Reproductive health risks and clinician practices with gender diverse adolescents and young adults

Quinn, Gwendolyn P.; Tishelman, Amy C.; Chen, Diane; Nahata, Leena

doi:10.1111/andr.13026

“…All nonbinary individuals who seek gender-affirming hormonal therapies should be offered information and guidance about fertility options (Hembree et al., 2017 ; De Roo et al., 2016 ; Defreyne, Elaut et al., 2020 ; Defreyne, van Schuvlenbergh et al., 2020; Nahata et al., 2017 ; Quinn et al., 2021 ). It is important to discuss the potential impact of hormone therapy on fertility prior to initiation.…”

Section: Chapter 8 Nonbinarymentioning

confidence: 99%

Standards of Care for the Health of Transgender and Gender Diverse People, Version 8

Coleman

¹

,

Radix

²

,

Bouman

³

et al. 2022

International Journal of Transgender Health

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Background: Transgender healthcare is a rapidly evolving interdisciplinary field. In the last decade, there has been an unprecedented increase in the number and visibility of transgender and gender diverse (TGD) people seeking support and gender-affirming medical treatment in parallel with a significant rise in the scientific literature in this area. The World Professional Association for Transgender Health (WPATH) is an international, multidisciplinary, professional association whose mission is to promote evidence-based care, education, research, public policy, and respect in transgender health. One of the main functions of WPATH is to promote the highest standards of health care for TGD people through the Standards of Care (SOC). The SOC was initially developed in 1979 and the last version (SOC-7) was published in 2012. In view of the increasing scientific evidence, WPATH commissioned a new version of the Standards of Care, the SOC-8. Aim: The overall goal of SOC-8 is to provide health care professionals (HCPs) with clinical guidance to assist TGD people in accessing safe and effective pathways to achieving lasting personal comfort with their gendered selves with the aim of optimizing their overall physical health, psychological well-being, and self-fulfillment. Methods: The SOC-8 is based on the best available science and expert professional consensus in transgender health. International professionals and stakeholders were selected to serve on the SOC-8 committee. Recommendation statements were developed based on data derived from independent systematic literature reviews, where available, background reviews and expert opinions. Grading of recommendations was based on the available evidence supporting interventions, a discussion of risks and harms, as well as the feasibility and acceptability within different contexts and country settings. Results: A total of 18 chapters were developed as part of the SOC-8. They contain recommendations for health care professionals who provide care and treatment for TGD people. Each of the recommendations is followed by explanatory text with relevant references. General areas related to transgender health are covered in the chapters Terminology, Global Applicability, Population Estimates, and Education. The chapters developed for the diverse population of TGD people include Assessment of Adults, Adolescents, Children, Nonbinary, Eunuchs, and Intersex Individuals, and people living in Institutional Environments. Finally, the chapters related to gender-affirming treatment are Hormone Therapy, Surgery and Postoperative Care, Voice and Communication, Primary Care, Reproductive Health, Sexual Health, and Mental Health. Conclusions: The SOC-8 guidelines are intended to be flexible to meet the diverse health care needs of TGD people globally. While adaptable, they offer standards for promoting optimal health care and guidance for t...

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“…They end up perceiving others as being enraged and threatening towards their own self, leaving the individual to constantly expect maliciousness from others and to adopt a hypervigilant stance against perceived threats in their social world. 6 In recent years, the number of children and adolescents seeking help with GI and GD has increased sharply and especially in children not all persons with GI represent with symptoms of GD. [7][8][9] In early childhood, gender disparities and preferences start out small and generally ignored by the family as it is thought that child will out-grow such behaviour.…”

Section: Discussionmentioning

confidence: 99%

Need for gender affirming clinics-a case report on gender dysphoria in India

Sood,

Pal,

Chamola

et al. 2023

Int J Community Med Public Health

0

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Evidence suggests that individuals with gender dysphoria/gender incongruence often experience a disproportionately high burden of disease, including in the domains of mental, sexual and reproductive health. Very few of the Lesbian, gay, bisexual, transgender, queer or questioning (LGBTQ) population seek medical or surgical treatments, others do not speak up for their condition because of the societal taboo and suffer from illnesses which fully impact the potential and well-being of the individual. We present a case of a 24-year old boy who never got treated for gender dysphoria and was ignored by the family, was made fun of by the society and ended up having Paranoid disorder secondary to gender dysphoria. This clearly indicates the need specialist health care professionals who can identify the individual for proper treatment and connect him to support groups, who can guide and educate the family and the society on the need to accept the individual in a way in which he wants to be accepted.

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“…All nonbinar y individuals who seek gender-affirming hormonal therapies should be offered information and guidance about fertility options (Hembree et al, 2017;De Roo et al, 2016;Defreyne, Elaut et al, 2020;Defreyne, van Schuvlenbergh et al, 2020;Nahata et al, 2017;Quinn et al, 2021). It is important to discuss the potential impact of hormone therapy on fertility prior to initiation.…”

Section: Statement 83mentioning

confidence: 99%

Standards of Care for the Health of Transgender and Gender Diverse People, Version 8

Coleman¹,

AE²,

WP³

et al. 2023

ESPE

0

View full text Add to dashboard Cite

Background: Transgender healthcare is a rapidly evolving interdisciplinary field. In the last decade, there has been an unprecedented increase in the number and visibility of transgender and gender diverse (TGD) people seeking support and gender-affirming medical treatment in parallel with a significant rise in the scientific literature in this area. The World Professional Association for Transgender Health (WPATH) is an international, multidisciplinary, professional association whose mission is to promote evidence-based care, education, research, public policy, and respect in transgender health. One of the main functions of WPATH is to promote the highest standards of health care for TGD people through the Standards of Care (SOC). The SOC was initially developed in 1979 and the last version (SOC-7) was published in 2012. In view of the increasing scientific evidence, WPATH commissioned a new version of the Standards of Care, the SOC-8. Aim: The overall goal of SOC-8 is to provide health care professionals (HCPs) with clinical guidance to assist TGD people in accessing safe and effective pathways to achieving lasting personal comfort with their gendered selves with the aim of optimizing their overall physical health, psychological well-being, and self-fulfillment. Methods: The SOC-8 is based on the best available science and expert professional consensus in transgender health. International professionals and stakeholders were selected to serve on the SOC-8 committee. Recommendation statements were developed based on data derived from independent systematic literature reviews, where available, background reviews and expert opinions. Grading of recommendations was based on the available evidence supporting interventions, a discussion of risks and harms, as well as the feasibility and acceptability within different contexts and country settings. Results: A total of 18 chapters were developed as part of the SOC-8. They contain recommendations for health care professionals who provide care and treatment for TGD people. Each of the recommendations is followed by explanatory text with relevant references. General areas related to transgender health are covered in the chapters Terminology, Global Applicability, Population Estimates, and Education. The chapters developed for the diverse population of TGD people include Assessment of Adults, Adolescents, Children, Nonbinary, Eunuchs, and Intersex Individuals, and people living in Institutional Environments. Finally, the chapters related to gender-affirming treatment are Hormone Therapy, Surgery and Postoperative Care, Voice and Communication, Primary Care, Reproductive Health, Sexual Health, and Mental Health. Conclusions: The SOC-8 guidelines are intended to be flexible to meet the diverse health care needs of TGD people globally. While adaptable, they offer standards for promoting optimal health care and guidance for the treatment of people experiencing gender incongruence. As in all previous versions of the SOC, the criteria set forth in this document for gender-affirmi...

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Reproductive health risks and clinician practices with gender diverse adolescents and young adults

Cited by 11 publications

References 98 publications

Standards of Care for the Health of Transgender and Gender Diverse People, Version 8

Standards of Care for the Health of Transgender and Gender Diverse People, Version 8

Need for gender affirming clinics-a case report on gender dysphoria in India

Standards of Care for the Health of Transgender and Gender Diverse People, Version 8

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