Primary care needs of patients who have undergone gender reassignment

Sobralske, Mary

doi:10.1111/j.1041-2972.2005.0021.x

Cited by 11 publications

(20 citation statements)

References 0 publications

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“…[15][16][17][18][19] Surgical treatment. Hormonal sex reassignment therapy, which reduces the secondary sex characteristics of the original gender and enhances the characteristics of the desired gender, involves estrogen or testosterone.…”

Section: Transitioningmentioning

confidence: 99%

Culturally-sensitive care for the transgender patient

Levesque¹

2015

OR Nurse

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Section: Transitioningmentioning

confidence: 99%

Culturally-sensitive care for the transgender patient

Levesque¹

2015

OR Nurse

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“…Guidance is available for health service personnel (Clinical Governance Support Team, 2005), and specific advice for nurse practitioners involved with genital examination is available [5].…”

Section: Yoram Vardi MDmentioning

confidence: 99%

Controversies in Sexual Medicine: Is Physical Examination Required Before Prescribing Hormones to Patients with Gender Dysphoria?

Vardi

Wylie

Moser

et al. 2008

The Journal of Sexual Medicine

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Introduction A genital examination can have psychologic effects on a patient, particularly when the source of their sexual medicine complaint is a body part. How necessary is a physical exam before prescribing hormones in cases of gender dsyphoria? Methods Five people with expertise and/or interest in the area of gender dysphoria and endocrinology were asked to contribute their opinions. Main Outcome Measure To provide food for thought, discussion, and possible further research in a poorly discussed area of sexual medicine. Results Of the five experts writing on the topic, one believes that a physical examination should always be performed before prescribing hormones for gender dysphoria, one believes it is not a prerequisite, and three believe a physical examination is recommended, but is not necessary in cases where the patient objects despite an explanation of the purpose of the exam. As long as this was documented, it would not present a medicolegal problem. Conclusions It is not clear whether or not a physical examination must be performed on all gender dsyphoric patients before prescribing hormones; however, an examination would be helpful in revealing a significant health management issue.

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“…The prostate gland is not removed during the reconstructive surgery, however, and therefore the client should request regular prostate exams as well. Additionally, female-to-male patients should still seek annual papanicolaou examinations unless a complete hysterectomy had been performed (Sobralske, 2005).…”

Section: Case Vignette 2834 Conclusionmentioning

confidence: 99%