Recommendations of the Polish Sexological Society on medical care in transgender adults – position statement of the expert panel

Grabski, Bartosz; Rachoń, Dominik; Czernikiewicz, Wiesław; Dulko, S; Jakima, Sławomir; Muldenr-Nieckowski, Łukasz; Trofimiuk–Müldner, Małgorzata; Baran, Dorota; Dora, Marta; Iniewicz, Grzegorz; Mijas, Magdalena; Stankiewicz, Sylwia; Adamczewska-Stachura, Milena; Mazurczak, Anna

doi:10.12740/pp/onlinefirst/125785

Cited by 3 publications

(3 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, as most of the participants listed the Internet and other trans persons as their sources of information, clinicians need to be mindful and responsive to address and clarify all misconceptions and ambiguities in the psychoeducational process. This is a vital part of obtaining the patient's informed consent to treatment, which is a cornerstone of the current clinical approaches to GCMT [1,8].…”

Section: Discussionmentioning

confidence: 99%

“…Transgender health care in Poland is underdeveloped. Although progress has been observed in relation to care for adults (recommendations [8], Polish translation of SOC [9], monographies [10], specialized clinical centres or teams [11]), the situation of minor adolescents with GD is disturbing. As of the time of writing this article, there are still no domestic recommendations concerning care in this population, there is a dearth of experts or clinical centres delivering this kind of care, and both public and professional opinions vary widely and are often polarized.…”

Section: Data Selection and Participantsmentioning

confidence: 99%

See 1 more Smart Citation

Gender confirmation hormonal treatment use in young Polish transgender binary and non-binary persons

et al. 2022

View full text Add to dashboard Cite

transition. In adolescents, however, puberty blocking agents [i.e. gonadotropin-releasing hormone agonist (GnRHa)] are the first-line treatment for younger persons entering puberty (Tanner stage ≥ G2/B2). GnRH agonists are also mentioned by some guidelines [3] to be used as routine gonadal axis suppression for all hormonally transitioning individuals. Many other agents have been mentioned as useful in GCHT depending on a person's transitional goals, although not unambiguously, and some with much controversy. These include, but are not limited to, cyproterone acetate and other progestins (e.g. medroxyprogesterone, lynestrenol), spironolactone, finasteride, or minoxidil. The SOC [1] and Endocrine Society CPG [2] specify

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Data Selection and Participantsmentioning

confidence: 99%

Gender confirmation hormonal treatment use in young Polish transgender binary and non-binary persons

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Some demonstrate full understanding and empathy, while others may not comprehend the needs and attitudes of the patient at all. However, every transgender individual deserves respect and appropriate treatment, regardless of the stage of therapy they are in [5]. Due to the psychological suffering experienced by transgender individuals, the potential cooccurrence of depression, and the widespread lack of understanding and discrimination against them, it is essential for healthcare professionals to approach patients with empathy, without bias or judgment.…”

Section: Physiotherapy Work With Transgender Individualsmentioning

confidence: 99%

Physiotherapy work with transgender individuals

Durlak

2023

Fiz Pol

View full text Add to dashboard Cite

Transgenderism is a difficult issue in medicine, although it has accompanied humans almost since the beginning of mankind. It includes transsexualism – incompatibility of mental sex and registered sex. Transgender people seek to change their gender through hormone therapy and surgery. In their work, physiotherapists may encounter transgender people at various stages of therapy. In order to avoid causing additional psychological burden for transgender patients, it is necessary for physiotherapists to know the specifics of transsexualism and the issues they should pay attention to while practicing their profession. The aim of the work is to show what transgenderism is and how a physiotherapist should work with transgender people.

show abstract

Exploring Health and Transition-Related Needs in Polish Transgender and Non-Binary Individuals

Koziara

Mijas

Wycisk

et al. 2021

The Journal of Sexual Medicine

View full text Add to dashboard Cite

Background Gender diverse individuals constitute a substantial yet still understudied population. Particularly little is known about gender non-binary people whose health needs have only recently gained attention from clinicians. Aim To investigate needs for gender-affirming interventions, selected health indicators and determinants in Polish gender non-binary individuals as compared to transgender men and transgender women. Methods We analyzed a subset of data from an online study on health in members of the Polish LGBTQ community. The sample consisted of 53 persons who self-identified as non-binary and 45 transgender men and transgender women. The uptake and the desire for gender-affirming medical interventions as well as selected health indicators were compared in non-binary and transgender persons. Additionally, regression models were conducted for depression, self-esteem and somatic symptoms severity as dependent variables, age as a covariate, and perceived stigma exposure, resilience and discomfort associated with current gender expression as predictors. Outcomes Outcomes such as desire for gender-affirming medical interventions and legal gender reassignment, symptoms of depression, resilience, physical symptoms severity, and perceived stigma exposure were captured in self-reported questionnaires. RESULTS Compared to the transgender men and transgender women, the non-binary participants of the study significantly less often pursued or desired gender-affirming medical interventions and legal gender reassignment. The non-binary participants also felt significantly more discomfort with their current gender expression. They were also characterized by increased expectations of rejection, vicarious trauma associated with being an LGBTQ person, and by decreased resilience compared to the transgender men and transgender women. Non-binary identity and individual resilience predicted higher self-esteem and decreased depression in the sample. The severity of physical symptoms was predicted by perceived stigma exposure (positively) and by resilience (negatively). Clinical Implications Polish non-binary individuals may constitute a vulnerable population in terms of greater perceived exposure to stigma and decreased individual resilience. Both transgender and non-binary individuals seek gender-affirming interventions and legal gender reassignment; the latter group, however, does so significantly less often. Strengths & Limitations We analyzed the data from a unique and understudied Polish population. By exploring the diversity within the transgender and non-binary community, we add to the ongoing discussion on transgender and non-binary health. The major limitations of the study are convenience sampling, cross-sectional design, and limited sample size. CONCLUSION Non-binary individuals constitute a distinct population in terms of psychosocial and health-related characteristics. Clinicians should be aware of their needs and the challenges they face in association with living in a predominantly gender binary-oriented society.

show abstract

Recommendations of the Polish Sexological Society on medical care in transgender adults – position statement of the expert panel

Cited by 3 publications

References 2 publications

Gender confirmation hormonal treatment use in young Polish transgender binary and non-binary persons

Gender confirmation hormonal treatment use in young Polish transgender binary and non-binary persons

Physiotherapy work with transgender individuals

Exploring Health and Transition-Related Needs in Polish Transgender and Non-Binary Individuals

Contact Info

Product

Resources

About