does not negate the immediate need for injectable estrogen.

While the 40 mg/mL dosage has been unavailable, providers have made due by doubling up on the 20 mg/mL dosage. This is a temporary work-around as some patients report discomfort with the injections. Most providers will not prescribe the 10 mg/mL dosage. In order to maintain the estrogen levels that patients were able to achieve with the 40 mg/mL dosage, patients would need to inject four times as much liquid into their muscles every one to two weeks, which can be very painful for patients.

The lack of injectable estrogen is a public health crisis. Patients could likely turn to street injections to replace what they were receiving in clinics, which could put themselves at risk. Black market injectable estrogen is often diluted or laced with other potentially harmful ingredients. This shortage could contribute to further marginalization of the transgender community, putting women at risk of injecting adulterated estrogen.

The shortage of this preferred method of gender affirmation therapy has already created obstacles for clinicians to be able to provide comprehensive care to transgender patients. This injectable estrogen shortage is triggered by a lack of FDA-approval for all estrogen modalities. Therefore, the FDA should also take action by approving estrogen for gender affirmation, affording transgender women the same range of choices as menopausal women are currently given. Advocates are working to this end.

In the meantime, thousands of transgender women across the United States are unable to access injectable estrogen thereby putting their health and lives in danger. We urge Par Sterile and Perrigo Pharmaceuticals to restock the 40 mg/mL dosage of injectable estrogen immediately. If helpful, we can arrange a conference call to discuss this further.

Please feel free to contact Kimberleigh J. Smith, Senior Director for Community Health Planning and Policy at the Callen-Lorde Community Health Center in New York City with questions and/or to send a response to this request: or 212-271-7184.

Sign on list in formation

This article shared 396 times since Fri Sep 2, 2016
facebook twitter google +1 reddit email

Windy City Media Group does not approve or necessarily agree with the views posted below.
Please do not post letters to the editor here. Please also be civil in your dialogue.
If you need to be mean, just know that the longer you stay on this page, the more you help us.


Gay News

Chicago arcade bar hosting LGBTQ+ event July 29
Emporium Arcade Bar-Wicker Park, 1366 N. Milwaukee Ave.—in partnership with the Puerto Rican Cultural Center's (PRCC) Trans Empowerment Program—is inviting members of the LGBTQIA+ community to hang out Thursday, July ...

Gay News

Federal judge blocks Arkansas anti-trans healthcare law
Judge James M. Moody Jr. of the U.S. District Court for the Eastern District of Arkansas temporarily blocked an Arkansas law that would have banned physicians in the state from providing transition-related healthcare—e.g., hormones and puberty ...

Gay News

Howard Brown Health announces new leader for The Center for Education, Research, and Advocacy
--From a press release - (July 21, 2021— Chicago, IL) Howard Brown Health is pleased announce Brandon Hill, PhD (he/him/his) as Howard Brown Health's new executive director for the Center for Education, Research, and Advocacy ...

Gay News

Soapbox travels to Chicago to raise hand-hygiene awareness
Clean beauty company Soapbox unveiled the world's biggest bottle of soap in New York City's Times Square on July 15, marking the launch of a multi-city tour aimed at raising awareness for the importance of hand ...

Gay News

Col. Jennifer Pritzker donating to ACLU to help fight anti-trans laws
Chicago philanthropist and business owner Col. Jennifer Pritzker plans to donate $101,000 and additional six-figure future support to the ACLU from her TAWANI Foundation to fight Tennessee's anti-transgender laws in court, a press release announced. T ...

Gay News

AMA Foundation begins fellowship program to address LGBTQ+ health disparities
--From a press release - CHICAGO — The American Medical Association Foundation (AMA Foundation) today announced the University of Wisconsin—Madison as the inaugural institution of its National LGBTQ+ Fellowship Program to begin transforming the health ...

Gay News

U.S. Sen. Warnock to headline Personal PAC's annual luncheon
--From a press release - U.S. Sen. Raphael Warnock (D-Georgia) is slated to be a featured speaker at the Personal PAC 28th Annual Awards Luncheon on Wed., Oct. 20. The event will take place virtually and feature several pro-choice leaders. More ...

Gay News

Trans model makes history with SI Swimsuit cover
On July 19, Sports Illustrated (SI) Swimsuit announced this year's cover models: rapper Megan Thee Stallion, tennis player Naomi Osaka and model/actress Leyna Bloom—each making history in her own way. A press release sent to Windy ...

Gay News

NATIONAL Amazon, condo collapse, T-shirt controversy, GLSEN
At least two Amazon employees have resigned in recent weeks to protest the company's decision to continue to sell a book they say frames young people who identify as transgender as mentally ill, NBC News reported. ...

Gay News

Minnesota governor bans conversion therapy
Minnesota Gov. Tim Walz has signed a bill that bans the discredited practice of conversion therapy, reported. The state will become the 21st to ban the practice that tries to change a person's sexual orientation ...

Gay News

GLAAD Studio Responsibility Index shows more LGBTQ character screen time, not so for trans
--From a press release - Los Angeles, CA - Thursday, July 15, 2021 - GLAAD, the world's largest LGBTQ media advocacy organization, today released its ninth annual Studio Responsibility Index (SRI), a study that maps the quantity, quality, and diversity of ...

Gay News

National Black Justice Coalition commemorates International Non-Binary People's Day
--From a press release - Statement from David J. Johns, executive director of the National Black Justice Coalition, issued the following statement in commemoration of International non-binary people's Day: "Non-binary people have existed throughout human ...

Gay News

30th Annual 2021 AIDS Run & Walk Chicago to benefit 25 groups, AIDS Foundation Chicago
--From a press release - CHICAGO — Now in its 30th year, AIDS Run & Walk Chicago returns to Soldier Field on Saturday, October 2 to support individuals living with and vulnerable to HIV/AIDS and other chronic illnesses. AIDS Run & ...

Gay News

'Pose' makes history with Emmy nominations
On July 13, the Emmy-winning father-daughter duo Ron Cephas Jones (This Is Us) and Jasmine Cephas Jones (#FreeRayshawn) unveiled the nominations for the 73rd Emmy Awards—and the FX show Pose made history. Not only is Pose ...

Gay News

Israel court: Surrogacy for same-sex couples should be allowed
On July 11, Israel's High Court of Justice ruled hat the state must allow same-sex couples and single men to become parents through surrogacy, after the government said last week that passing a law to this ...


Copyright © 2021 Windy City Media Group. All rights reserved.
Reprint by permission only. PDFs for back issues are downloadable from
our online archives. Single copies of back issues in print form are
available for $4 per issue, older than one month for $6 if available,
by check to the mailing address listed below.

Return postage must accompany all manuscripts, drawings, and
photographs submitted if they are to be returned, and no
responsibility may be assumed for unsolicited materials.
All rights to letters, art and photos sent to Nightspots
(Chicago GLBT Nightlife News) and Windy City Times (a Chicago
Gay and Lesbian News and Feature Publication) will be treated
as unconditionally assigned for publication purposes and as such,
subject to editing and comment. The opinions expressed by the
columnists, cartoonists, letter writers, and commentators are
their own and do not necessarily reflect the position of Nightspots
(Chicago GLBT Nightlife News) and Windy City Times (a Chicago Gay,
Lesbian, Bisexual and Transegender News and Feature Publication).

The appearance of a name, image or photo of a person or group in
Nightspots (Chicago GLBT Nightlife News) and Windy City Times
(a Chicago Gay, Lesbian, Bisexual and Transgender News and Feature
Publication) does not indicate the sexual orientation of such
individuals or groups. While we encourage readers to support the
advertisers who make this newspaper possible, Nightspots (Chicago
GLBT Nightlife News) and Windy City Times (a Chicago Gay, Lesbian
News and Feature Publication) cannot accept responsibility for
any advertising claims or promotions.








About WCMG      Contact Us      Online Front  Page      Windy City  Times      Nightspots      OUT! Guide     
Identity      BLACKlines      En La Vida      Archives      Advanced Search     
Windy City Queercast      Queercast Archives     
Press  Releases      Join WCMG  Email List      Email Blast      Blogs     
Upcoming Events      Todays Events      Ongoing Events      Bar Guide      Community Groups      In Memoriam      Outguide Categories      Outguide Advertisers      Search Outguide      Travel      Dining Out      Privacy Policy     

Windy City Media Group publishes Windy City Times,
The Bi-Weekly Voice of the Gay, Lesbian, Bisexual and Trans Community.
5315 N. Clark St. #192, Chicago, IL 60640-2113 • PH (773) 871-7610 • FAX (773) 871-7609.