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https://www.readbyqxmd.com/read/28382847/gender-identity-and-the-management-of-the-transgender-patient-a-guide-for-non-specialists
#1
REVIEW
Albert Joseph, Charlotte Cliffe, Miriam Hillyard, Azeem Majeed
In this review, we introduce the topic of transgender medicine, aimed at the non-specialist clinician working in the UK. Appropriate terminology is provided alongside practical advice on how to appropriately care for transgender people. We offer a brief theoretical discussion on transgenderism and consider how it relates to broader understandings of both gender and disease. In respect to epidemiology, while it is difficult to assess the exact size of the transgender population in the UK, population surveys suggest a prevalence of between 0...
April 2017: Journal of the Royal Society of Medicine
https://www.readbyqxmd.com/read/28372892/ovarian-tissue-cryopreservation-in-female-to-male-transgender-people-insights-into-ovarian-histology-and-physiology-after-prolonged-androgen-treatment
#2
Chloë De Roo, Sylvie Lierman, Kelly Tilleman, Karen Peynshaert, Kevin Braeckmans, Mirte Caanen, Cornelius B Lambalk, Steven Weyers, Guy T'Sjoen, Ria Cornelissen, Petra De Sutter
Female-to-male transgender people (trans men) are faced with the risk of losing their reproductive potential owing to gender-affirming hormone treatment and genital reconstructive surgery. This observational, prospective cohort study investigates the effect of prolonged androgen therapy on their ovarian histology and fertility preservation perspectives. Hormone serum levels, ovarian histology and cumulus-oocyte complexes (COC) of 40 transsexual men were analysed at the moment of hysterectomy with bilateral oophorectomy in the context of genital reconstructive surgery after testosterone treatment (58...
March 21, 2017: Reproductive Biomedicine Online
https://www.readbyqxmd.com/read/28368143/gender-confirming-medical-interventions-and-eating-disorder-symptoms-among-transgender-individuals
#3
Rylan J Testa, G Nicole Rider, Nancy A Haug, Kimberly F Balsam
OBJECTIVE: Studies indicate that transgender individuals may be at risk of developing eating disorder symptoms (EDS). Elevated risk may be attributed to body dissatisfaction and/or societal reactions to nonconforming gender expression, such as nonaffirmation of a person's gender identity (e.g., using incorrect pronouns). Limited research suggests that gender-confirming medical interventions (GCMIs) may prevent or reduce EDS among transgender people. METHOD: Participants included 154 transfeminine spectrum (TFS) and 288 transmasculine spectrum (TMS) individuals who completed the Trans Health Survey...
April 3, 2017: Health Psychology: Official Journal of the Division of Health Psychology, American Psychological Association
https://www.readbyqxmd.com/read/28350659/first-female-to-male-facial-confirmation-surgery-with-description-of-a-new-procedure-for-masculinization-of-the-thyroid-cartilage-adam-s-apple
#4
Jordan C Deschamps-Braly, Caitlin L Sacher, Jennifer Fick, Douglas K Ousterhout
Although male-to-female transgender patients commonly seek facial feminization surgery, facial masculinization surgery in the female-to-male transgender population is unreported in the literature. This report documents the first known female-to-male facial masculinization surgery, including a new technique for creating an "Adam's apple" to enhance the facial masculine appearance of a natal female. The authors "reversed" the methods typically used to feminize male facial features, and modified the forehead, nose, and chin to masculinize the patient's natal female facial features...
April 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28350658/top-surgery-in-transgender-men-how-far-can-you-push-the-envelope
#5
Rachel Bluebond-Langner, Jens U Berli, Jennifer Sabino, Karan Chopra, Devinder Singh, Beverly Fischer
BACKGROUND: The authors present their grading scale and the outcomes of the largest cohort of top surgery published to date. Application of this grading system can help determine which patients will benefit from a subcutaneous mastectomy with free nipple graft versus a circumareolar technique, with the primary endpoint being need for aesthetic revisions. METHODS: The authors reviewed their database of transgender males who underwent bilateral mastectomy between 2006 and 2015...
April 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28349733/transgender-phonosurgery-a-systematic-review-and-meta-analysis
#6
Tara Elena Song, Nancy Jiang
Objectives Different surgical techniques have been described in the literature to increase vocal pitch. The purpose of this study is to systematically review these surgeries and perform a meta-analysis to determine which technique increases pitch the most. Data Sources CINAHL, Cochrane, Embase, Medline, PubMed, and Science Direct. Review Methods A systematic review and meta-analysis of the literature was performed using the CINAHL, Cochrane, Embase, Medline, PubMed, and Science Direct databases. Studies were eligible for inclusion if they evaluated pitch-elevating phonosurgical techniques in live humans and performed pre- and postoperative acoustic analysis...
March 1, 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28329583/dermatologic-care-of-the-transgender-patient
#7
Timothy Hermosura Almazan, Filamer D Kabigting
Literature is limited regarding the medical and cosmetic dermatologic issues pertinent to transgender patients and the reasons why 19 transgender individuals seek care from dermatologists. Clinical management of this population has historically been limited to 20 mental health providers, endocrinologists, and select surgeons with expertise in sex reassignment surgery. The impact of hormonal 21 therapy on transgender skin has been well documented in endocrinology journals, but is underrepresented in dermatology 22 literature...
October 15, 2016: Dermatology Online Journal
https://www.readbyqxmd.com/read/28277339/clinical-dilemmas-in-the-management-of-transgender-men
#8
Michael S Irwig
PURPOSE OF REVIEW: To explore the medical and surgical clinical dilemmas in the management of trans (transgender) men, a growing population receiving more attention than in the past. RECENT FINDINGS: Testosterone therapy is commonly prescribed to trans men for masculinization. Nonetheless, the optimal formulations and doses of testosterone therapy for trans men have not been well established. Testosterone therapy has been associated with increased levels of hemoglobin and triglycerides, as well as diabetes...
March 8, 2017: Current Opinion in Endocrinology, Diabetes, and Obesity
https://www.readbyqxmd.com/read/28272274/the-need-for-patient-reported-outcome-measures-in-gender-confirming-surgery-response-to-letter-to-the-editor-regarding-surgical-outcome-after-penile-inversion-vaginoplasty-a-retrospective-study-of-475-transgender-women-by-buncamper-et-al-massie-et-al
#9
Marlon E Buncamper, Wouter B Van der Sluis, Mark-Bram Bouman, Jan Maerten Smit, Mujde Ozer, Margriet G Mullender
No abstract text is available yet for this article.
March 7, 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28234856/an-update-on-genital-reconstruction-options-for-the-female-to-male-transgender-patient-a-review-of-the-literature
#10
Jordan D Frey, Grace Poudrier, Michael V Chiodo, Alexes Hazen
Although many transgender individuals are able to realize their gender identity without surgical intervention, a significant and increasing portion of the trans population is seeking gender-confirming surgery (alternatively, gender reassignment surgery, sexual reassignment surgery, or gender-affirming surgery). This review presents a robust overview of genital reconstruction in the female-to-male transgender patient-an operation that, historically, was seldom performed and has remained less surgically feasible than its counterpart (male-to-female genital reconstruction)...
March 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28234830/penile-inversion-vaginoplasty-with-or-without-additional-full-thickness-skin-graft-to-graft-or-not-to-graft
#11
Marlon E Buncamper, Wouter B van der Sluis, Max de Vries, Birgit I Witte, Mark-Bram Bouman, Margriet G Mullender
BACKGROUND: Penile inversion vaginoplasty is considered to be the gold standard for gender reassignment surgery in transgender women. The use of additional full-thickness skin graft as neovaginal lining is controversial. Some believe that having extra penile skin for the vulva gives better aesthetic results. Others believe that it gives inferior functional results because of insensitivity and skin graft contraction. METHODS: Transgender women undergoing penile inversion vaginoplasty were studied prospectively...
March 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28234823/facial-feminization-surgery-simultaneous-hair-transplant-during-forehead-reconstruction
#12
Luis Capitán, Daniel Simon, Teresa Meyer, Antonio Alcaide, Alan Wells, Carlos Bailón, Raúl J Bellinga, Thiago Tenório, Fermín Capitán-Cañadas
BACKGROUND: Reconstruction of the frontonaso-orbital complex is one of the best-described and most commonly used procedures in the field of facial feminization surgery. To a large extent, this complex determines the facial expression and plays a key role in the visual identification of facial gender. After the forehead, the hairline pattern is the second most important feature of gender identification within the upper third of the face. The combined evaluation of these two features should be a basic premise of facial feminization surgery...
March 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28217493/outcome-and-preferences-in-male-to-female-subjects-with-gender-dysphoria-experience-from-eastern-india
#13
Anirban Majumder, Debmalya Sanyal
CONTEXT: Gender dysphoria (GD) is an increasingly recognized medical condition in India, and little scientific data on treatment outcomes are available. AIMS: Our objective is to study the therapeutic options including psychotherapy, hormone, and surgical treatments used for alleviating GD in male-to-female (MTF) transgender subjects in Eastern India. SUBJECTS AND METHODS: This is a retrospective study of treatment preferences and outcome in 55 MTF transgender subjects who were presented to the endocrine clinic...
January 2017: Indian Journal of Endocrinology and Metabolism
https://www.readbyqxmd.com/read/28212056/parenting-intentions-among-transgender-individuals
#14
Samantha L Tornello, Henny Bos
PURPOSE: We know very little about how transgender people create their families and the issues involved in these decisions. This qualitative study explored the parenting intentions and desires of 32 self-identified transgender individuals who want to become parents in the future. METHODS: Data were collected using an open-ended survey with 32 transgender men and transgender women regarding when and how they want to become parents in the future. RESULTS: We found that transgender individuals expressed specific desires for parenthood, such as biological relatedness and barriers to parenthood, such as physical limitations or lack of legal protections, which influence how transgender individuals choose to become parents in the future...
April 2017: LGBT Health
https://www.readbyqxmd.com/read/28196182/what-surgeons-need-to-know-about-gender-confirmation-surgery-when-providing-care-for-transgender-individuals-a-review
#15
Jens U Berli, Gail Knudson, Lin Fraser, Vin Tangpricha, Randi Ettner, Frederic M Ettner, Joshua D Safer, Julie Graham, Stan Monstrey, Loren Schechter
Importance: In 2014, the US Department of Health and Human Services decided that its 1981 exclusion of transsexual surgical treatments from Medicare coverage was based on outdated, incomplete, and biased science and did not reflect current evidence or standards of care, and the exclusion was therefore lifted. As a direct result of this decision, surgeons nationwide are seeing an increase in consultations for surgical therapy to help transgender and gender-nonconforming individuals. Although some clinicians may have the technical training for such surgical procedures, in many cases, they may not have a full understanding of the complex and comprehensive care required to provide optimal health care for transgender individuals...
April 1, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28191651/the-development-of-prostate-adenocarcinoma-in-a-transgender-male-to-female-patient-could-estrogen-therapy-have-played-a-role
#16
Asma Sharif, Neha R Malhotra, Andres M Acosta, Andre A Kajdacsy-Balla, Maarten Bosland, Grace Guzman, Gail S Prins, Michael R Abern
BACKGROUND: Prostate adenocarcinoma (PCa) is a rare diagnosis in the male to female transgender (MtFT) population with only a few case reports published in the current medical literature. Long standing beliefs of androgen suppression conferring a protective effect against prostate cancer development have been challenged by the literature citing adenocarcinoma development in the prostate of rodent models following combined estrogen and testosterone treatment. MATERIALS AND METHODS: We herein present a MtFT patient who presented with high grade PCa following 20 years of exogenous estrogen therapy...
February 13, 2017: Prostate
https://www.readbyqxmd.com/read/28175969/masculine-chest-wall-contouring-in-ftm-transgender-a-personal-approach
#17
Giulia Lo Russo, Sara Tanini, Marco Innocenti
BACKGROUND: Chest-wall contouring surgery is one of the first steps in sexual reassignment in female-to-male (FtM) transsexuals that contributes to strengthening of the self-image and facilitates living in the new gender role. The main goal is to masculinize the chest by removing the female contour. Chest contour, scar placement, scar shape, scar length, nipple-areola position, nipple size and the areola size are the key points. METHODS: Between July 2013 and June 2016, 25 FtM transgender patients underwent surgical procedures to create a masculine chest-wall contour...
April 2017: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/28161082/genital-sensory-detection-thresholds-and-patient-satisfaction-with-vaginoplasty-in-male-to-female-transgender-women
#18
Marianne LeBreton, Frédérique Courtois, Nicolas Morel Journel, Dominic Beaulieu-Prévost, Marc Bélanger, Alain Ruffion, Jean-Étienne Terrier
INTRODUCTION: Gender-affirming surgery is common for the treatment of gender dysphoria, but its effect on genital sensitivity is not well known. AIMS: To investigate genital sensory detection thresholds in male-to-female transgender women postoperatively and their relation to psychological well-being and variables of satisfaction. METHODS: Prospective study on 28 transgender women at least 18 years old operated on at least 3 months before the study by a single surgeon (N...
February 2017: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/28159148/hormonal-and-surgical-treatment-options-for-transgender-women-and-transfeminine-spectrum-persons
#19
REVIEW
Linda M Wesp, Madeline B Deutsch
Transgender women and other transfeminine spectrum people may pursue hormonal and/or surgical gender-affirming interventions. Hormone therapy includes androgen blockade and estrogen supplementation. Approaches to hormone treatment vary widely based on patient goals and physiology. Surgical procedures are available, including genital affirmation surgery, breast augmentation, and head or neck feminization procedures. Many people are unable to obtain surgeries owing to prohibitive costs and long waiting lists...
March 2017: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28159147/hormonal-and-surgical-treatment-options-for-transgender-men-female-to-male
#20
REVIEW
Ryan Nicholas Gorton, Laura Erickson-Schroth
Untreated transgender men face serious negative health care outcomes. Effective medical, surgical, and mental health treatment ameliorates these risks. Although the research is not as robust as would be ideal, hormone treatment is effective and generally well tolerated with few serious medical risks. Surgeries carry serious risks; but for most transgender men, the benefits outweigh the risks. This review describes current evidence-based medical treatments for transgender men and provides an overview of surgical therapy to enable practitioners to discuss these options with their transgender male patients...
March 2017: Psychiatric Clinics of North America
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