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Transgender Health

Dónal Kevin Gordon, MD, FAAFP Reviewed 06/2020
 


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 gender-confirming surgery (GCS), help patients ali...

TREATMENT

GENERAL MEASURES

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

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

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.

Patient Monitoring

  • Routine medical screening...

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...

ADDITIONAL READING

  • Abebe A. Caring for transgender patients. JAAPA.  2016;29(6):49–53.

  • Agency for Healthcare Research and Quality. 2011 National Healthcare Disparities Report. Rockville, MD: Age...

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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