Endocrine Care of Transgender Adults

  title={Endocrine Care of Transgender Adults},
  author={Sarah L. Fishman and Maria Paliou and Leonid Poretsky and Wylie C. Hembree},
  journal={Transgender Medicine},
Since the mid-twentieth century, transgender individuals have become increasingly visible. Strong advocacy group efforts and increasing government support have improved access to medical care for people with gender dysphoria. Physicians should be aware of the unique conditions and challenges affecting this population. Healthcare professional organizations such as the American Medical Association (AMA), the Endocrine Society, and the World Professional Association for Transgender Health have… 



Treating a Transgender Patient: Overview of the Guidelines

The current guidelines for standards of care of transgender patients as delineated by the World Professional Association for Transgender Health and the Endocrine Society are given.

Care of the transgender patient: the role of the gynecologist.

  • C. Unger
  • Medicine
    American journal of obstetrics and gynecology
  • 2014

Management of transgenderism.

Hormone treatment for both FTM and MTF can be started in early puberty, although long-term effects are not known, and all patients considering treatment need counseling and medical monitoring.

Care of the elderly transgender patient

  • R. Ettner
  • Medicine
    Current opinion in endocrinology, diabetes, and obesity
  • 2013
It is important that guidelines for appropriate and sensitive care be established for the elderly transgender patient, as this population is proliferating due to media attention and greater access to care.

Endocrine treatment of transsexual persons: extensive personal experience.

  • M. LeinungMarco UrizarN. PatelS. C. Sood
  • Medicine, Psychology
    Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists
  • 2013
Transsexual persons seeking hormonal therapy are being seen with increasing frequency and starting therapy at an earlier age may lessen the negative impact on mental health and lead to improved social outcomes, but significant barriers exist, such as insufficient insurance coverage, which limit comprehensive care.

Safety of hormonal treatment in transgenders

Treatment must be highly individualized and transitioning patients need to be engaged in a ‘clinical contract’ with the physician in order to ensure compliance with prescribed treatments.

Drug Therapy for Gender Transitions and Health Screenings in Transgender Older Adults

It is important to be aware of the significant effects that transgender pharmacotherapy can have on older adults and to recommend appropriate preventative screenings to transgendered persons.

Endocrine treatment of transsexual persons: an Endocrine Society Clinical Practice Guideline: commentary from a European perspective.

These guidelines are structured to provide evidence-based suggestions or, where evidence is lacking, expert recommendations on diagnostic procedures and hormonal treatment in adolescent and adult transsexuals, including long-term care and eligibility for surgery.

Clinical management of transsexual subjects.

Based on 15 years of experience, it can be concluded that testosterone and estradiol treatment in physiological doses are effective and safe in female and male transsexual patients, respectively.

Medical Management of Adult Transsexual Persons

Methods, including both pharmacotherapy and surgical interventions, are described for effective medical management of both male and female adults with GID, an increasingly recognized medical condition with an expanding body of medical literature to support the use of established therapeutic guidelines.