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https://www.readbyqxmd.com/read/29320643/2017-american-association-of-clinical-endocrinologists-endocrine-society-update-on-transgender-medicine-case-discussions
#1
Vin Tangpricha, Sabine E Hannema, Michael S Irwig, Walter J Meyer, Joshua D Safer, Wylie C Hembree
OBJECTIVE: Increased numbers of transgender and gender-nonconforming people are presenting to physicians in the United States and abroad due to increased public recognition and acceptance and increased access to healthcare facilities. However, there are still gaps in medical knowledge among endocrinologists and other health care professionals. The purpose of these cases is to present several common clinical vignettes of transgender people presenting in an office setting that illustrate some of the key recommendations of the Endocrine Society's revised Endocrine Treatment of Gender Dysphoria/Gender Incongruent Persons guidelines, cosponsored by the American Association of Clinical Endocrinologists...
December 2017: Endocrine Practice
https://www.readbyqxmd.com/read/29313190/structural-inequities-and-social-networks-impact-hormone-use-and-misuse-among-transgender-women-in-los-angeles-county
#2
Kirsty Clark, Jesse B Fletcher, Ian W Holloway, Cathy J Reback
In order to reduce gender dysphoria and combat stigma, transgender women often affirm their gender through social and medical transition, which may include cross-sex hormone therapy. This study examined associations between medically monitored hormone use and hormone misuse (non-prescribed hormone use including "fillers"), structural inequities (access to housing, health insurance, and income), and social network dynamics among 271 transgender women in Los Angeles. Hormone use status was coded trichotomously (hormone use, hormone misuse, no hormone use), and robust multinomial logistic regression as well as novel social network analysis was conducted to examine associations...
January 8, 2018: Archives of Sexual Behavior
https://www.readbyqxmd.com/read/29301673/-gender-dysphoria-and-autism-spectrum-disorder-is-the-link-real
#3
EDITORIAL
Jack L Turban, Gerrit I van Schalkwyk
No abstract text is available yet for this article.
January 2018: Journal of the American Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/29297758/quality-of-life-and-body-image-of-individuals-with-gender-dysphoria
#4
Masoumeh Simbar, Soheila Nazarpour, Mahsa Mirzababaie, Mohammad Ali EmamHadi, Fahimeh Ramezani Tehrani, Hamid Alavi Majd
This study aimed to assess the body image and quality of life of individuals suffering from gender dysphoria (GD) who were undergoing different types of treatment or no treatment at all. This was a descriptive-comparative study of 90 patients with GD sorted into 3 groups of untreated (no hormone therapy or surgery) (n = 30), hormone therapy (n = 30), and gender-reassignment surgery (n = 30). They were recruited using convenience sampling from a hospital in Tehran, Iran. The tools for data collection were three questionnaires to assess quality of life, body image, and demographic characteristics...
January 3, 2018: Journal of Sex & Marital Therapy
https://www.readbyqxmd.com/read/29284816/a-case-report-of-gender-dysphoria-with-morbid-jealousy-in-a-natal-female
#5
G Prasad Rao, B Aparna
Gender dysphoria is a new entity introduced in the Diagnostic and Statistical Manual of Mental Disorder V to address the distress of the previously labeled gender identity disorder patients. It is less commonly seen in natal females, often starting in their childhood. Adults and adolescent natal females with early-onset gender dysphoria are almost always gynephilic. This case report is presented to discuss the interesting evolution of the symptoms in gender dysphoria case with difficulties in adjusting to the assigned sexual role, relationship problems, morbid jealousy, and severe depressive features with suicidal ideations...
November 2017: Indian Journal of Psychological Medicine
https://www.readbyqxmd.com/read/29210339/gender-identity-dysphoria-and-change
#6
Harry Zeitlin, Diana Brahams
No abstract text is available yet for this article.
December 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/29189919/autistic-symptoms-in-children-and-adolescents-with-gender-dysphoria
#7
Anna I R van der Miesen, Annelou L C de Vries, Thomas D Steensma, Catharina A Hartman
Studies have shown an increase of symptoms of autism spectrum disorder (ASD) in gender dysphoria (GD). Various hypotheses try to explain this possible co-occurrence (e.g., a role of resistance to change, stereotyped behaviors or prenatal testosterone exposure). This study examined ASD symptoms with the Children's Social Behavior Questionnaire (CSBQ) in 490 children with GD compared to 2507 typically developing (TD) and 196 children with ASD. CSBQ total scores of the GD sample were in between scores from the TD and ASD sample...
November 30, 2017: Journal of Autism and Developmental Disorders
https://www.readbyqxmd.com/read/29184488/brain-maturation-cognition-and-voice-pattern-in-a-gender-dysphoria-case-under-pubertal-suppression
#8
Maiko A Schneider, Poli M Spritzer, Bianca Machado Borba Soll, Anna M V Fontanari, Marina Carneiro, Fernanda Tovar-Moll, Angelo B Costa, Dhiordan C da Silva, Karine Schwarz, Maurício Anes, Silza Tramontina, Maria I R Lobato
Introduction: Gender dysphoria (GD) (DMS-5) is a condition marked by increasing psychological suffering that accompanies the incongruence between one's experienced or expressed gender and one's assigned gender. Manifestation of GD can be seen early on during childhood and adolescence. During this period, the development of undesirable sexual characteristics marks an acute suffering of being opposite to the sex of birth. Pubertal suppression with gonadotropin releasing hormone analogs (GnRHa) has been proposed for these individuals as a reversible treatment for postponing the pubertal development and attenuating psychological suffering...
2017: Frontiers in Human Neuroscience
https://www.readbyqxmd.com/read/29178596/knowledge-and-attitudes-toward-transgender-health
#9
Jack L Turban, Joel Winer, Susan Boulware, Timothy VanDeusen, John Encandela
BACKGROUND: Hormonal interventions for transgender adolescents have become increasingly common; however, there is a paucity of research on medical student knowledge of, and attitudes toward, these interventions following didactic instruction. Furthermore, no studies have examined whether students can be aware of the literature on the mental health benefits of these treatments yet continue to find them unethical. METHODS: An anonymous online survey was administered to students, from first to fourth year (n = 407), who had received one or two lectures on the treatment of youths with gender dysphoria (GD)...
November 27, 2017: Clinical Teacher
https://www.readbyqxmd.com/read/29175227/does-testosterone-treatment-increase-anger-expression-in-a-population-of-transgender-men
#10
Giovanna Motta, Chiara Crespi, Valentina Mineccia, Paolo Riccardo Brustio, Chiara Manieri, Fabio Lanfranco
BACKGROUND: The acquisition of phenotypic male features in transmen with gender dysphoria requires testosterone treatment. The suppression of menses is 1 of the most desired effects. The relation between testosterone levels and human aggressive behavior has been described. However, the effects of testosterone on anger expression have been poorly investigated in trans-persons. AIM: To assess the effects of testosterone treatment on anger expression in transmen using a validated self-report questionnaire (Spielberger's State-Trait Anger Expression Inventory-2 [STAXI-2])...
November 23, 2017: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/29169588/changes-in-hormonal-and-metabolic-parameters-in-transgender-subjects-on-cross-sex-hormone-therapy-a-cohort-study
#11
Roberto Vita, Salvatore Settineri, Marco Liotta, Salvatore Benvenga, Francesco Trimarchi
OBJECTIVES: Gender identity disorder is defined as a strong and persistent cross-gender identification that is associated with a remarkable uneasiness of living in an incongruent gender (gender dysphoria). We performed a retrospective study on the hormonal and metabolic effects of cross-sex hormone therapy (CSHT) in a small cohort of transgender patients. STUDY DESIGN: Retrospective study. MEAN OUTCOME MEASURES: Hormonal and biochemical parameters at baseline (i...
January 2018: Maturitas
https://www.readbyqxmd.com/read/29159310/factors-associated-with-gender-affirming-surgery-and-age-of-hormone-therapy-initiation-among-transgender-adults
#12
Noor Beckwith, Sari L Reisner, Shayne Zaslow, Kenneth H Mayer, Alex S Keuroghlian
Purpose: Gender-affirming surgeries and hormone therapy are medically necessary treatments to alleviate gender dysphoria; however, significant gaps exist in the research and clinical literature on surgery utilization and age of hormone therapy initiation among transgender adults. Methods: We conducted a retrospective review of electronic health record data from a random sample of 201 transgender patients of ages 18-64 years who presented for primary care between July 1, 2010 and June 30, 2015 (inclusive) at an urban community health center in Boston, MA...
2017: Transgender Health
https://www.readbyqxmd.com/read/29145707/relationship-between-testosterone-in-serum-saliva-and-urine-during-treatment-with-intramuscular-testosterone-undecanoate-in-gender-dysphoria-and-male-hypogonadism
#13
Y Lood, E Aardal-Eriksson, C Webe, J Ahlner, B Ekman, J Wahlberg
Long-term testosterone replacement therapy is mainly monitored by trough levels of serum testosterone (S-T), while urinary testosterone (U-T) is used by forensic toxicology to evaluate testosterone doping. Testosterone in saliva (Sal-T) may provide additional information and simplify the sample collection. We aimed to investigate the relationships between testosterone measured in saliva, serum and urine during standard treatment with 1,000 mg testosterone undecanoate (TU) every 12th week during 1 year. This was an observational study...
November 16, 2017: Andrology
https://www.readbyqxmd.com/read/29120922/gender-dysphoria-in-youth-a-review-of-recent-literature
#14
Julia Cartaya, Ximena Lopez
PURPOSE OF REVIEW: Transgender individuals including pubertal young people require hormonal therapy, in conjunction with mental health support. These youths are a unique population, with specific and individual desires and needs as they move through the physical and mental transition to the gender with which they identify. RECENT FINDINGS: The number of transgender youth presenting for treatment is increasing rapidly. They continue to have a high prevalence of mental health disorders, though not when supported in their sex identities by family in younger age...
February 2018: Current Opinion in Endocrinology, Diabetes, and Obesity
https://www.readbyqxmd.com/read/29110095/gender-dysphoria-in-the-military
#15
REVIEW
Shannon Ford, Carla Schnitzlein
PURPOSE OF REVIEW: With the announcement that members of the military who identify as transgender are allowed to serve openly, the need for Department of Defense behavioral health providers to be comfortable in the assessment, diagnosis, and treatment of this population becomes quickly evident. This population has been seeking care in the community and standards have been developed to help guide decision-making, but a comparable document does not exist for the military population. RECENT FINDINGS: Previously published papers were written in anticipation of the policy allowing for open service...
November 7, 2017: Current Psychiatry Reports
https://www.readbyqxmd.com/read/29108153/gender-dysphoria-in-children
#16
(no author information available yet)
Gender dysphoria (GD) of childhood describes a psychological condition in which children experience a marked incongruence between their experienced gender and the gender associated with their biological sex. When this occurs in the pre-pubertal child, GD resolves in the vast majority of patients by late adolescence. Currently there is a vigorous, albeit suppressed, debate among physicians, therapists, and academics regarding what is fast becoming the new treatment standard for GD in children. This new paradigm is rooted in the assumption that GD is innate, and involves pubertal suppression with gonadotropin releasing hormone (GnRH) agonists followed by the use of cross-sex hormones-a combination that results in the sterility of minors...
2017: Issues in Law & Medicine
https://www.readbyqxmd.com/read/29101439/male-to-female-sex-reassignment-surgery-using-the-combined-vaginoplasty-technique-satisfaction-of-transgender-patients-with-aesthetic-functional-and-sexual-outcomes
#17
Dmitry Zavlin, Jürgen Schaff, Jean-Daniel Lellé, Kevin T Jubbal, Peter Herschbach, Gerhard Henrich, Benjamin Ehrenberger, Laszlo Kovacs, Hans-Günther Machens, Nikolaos A Papadopulos
BACKGROUND: Currently available patient-reported outcome measures are limited in the field of sex reassignment surgery (SRS). Standardized questionnaires deliver high evidence data on satisfaction of male-to-female (MTF) transgender patients but do not allow any modification in their clinical application. We therefore designed a prospective study using self-developed indication-specific questionnaires to evaluate the aesthetic, functional, and sexual outcomes of MTF patients undergoing SRS...
November 3, 2017: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/29057562/complications-of-the-neovagina-in-male-to-female-transgender-surgery-a-systematic-review-and-meta-analysis-with-discussion-of-management
#18
REVIEW
Paulette Cutruzzula Dreher, Daniel Edwards, Shaun Hager, Margeaux Dennis, Andie Belkoff, Jamie Mora, Susan Tarry, Kathy L Rumer
Gender-affirmation surgery is often the final gender-confirming medical intervention sought by those patients suffering from gender dysphoria. In the male-to-female (MtF) transgendered patient, the creation of esthetic and functional external female genitalia with a functional vaginal channel is of the utmost importance. The aim of this review and meta-analysis is to evaluate the epidemiology, presentation, management, and outcomes of neovaginal complications in the MtF transgender reassignment surgery patients...
October 23, 2017: Clinical Anatomy
https://www.readbyqxmd.com/read/29056436/physiologic-response-to-gender-affirming-hormones-among-transgender-youth
#19
Johanna Olson-Kennedy, Vivian Okonta, Leslie F Clark, Marvin Belzer
PURPOSE: The purpose of this study was to examine the physiologic impact of hormones on youth with gender dysphoria. These data represent follow-up data in youth ages 12-23 years over a two-year time period of hormone administration. METHODS: This prospective, longitudinal study initially enrolled 101 youth with gender dysphoria at baseline from those presenting consecutively for care between February 2011 and June 2013. Physiologic data at baseline and follow-up were abstracted from medical charts...
October 19, 2017: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/29050504/transgender-research-in-the-21st-century-a-selective-critical-review-from-a-neurocognitive-perspective
#20
REVIEW
Sven C Mueller, Griet De Cuypere, Guy T'Sjoen
Gender dysphoria describes the psychological distress caused by identifying with the sex opposite to the one assigned at birth. In recent years, much progress has been made in characterizing the needs of transgender persons wishing to transition to their preferred gender, thus helping to optimize care. This critical review of the literature examines their common mental health issues, several individual risk factors for psychiatric comorbidity, and current research on the underlying neurobiology. Prevalence rates of persons identifying as transgender and seeking help with transition have been rising steeply since 2000 across Western countries; the current U...
December 1, 2017: American Journal of Psychiatry
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