Transgender Medicine
1 in 300 adults in the U.S. identify ...
92
Description

Transgender Medicine

1 in 300 adults in the U.S. identify as transgender or gender non-conforming 

Health inequities: mental illness (suicide attempts, depression, anxiety, cervical cancer (counsel that less likely to obtain adequate sample), HIV (trans women w/ 22% HIV infection rate vs 10% of MSM in the US)

Gender Terminology:

 • Sex assigned at birth: based on external anatomy vs Gender identity: internal sense of one’s gender

 • Transgender/trans: when one’s assigned sex at birth and gender are not congruent

 • Cisgender: when one’s assigned sex at birth and gender identity are congruent

 • Non-binary, gender non-conforming, genderqueer: gender identity not w/in society’s M/F binary

 • When in doubt, ask your patient! (How do you prefer to be called, what pronouns do you use, etc.)

Feminizing hormone therapy cornerstones: Estradiol + concomitant androgen blocker

 • Estradiols (oral/sublingual, transdermal patch, estradiol valerate/estradiol cypionate IM)

 • Androgen blockers (spironolactone most common, can decrease required estrogen dose)

Masculinizing hormone therapy cornerstones:

 • Testosterone (T) (testosterone cypionate/enanthate IM/SQ or testosterone topical gel)



#transgender #management #primarycare #Masculinizing #Feminizing
Contributed by

MGH White Book Manual
@MGHWhiteBook
Account created for the MGH Internal Medicine Housestaff Manual "White Book" - https://stk10.github.io/MGH-Docs/WhiteBook-2019-2020.pdf
0 Comments

Related content