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Transgender Health

Dónal Kevin Gordon, MD, FAAFP Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Society’s growing acceptance of nontraditional lifestyles has, in recent years, made increased room for transgender individuals, as it has for lesbians, gays, and bisexuals, even as ...

DIAGNOSIS

  • Specific health concerns

    • Transition-related medical care, or gender-confirming therapy, including hormone therapy and surgical treatment, or sex reassignment surgery (SRS) helps patients alig...

TREATMENT

GENERAL MEASURES

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

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

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Interacting with the health care system 
  • Discrimination on the part of health care providers is a major barrier to care (5).

Patient Monitoring

  • Routine medical scree...

REFERENCES

1
Roberts TK, Fantz CR. Barriers to quality health care for the transgender population. Clin Biochem.  2014;47(10–11):983–987. [View Abstract on OvidMedline]
2
Korpaisam S, Safer JD. Gaps...

ADDITIONAL READING

  • Abebe A. Caring for transgender patients. JAAPA.  2016;29(6):49–53. [View Abstract on OvidMedline]

  • Agency for Healthcare Research and Quality. 2011 National Healthcare Dispariti...

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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