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Transgender Health

George W Matar, MD and Michelle Caster, MD Reviewed 04/2024
 


BASICS

DESCRIPTION

  • Lesbian, gay, bisexual, and transgender individuals continue to be medically underserved and subject to unique health care disparities, including higher rates of mental and physical ...

DIAGNOSIS

  • Specific health concerns

    • Transition-related medical care, or gender-affirming therapy, including hormone therapy and surgical treatment, or gender-affirming surgery (GAS), helps patients alig...

TREATMENT

GENERAL MEASURES

  • Care of transgender people, including hormone therapy, is well within the scope of primary care providers.

  • Education of health care providers, for physicians, and those beginn...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Transmasculine individuals (3,6)

    • Breast cancer screening with annual chest wall exam is recommended for those with breast tissue with careful re...

REFERENCES

1
Korpaisarn S, Safer JD. Gaps in transgender medical education among healthcare providers: A major barrier to care for transgender persons. Rev Endocr Metab Disord. 2018;19(3):271-275.
2
Nola...

ADDITIONAL READING

SEE ALSO

CODES

ICD10

  • F64.1 Gender identity disorder in adolescence and adulthood

  • Z11.4 Encounter for screening for human immunodeficiency virus

  • Z72.52 High risk homosexual behavior

  • Z72.53 High risk bisexual behavi...

CLINICAL PEARLS

  • Health care providers must be sensitive to the unique needs of transgender patients; must be open to the care of such patients; and should, as with all patients, display an ethical, pr...

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