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https://www.readbyqxmd.com/read/27916515/oestrogen-and-anti-androgen-therapy-for-transgender-women
#1
REVIEW
Vin Tangpricha, Martin den Heijer
Transgender women experience lifelong gender dysphoria due to a gender assignment at birth that is incongruent with their gender identity. They often seek hormone therapy, with or without surgery, to improve their gender dysphoria and to better align their physical and psychological features with a more feminine gender role. Some of the desired physical changes from oestrogen and anti-androgen therapy include decreased body and facial hair, decreased muscle mass, breast growth, and redistribution of fat. Overall the risks of treatment are low, but include thromboembolism, the risk of which depends on the dose and route of oestrogen administration...
December 1, 2016: Lancet Diabetes & Endocrinology
https://www.readbyqxmd.com/read/27845966/chest-surgery-in-female-to-male-transgender-individuals
#2
Michael J Frederick, Aaron E Berhanu, Richard Bartlett
BACKGROUND: Societal awareness of transgender individuals has led to increased acceptance and demand for sex-confirming surgery. In female to male transsexuals, the most common procedure is removal of breast tissue to masculinize the chest. METHODS: Eighty-eight transgender patients underwent either a subcutaneous nipple-sparing mastectomy (NSM) with or without a periareolar mastopexy or nipple reduction, or bilateral mastectomies with free nipple grafts (MFNG) with or without nipple reduction...
November 15, 2016: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/27844235/robot-assisted-laparoscopic-colpectomy-in-female-to-male-transgender-patients-technique-and-outcomes-of-a-prospective-cohort-study
#3
Freek Groenman, Charlotte Nikkels, Judith Huirne, Mick van Trotsenburg, Hans Trum
BACKGROUND: Gender-affirming surgeries in female-to-male (FtM) transgender patients include mostly hysterectomy, bilateral salpingo-oophorectomy and mastectomy. Sometimes further surgery is performed, such as phalloplasty. Colpectomy may be performed to overcome gender dysphoria and disturbing vaginal discharge; furthermore, it may be important in reducing the risk of fistulas due to the phalloplasty procedure with urethral elongation. Colpectomy prior to the reconstruction of the neourethra seems to reduce fistula rates on the very first anastomosis...
November 14, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27830287/-social-support-in-gender-reassignment-surgery
#4
J Hess, I Kurth, A Henkel, L Panic, H Rübben, R Rossi Neto, Y Hess-Busch
BACKGROUND: Gender reassignment surgery (GRS) can lead to discrimination. This transition makes great demands on the individual and also affects the social environment. OBJECTIVES: To evaluate the social support of male-to-female (MtF) transgender people. MATERIALS AND METHODS: Group A comprised 254 consecutive MtF transsexuals, who received a penile inversion vaginoplasty between 2004 and 2010. These women were surveyed retrospectively...
November 9, 2016: Der Urologe. Ausg. A
https://www.readbyqxmd.com/read/27782992/surgical-outcome-after-penile-inversion-vaginoplasty-a-retrospective-study-of-475-transgender-women
#5
Marlon E Buncamper, Wouter B van der Sluis, Roos S D van der Pas, Müjde Özer, Jan Maerten Smit, Birgit I Witte, Mark-Bram Bouman, Margriet G Mullender
BACKGROUND: For many transgender women, vaginoplasty is the final stage in the gender-confirming process. Penile inversion vaginoplasty is considered the gold standard for vaginal construction in transgender women. In this study, the authors assessed intraoperative and postoperative complications after penile inversion vaginoplasty. METHODS: All patients who underwent penile inversion vaginoplasty between January of 2000 and January of 2014 were identified retrospectively from the authors' hospital registry...
November 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27699698/sport-and-transgender-people-a-systematic-review-of-the-literature-relating-to-sport-participation-and-competitive-sport-policies
#6
Bethany Alice Jones, Jon Arcelus, Walter Pierre Bouman, Emma Haycraft
BACKGROUND: Whether transgender people should be able to compete in sport in accordance with their gender identity is a widely contested question within the literature and among sport organisations, fellow competitors and spectators. Owing to concerns surrounding transgender people (especially transgender female individuals) having an athletic advantage, several sport organisations place restrictions on transgender competitors (e.g. must have undergone gender-confirming surgery). In addition, some transgender people who engage in sport, both competitively and for leisure, report discrimination and victimisation...
October 3, 2016: Sports Medicine
https://www.readbyqxmd.com/read/27689139/determinants-of-and-barriers-to-hormonal-and-surgical-treatment-receipt-among-transgender-people
#7
R Craig Sineath, Cory Woodyatt, Travis Sanchez, Shawn Giammattei, Theresa Gillespie, Enid Hunkeler, Ashli Owen-Smith, Virginia P Quinn, Douglas Roblin, Robert Stephenson, Patrick S Sullivan, Vin Tangpricha, Michael Goodman
Purpose: Medical gender confirmation therapy (GCT) plays an important role in transgender health; however, its prevalence and determinants constitute an area of uncertainty. Methods: Data for this cross-sectional study were obtained from an online survey distributed from October 2012 through the end of 2013 among persons who visited the social media sites of a transgender education and social networking meeting. Eligible respondents (n=280) were persons whose gender identity was different from their sex assigned at birth and who responded to questions about previously received or planned hormonal therapy (HT), chest reconstruction, or genital surgery...
2016: Transgender Health
https://www.readbyqxmd.com/read/27686883/patterns-of-sexual-behaviour-and-sexual-healthcare-needs-among-transgender-individuals-in-melbourne-australia-2011-2014
#8
Clare Bellhouse, Sandra Walker, Christopher K Fairley, Lenka A Vodstrcil, Catriona S Bradshaw, Marcus Y Chen, Eric P F Chow
OBJECTIVE: Literature surrounding the healthcare needs of transgender individuals is limited in Australia. This study aimed to investigate the demographic characteristics, risk behaviours and HIV/STI positivity among male-to-female (MTF) and female-to-male (FTM) transgender individuals attending Melbourne Sexual Health Centre (MSHC), Australia, between 2011 and 2014. METHOD: A retrospective cohort analysis for 133 transgender individuals was conducted based on the first visit of individuals to MSHC during the study period...
September 29, 2016: Sexually Transmitted Infections
https://www.readbyqxmd.com/read/27673532/primary-total-laparoscopic-sigmoid-vaginoplasty-in-transgender-women-with-penoscrotal-hypoplasia-a-prospective-cohort-study-of-surgical-outcomes-and-follow-up-of-42-patients
#9
Mark-Bram Bouman, Wouter B van der Sluis, Marlon E Buncamper, Müjde Özer, Margriet G Mullender, Wilhelmus J H J Meijerink
BACKGROUND: In young transgender women previously treated with puberty-suppressing hormones, penoscrotal hypoplasia can make penoscrotal inversion vaginoplasty unfeasible. The aim of this study was to prospectively assess surgical outcomes and follow-up of total laparoscopic sigmoid vaginoplasty as primary reconstruction in a cohort of transgender women with penoscrotal hypoplasia. METHODS: Baseline demographics, surgical characteristics, and intraoperative and postoperative complications of all performed total laparoscopic sigmoid vaginoplasty procedures were prospectively recorded...
October 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27666563/total-laparoscopic-sigmoid-vaginoplasty
#10
Mark-Bram Bouman, Marlon E Buncamper, Wouter B van der Sluis, Wilhelmus J H J Meijerink
OBJECTIVE: To demonstrate step by step our technique for total laparoscopic sigmoid vaginoplasty. DESIGN: Surgical video tutorial. SETTING: Academic medical center. PATIENT(S): Transgender women with penile hypoplasia or with a failed primary vaginoplasty and biological women with either acquired or congenital absence of a functional vagina. INTERVENTION(S): An original technique for total laparoscopic sigmoid vaginoplasty is shown on video...
December 2016: Fertility and Sterility
https://www.readbyqxmd.com/read/27658916/erratum-to-moving-transgender-care-forward-within-public-health-organizations-inclusion-of-facial-feminizing-surgery-in-the-swedish-national-treatment-recommendations
#11
T Kalle Lundgren, Josef Isung, Johan Rinder, Cecilia Dhejne, Stefan Arver, Lars-Erik Holm, Filip Farnebo
No abstract text is available yet for this article.
November 2016: Archives of Sexual Behavior
https://www.readbyqxmd.com/read/27623991/an-update-on-the-surgical-treatment-for-transgender-patients
#12
Britt Colebunders, Sam Brondeel, Salvatore D'Arpa, Piet Hoebeke, Stan Monstrey
INTRODUCTION: As gender dysphoria is becoming increasingly accepted in the general population, the number of patients seeking gender reassignment surgery is increasing. Although not every patient with gender dysphoria requires surgery, medical practitioners taking care of these individuals should be aware of the different surgical options. AIM: To review current gender reassignment surgical techniques and update the clinician. METHODS: A review of the literature was performed focusing on the most recent techniques of gender reassignment surgery...
September 10, 2016: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/27553114/-facial-feminization-surgery-upper-third
#13
J-T Bachelet, B Souchere, A Mojallal, A Gleizal, F Boucher
The authors present the upper third of the facial feminization techniques in the context of transgender surgery. These techniques adapted to patients "male to female" are proposed to strong masculine facial features of the patients and for the upper third of the face, based on transfer of adipose tissue, fronto-orbital remodeling and correction of the hairline by scalp advance.
December 2016: Annales de Chirurgie Plastique et Esthétique
https://www.readbyqxmd.com/read/27493929/religious-experiences-of-iranian-transgenders-a-qualitative-study
#14
Farnoosh Safavifar, Mehrdad Eftekhar, Kaveh Alavi, Reza Negarandeh, Amir Hossein Jalali, Maryam Eftekhar
BACKGROUND: Gender identity disorder and its treatment with sex reassignment surgery is a profound experience, which can affect the mental, interpersonal, social and religious aspects of one's life. METHODS: This was a qualitative content analysis study focusing on the various dimensions of the experiences of seven patients suffering from gender identity disorder in a female-to-male subgroup. This study presents a report concerning the religious aspects of their experience...
2016: Medical Journal of the Islamic Republic of Iran
https://www.readbyqxmd.com/read/27490457/a-structural-mri-study-in-transgender-persons-on-cross-sex-hormone-therapy
#15
Sven C Mueller, Lionel Landré, Katrien Wierckx, Guy T'Sjoen
BACKGROUND: To date, research findings are inconsistent about whether neuroanatomy in transgender persons resembles that of their natal sex or their gender identity. Moreover, few studies have examined the effects of long-term, cross-sex hormonal treatment on neuroanatomy in this cohort. The purpose of the present study was to examine neuroanatomical differences in transgender persons after prolonged cross-sex hormone therapy. METHODS: Eighteen transgender men (female-to-male), 17 transgender women (male-to-female), 30 non-transgender men (natal men), and 27 non-transgender women (natal women) completed a high-resolution structural MRI scan at 3Tesla...
August 5, 2016: Neuroendocrinology
https://www.readbyqxmd.com/read/27475240/patient-reported-esthetic-and-functional-outcomes-of-primary-total-laparoscopic-intestinal-vaginoplasty-in-transgender-women-with-penoscrotal-hypoplasia
#16
Mark-Bram Bouman, Wouter B van der Sluis, Leonora E van Woudenberg Hamstra, Marlon E Buncamper, Baudewijntje P C Kreukels, Wilhelmus J H J Meijerink, Margriet G Mullender
INTRODUCTION: Puberty-suppressing hormonal treatment may result in penoscrotal hypoplasia in transgender women, making standard penile inversion vaginoplasty not feasible. For these patients, intestinal vaginoplasty is a surgical alternative, but knowledge on patient-reported postoperative outcomes and quality of life is lacking. AIMS: To assess patient-reported functional and esthetic outcomes, quality of life, satisfaction, and sexual well-being after primary total laparoscopic intestinal vaginoplasty in transgender women...
September 2016: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/27474996/the-effectiveness-of-pitch-raising-surgery-in-male-to-female-transsexuals-a-systematic-review
#17
Silke Van Damme, Marjan Cosyns, Sofie Deman, Zoë Van den Eede, John Van Borsel
OBJECTIVES: This study aimed to review the evidence of the effectiveness of pitch-raising surgery performed in male-to-female transsexuals. METHODS: A search for studies was performed in PubMed, Web of Science, Science Direct, EBSCOhost, Google Scholar, and the references in retrieved manuscripts, using as keywords "transsexual" or "transgender" combined with terms related to voice surgery. We included eight studies using cricothyroid approximation, six studies using anterior glottal web formation, and six studies using other surgery types or a combination of surgical techniques, leading to 20 studies in total...
July 28, 2016: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/27429187/transgender-women-in-clinical-trials-of-pre-exposure-prophylaxis
#18
Robert M Grant, Jae M Sevelius, Juan V Guanira, Jana Villayzan Aguilar, Suwat Chariyalertsak, Madeline B Deutsch
Lessons were learned with trans women who participated (as volunteers and investigators) in trials of HIV pre-exposure prophylaxis (PrEP). Trans women are not men. Compared with men who have sex with men, trans women trial participants were more likely to be involved with transactional sex, had more sexual partners, and were less likely to have PrEP medications detected in blood. Trans women define themselves differently in different cultures. One best practice is to ask at least 2 gender questions: sex assigned at birth and current gender...
August 15, 2016: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/27414682/prevalence-of-neovaginal-high-risk-human-papillomavirus-among-transgender-women-in-the-netherlands
#19
Wouter B van der Sluis, Marlon E Buncamper, Mark-Bram Bouman, Lian Elfering, Müjde Özer, Martijn Bogaarts, Renske D M Steenbergen, Daniëlle A M Heideman, Margriet G Mullender
BACKGROUND: Worldwide, transgender women are a high burden population for sexually transmitted diseases. Neovaginal high-risk human papillomavirus (hrHPV) infection has been documented among transgender women, but its prevalence remains unclear. The objective of this study was to determine the prevalence of neovaginal hrHPV in a sample of transgender women in The Netherlands. METHODS: Between June 2015 and December 2015, neovaginal samples were obtained from all transgender women who underwent vaginoplasty and attended our outpatient clinic for postoperative follow-up at least 1 year after surgery...
August 2016: Sexually Transmitted Diseases
https://www.readbyqxmd.com/read/27372000/immediate-pedicled-gracilis-flap-in-radial-forearm-flap-phalloplasty-for-transgender-male-patients-to-reduce-urinary-fistula
#20
Christopher J Salgado, Ajani G Nugent, Alison M Moody, Harvey Chim, Alejandra M Paz, Hung-Chi Chen
BACKGROUND AND AIM: Radial forearm phalloplasty is accompanied by high rates of fistula formation. We examined the effect of placing a pedicled gracilis myofascial flap around the urethral anastomosis at the time of radial forearm flap transfer on the development of postoperative urethrocutaneous fistula. METHODS: Fifteen patients underwent phalloplasty with urethroplasty between June 2012 and October 2015, and they met the inclusion and exclusion criteria for the study...
June 2, 2016: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
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