Non-Binary and Binary Gender Identity in Australian Trans and Gender Diverse Individuals

Hormone therapy for trans and gender diverse patients in the general practice setting

“…• a recognition that gender diversity is not a mental health disorder 3,4 • a move away from mandatory psychiatric assessment to more contemporary patient-centred models of care 5 • an understanding of a diverse range of gender identities including identities outside of the binary. 6,7 TGDNB patients may present to their GPs requesting gender-affirming care, and this may include a request for genderaffirming hormones. It has become clear that reducing barriers to healthcare and providing earlier access to genderaffirming hormones improves the health outcomes and wellbeing of TGDNB people.…”

Selective Estrogen Receptor Modulators: A Potential Option For Non-Binary Gender-Affirming Hormonal Care?

“…Whilst non-binary is a gender identity in itself, it is also an umbrella term that encompasses any gender identity that is not exclusively male or female and may include people who identify as genderfluid, gender nonconforming, transmasculine, transfeminine or agender amongst others. Non-binary individuals in recent studies constitute more than 25% of the trans population (1)(2)(3).…”

“…Trans individuals have a gender identity that is different from the sex they were assigned at birth, as opposed to cisgender people, whose gender identity corresponds with their assigned sex ( 1 ). Although some trans individuals identify as either male or female, others have a non-binary gender identity that does not accord with either of these traditional options.…”

“…Like trans people with binary identities, those with a non-binary gender identity frequently face social difficulties, including social exclusion at school/work and feelings of isolation. As a result, these individuals often experience poor mental health that is worse than those with binary identities ( 1 , 4 ). In studies using self-report surveys, non-binary people were less likely to have family support, while significantly more likely to feel isolated, report poorer mental health, and consider suicide than trans people with binary identities ( 1 , 2 , 4 , 5 ).…”

“…As a result, these individuals often experience poor mental health that is worse than those with binary identities ( 1 , 4 ). In studies using self-report surveys, non-binary people were less likely to have family support, while significantly more likely to feel isolated, report poorer mental health, and consider suicide than trans people with binary identities ( 1 , 2 , 4 , 5 ). Moreover, non-binary individuals frequently encounter a lack of understanding within society regarding their gender identity, including from health professionals ( 6 ).…”