Addressing the Needs of Transgender Patients: How Gynecologists Can Partner in Their Care. Issue 1 (January 2019)

• Record Type: Journal Article
• Authors: Dendrinos, Melina L.; Budrys, Nicole M.; Sangha, Roopina
• Is Part Of: Obstetrical & gynecological survey. Volume 74:Issue 1(2019)
• Publication Date: 2019-01
• Subjects: Obstetrics -- Periodicals; Gynecology -- Periodicals; Generative organs, Female -- Surgery -- Periodicals; 618
• DOI: 10.1097/OGX.0000000000000633
• Languages: English
• ISSNs: 0029-7828

Abstract

Abstract : Importance: With the increase in patients who identify as transgender, it is crucial that gynecologists are culturally and clinically competent in understanding their unique needs. Objective: The aim of this study was to identify the key gynecologic issues facing transgender patients and develop an overarching framework of tools needed to address these issues. Evidence Acquisition: A review of the existing literature was undertaken to address the key clinical aspects of care. Results: Various aspects of the gynecologic care of transgender patients, including health maintenance and cancer screening examinations, hormone replacement therapy, hysterectomy and salpingo-oophorectomy, and referral and collaboration with the patient's care team, are outlined. Conclusions and Relevance: Transgender patients are more likely to be engaged and seek care if their identity and their needs are understood. While many aspects of transgender health care follow standard practices, there are significant and important differences, including gender-affirming therapies. This article aims to give gynecologists the necessary tools to partner in the care of transgender patients. Target Audience: Obstetricians and gynecologists, family physicians. Learning Objectives: After participating in this activity, physicians should be better able to define "transgender"; distinguish health risks unique to the transgender population and propose appropriate screening; differentiate criteria for starting hormone therapy and the regimens available for transgender men; assess gender-affirming surgery techniques; and compare fertility options with patients before and after transitioning.