Physical Aspects of Transgender Endocrine Therapy

@article{Dahl2006PhysicalAO,
  title={Physical Aspects of Transgender Endocrine Therapy},
  author={Marshall Dahl and Jamie L Feldman and Joshua M. Goldberg and Afshin Jaberi},
  journal={International Journal of Transgenderism},
  year={2006},
  volume={9},
  pages={111 - 134}
}
SUMMARY The goal of transgender endocrine therapy is to change secondary sex characteristics to reduce gender dysphoria and/or facilitate gender presentation that is consistent with the felt sense of self. To maximize desired effects and minimize adverse effects, endocrine therapy must be individualized based on the patient's goals, the risk/benefit ratio of medications, the presence of other medical conditions, and consideration of social and economic issues. In this article we suggest… 

A Review of Psychosocial Risk Factors Among Transgender Patients Seeking Bariatric Surgery

Potential psychosocial risk factors, including sex hormone management, which may impact surgical clearance, presurgical psychossocial assessment, and treatment recommendations are elucidated.

Transgender Primary Medical Care

This article summarizes existing research in transgender medicine and provides guidance for family physicians and nurses in adapting standard primary care protocols relating to health maintenance, acute illness, and chronic disease management to address trans-specific clinical oncerns.

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.

The Female-to-Male Medical Treatment

Transsexualism refers to a condition where an individual identifies with a gender that differs from the assigned sex, and treatments need to be customized, as some individuals need cross-sex hormone therapy and surgery to alleviate their gender dysphoria.

Hormone Therapy in Adults: Suggested Revisions to the Sixth Version of the Standards of Care

The current Standards of Care for Gender Identity Disorders—Sixth Version provides a general overview of the risks and effects of adult hormone therapy, but at present offers limited guidance for the medical provider as to how best to execute this critical intervention.

Breast care in the transgender individual.

The purpose of this integrative literature review is to compile the current research on breast health for transgender individuals and to serve as a resource for providers.

Clinical Management of Gender Dysphoria in Adolescents

SUMMARY This paper aims to provide professionals working with adolescents with gender-dysphoric feelings practical clinical guidelines for diagnosis and treatment. The different phases of the

Clinical Aspects of Transgender Speech Feminization and Masculinization

SUMMARY Societal norms of speech, voice, and non-verbal communication are often strongly gendered. For transgender individuals who experience a mismatch between existing communication behaviours and

Cancer in Transgender People: Evidence and Methodological Considerations.

The goals of this article are to summarize the evidence on factors that may differentially affect cancer risk in transgender people, assess the relevant cancer surveillance and epidemiologic data available to date, and offer an overview of possible methodological considerations for future studies investigating cancer incidence and mortality in this population.

Update on Gender‐Affirming Treatment for the Transgender Woman

  • C. Unger
  • Medicine
    Seminars in reproductive medicine
  • 2017
Transgender women often transition with cross‐sex hormone therapy and some opt to further affirm themselves with breast augmentation, facial feminization procedures, and/or vaginoplasty surgery, and the unique risks, advantages, and disadvantages must be considered.
...

References

SHOWING 1-10 OF 102 REFERENCES

Transgender Primary Medical Care

This article summarizes existing research in transgender medicine and provides guidance for family physicians and nurses in adapting standard primary care protocols relating to health maintenance, acute illness, and chronic disease management to address trans-specific clinical oncerns.

Transgender health.

Patients best explore transgender issues in a setting of respect and trust in which confidentiality concerns are addressed, and clinic staff are educated about transgender issues.

Hormonal medication for transsexuals

The higher doses of oestrogen required for feminization of transsexual males are attended by risks of serious complications, including thromo-embolism, hypertension, stroke, impaired carbohydrate tolerance, gallstones, hyperlipidaemia and adenomas or prolactinomas of the anterior pituitary gland.

Endocrinologic treatment of gender identity disorders.

Physicians caring for patients with transsexualism should have a general knowledge about the diagnosis, available treatment, and monitoring for complications of hormonal therapy.

Endocrine treatment of transsexual people: a review of treatment regimens, outcomes, and adverse effects.

The range of treatment used by transsexual people, the rationale behind these, and the expectation from such treatment are discussed, as well as the potential adverse effects of cross-sex hormone treatment of transsexual people.

Clinical Update: Medical Care of Transsexual Patients

This review is intended to teach primary care providers how to initiate and maintain hormone regimens for transsexual patients and describe medical issues unique to transsexual patients.

Multistep treatment concept of transsexual patients.

  • K. SchlattererK. von WerderG. Stalla
  • Medicine, Psychology
    Experimental and clinical endocrinology & diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association
  • 1996
The importance of an individually designed cross-gender hormone replacement therapy embedded in a multidisciplinary treatment concept, provided by psychiatrists, endocrinologists and surgeons, is demonstrated.

Towards optimal hormonal treatment of male to female gender identity disorder

Low dose estrogen regimens were used in 279 persons with male to female gender identity disorder who were followed in the authoris clinic for periods of up to 12 years, and fewer patients experienced myocardial infarctions, cerebrovascular accidents and thromboembolic events than would be expected in the general male population.

Endocrine intervention for transsexuals

This review discusses predisposing factors to transsexualism, and the diagnosis, assessment and hormone treatment of transsexual patients, and discusses the risks and organ-specific effects of crosssex hormone treatment.

Care of the Patient Undergoing Sex Reassignment Surgery

Primary care providers who are already familiar with routine transgender care to understand the specialized processes involved in SRS are intended to help.
...