Conversely, positive steps toward transition can have a protective effect. For example, a change in legal gender markers or undergoing desired surgeries is associated with lower odds of tobacco use. Specialized support programs are available through organizations like the Center for Addiction and Mental Health to help TGD individuals face substance use challenges in a safe environment. Gender-Affirming Hormone Therapy (GAHT)
: Transgender adolescents are more likely than their cisgender peers to have used cigarettes or vaped in the past 30 days. trannies smoking
: Many healthcare providers require patients to stop using nicotine—including smoking, vaping, and chewing tobacco—well before undergoing gender-affirming surgeries to ensure proper healing and reduce surgical risks. Factors Influencing Smoking Rates Conversely, positive steps toward transition can have a
: Smoking while taking estrogen as part of gender-affirming hormone therapy significantly increases the risk of blood clots, strokes, and heart attacks. For transgender individuals
For transgender individuals, smoking introduces specific medical complications beyond general health risks: