Abstract
Transgender individuals have biological gender identities that differ from the sex recorded at birth. To proceed with medical therapy, a diagnosis of gender incongruence must be made. Although not all transgender patients desire medical intervention, hormone treatment and surgeries are available. Hormone therapy is safe, and appropriate screening for malignancy and adverse events should be considered. For adolescents, initial treatment includes puberty blockade before hormone therapy and surgery. These treatments can be destructive of fertility, thus preservation should always be discussed. Barriers to effective care for transgender patients exist, necessitating an increase in the number of knowledgeable transgender health care providers.
Original language | English |
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Title of host publication | Yen & Jaffe's Reproductive Endocrinology: Physiology, Pathophysiology, and Clinical Management: Eighth Edition |
Publisher | Elsevier Inc. |
Pages | 709-716.e1 |
ISBN (Electronic) | 9780323582322 |
ISBN (Print) | 9780323479127 |
DOIs | |
State | Published - 2019 |
Externally published | Yes |
Keywords
- Barriers to care
- Children and adolescents
- Fertility preservation
- Gender identity
- Gender incongruence
- Hormonal therapy for transgender men and women
- Lack of transgender medical education
- Risk concerns and screening for malignancy
- Surgeries for transgender men and women
- Transgender