Ten Most Important Things to Know About Caring for Transgender Patients.

January 2019

General Practitioners

Country of origin: USA

Transgender people have a gender that is not in agreement with their birth sex. Previous barriers, including lack of provider knowledge, has created significant healthcare disparities for this population. Recent societal changes are increasing the numbers of transgender people seen by primary care. Ten key principles are provided to help primary practitioners create more welcoming environments and provide quality care to transgender patients. Overall, all members of the health care team (primary and specialty) need to become aware of the transition process and maintain communication regarding risks, benefits and goals. Transwomen (aka male to female) can be treated with estrogens, anti-androgens or a combination. Benefits include change in fat distribution, skin softening and breast development. Significant risks for thrombosis from estrogens have been linked to genetic mutations, smoking, prolonged inactivity and hormone formulation. Oral administration may provide increased risk over peripheral administration. Transmen (aka female to male) can be treated with peripheral testosterone preparations. Benefits include deepening of voice and development of facial and body hair with variable changes in muscle mass. Risks of testosterone appear to be less common than estrogen. Laboratory monitoring can guide treatment decisions and provide early detection of some complications. Monitoring of “existing” anatomy (either hormonally or surgically created or removed) is an important component of health care for transgender patients. Primary care providers should also be aware of resources in their community and on-line which can help patients optimize their transition.

Resources

Health communication activities February 2019 The Office of Disease Prevention and Health Promotion (ODPHP) website: Health Communication Activities. This online...
The Fat Lie February 2019 Summary:
The rise in obesity in recent decades is popularly believed to be the result of increased consumption of...
Fifth Of Allergy Sufferers Have Taken Time Off Work February 2019 A fifth of people say they have suffered from a nasal allergy for over 20 years.
55% of those surveyed said their first...
Patient UK February 2019 Patient UK, a partnership of two GPs from Newcastle Upon Tyne, directs non-medical people in the UK to good quality web...
Free Medical Books January 2019 Over the next few years, many important medical textbooks are to be made available online, free and in full-text. This...
Safety Features Of GP Computer Systems January 2019 A survey and study on the safety features required in GP computer systems, commissioned by the NPSA and published by the...
Meningitis C leaflet January 2019 This flyer is suitable for parents and for health care workers to explain the changes to the MenC programme from 1st July...
OrthoFlow pocket orthopaedic specialist. January 2019 Welcome to OrthoFlow…the orthopaedic specialist in your pocket! This new way of learning is designed to help you diagnose...
inPractice® Oncology. January 2019 inPractice® Oncology is the only point-of-care clinical reference designed to meet the unique needs of specialists. Full...
Federation of Drug and Alcohol Professionals January 2019 The Federation of Drug and Alcohol Professionals (FDAP) web portal for practitioners. The site includes sections on the...
Search by Keyword