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https://www.readbyqxmd.com/read/29783857/psychiatry-s-ethical-involvement-in-gender-affirming-care
#1
Roberto D'Angelo
OBJECTIVE: To reflect on the role of psychiatry in authorising physical treatments for Gender Dysphoria and to examine the quality of evidence for gender-reassignment. METHOD: A Medline search was performed with the subject term "transsexualism" or "gender dysphoria" and "outcome" or "follow-up" in the title. Studies published from 2005 onwards reporting psychosocial outcomes were selected for review. RESULTS: Most available evidence indicating positive outcomes for gender reassignment is of poor quality...
May 1, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/29770100/lymphogranuloma-venereum-in-quebec-re-emergence-among-men-who-have-sex-with-men
#2
C A Boutin, S Venne, M Fiset, C Fortin, D Murphy, A Severini, C Martineau, J Longtin, A C Labbé
Background: Lymphogranuloma venereum (LGV) is a sexually transmitted infection (STI) caused by Chlamydia trachomatis genotypes L1 , L2 and L3 . This LGV is associated with significant morbidity and increased risk of HIV transmission. While fewer than two cases per year were reported in Quebec before 2005, LGV emerged in 2005-2006 with 69 cases, followed by a period of low incidence (2007-2012), and subsequent re-emergence since 2013. Objectives: To describe the incidence of LGV in Quebec and the characteristics of the affected population, including demographics and risk factors, clinical manifestations, laboratory tests, treatments and reinfection rates...
February 1, 2018: Canada Communicable Disease Report, Relevé des Maladies Transmissibles Au Canada
https://www.readbyqxmd.com/read/29756044/gender-dysphoria-in-adults-an-overview-and-primer-for-psychiatrists
#3
William Byne, Dan H Karasic, Eli Coleman, A Evan Eyler, Jeremy D Kidd, Heino F L Meyer-Bahlburg, Richard R Pleak, Jack Pula
Regardless of their area of specialization, adult psychiatrists are likely to encounter gender-variant patients; however, medical school curricula and psychiatric residency training programs devote little attention to their care. This article aims to assist adult psychiatrists who are not gender specialists in the delivery of respectful, clinically competent, and culturally attuned care to gender-variant patients, including those who identify as transgender or transsexual or meet criteria for the diagnosis of Gender Dysphoria (GD) as defined by The Diagnostic and Statistical Manual of Mental Disorders (5th edition)...
2018: Transgender Health
https://www.readbyqxmd.com/read/29739126/transsexualism-a-different-viewpoint-to-brain-changes
#4
REVIEW
Mohammad Reza Mohammadi, Ali Khaleghi
Transsexualism refers to a condition or belief which results in gender dysphoria in individuals and makes them insist that their biological gender is different from their psychological and experienced gender. Although the etiology of gender dysphoria (or transsexualism) is still unknown, different neuroimaging studies show that structural and functional changes of the brain result from this sexual incongruence. The question here is whether these reported changes form part of the etiology of transsexualism or themselves result from transsexualism culture, behaviors and lifestyle...
May 31, 2018: Clinical Psychopharmacology and Neuroscience: the Official Scientific Journal of the Korean College of Neuropsychopharmacology
https://www.readbyqxmd.com/read/29735285/fronto-orbital-feminization-technique-a-surgical-strategy-using-fronto-orbital-burring-with-or-without-eggshell-technique-to-optimize-the-risk-benefit-ratio
#5
A Villepelet, A Jafari, B Baujat
The demand for facial feminization is increasing in transsexual patients. Masculine foreheads present extensive supraorbital bossing with a more acute glabellar angle, whereas female foreheads show softer features. The aim of this article is to describe our surgical technique for fronto-orbital feminization. The mask-lift technique is an upper face-lift. It provides rejuvenation by correcting collapsed features, and fronto-orbital feminization through burring of orbital rims and lateral canthopexies. Depending on the size of the frontal sinus and the thickness of its anterior wall, frontal remodeling is achieved using simple burring or by means of the eggshell technique...
May 4, 2018: European Annals of Otorhinolaryngology, Head and Neck Diseases
https://www.readbyqxmd.com/read/29723643/transvaginal-natural-orifice-transluminal-endoscopic-surgery-for-female-to-male-transgender-men
#6
Yi-Le Lee, Teh-Fu Hsu, Ling-Yu Jiang, Hsiang-Tai Chao, Peng-Hui Wang, Yi-Jen Chen
STUDY OBJECTIVE: Previous studies suggest female-to-male transgender men tend to choose less invasive procedures, but the superior route of hysterectomy for them remains undetermined. DESIGN: Retrospective study (Canadian Task Force Classification II-3) SETTING: Academic tertiary hospital PATIENTS: Fifty-six female-to-male transsexuals received total vaginal hysterectomy (VH) with bilateral salpingo-oophorectomy (BSO) between April 2008 and August 2016 at Taipei Veterans General Hospital...
April 30, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29688644/-the-medical-care-of-transgender-people
#7
REVIEW
David Rabinerson, Tal Fortgang-Hershenhorn, Rinnat Gabbay-Benziv
The phenomenon of the discrepancy between a person's sexual self-perception and his/her genetic sex has been known to medicine since the mid-19th century. Initially, this discrepancy was considered to be a mental disorder. Over time, advances in medical abilities in surgery, hormonal treatment and infertility, have enabled physicians to help those who are affected to fulfill their wish. The present notion is that transsexualism is a solvable problem (whether the desired wish is for a man to become a woman or vice versa)...
April 2018: Harefuah
https://www.readbyqxmd.com/read/29609904/translation-adaptation-and-preliminary-validation-of-dacakis-and-davies-transsexual-voice-questionnaire-male-to-female-in-french
#8
Dominique Morsomme, Joana Revis, Elisabeth Thomas
Transgender MtF people (trans women) consult otorhinolaryngologists and vocologists with the aim of feminizing their voice and being consistently perceived as women. Treatment of these trans women always begins with a vocal assessment that is relatively unspecific as it was originally constructed for individuals with dysphonia. OBJECTIVES: This study examines the subjective portion of the assessment and specifically the self-assessment questionnaire. There is no French-language questionnaire designed to identify the issues facing people who want voice feminization and quantify the impact of their voice disorder on their daily lives...
March 30, 2018: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/29573435/comparison-of-cricothyroid-approximation-and-glottoplasty-for-surgical-voice-feminization-in-male-to-female-transsexuals
#9
Elena Mora, Ignacio Cobeta, Antonio Becerra, Maria Jesús Lucio
OBJECTIVE: To compare voice feminization and quality of life (QoL) of Male-to-Female Transsexuals (MtF Ts) after cricothyroid approximation (CTA) or glottoplasty (GL). STUDY DESIGN: Retrospective study. METHODS: Fifty-three MtF Ts were studied between 2007 and 2016. Voice assessment was based on fundamental frequency (F0 ), perceptual rating on GBRAS Hirano scale (Grade, Breathiness, Roughness, Asthenia, Strain), QoL related to voice on the Voice Handicap Index-10 Spanish validated version (VHI-10 Sv) and self-perceived femininity of the voice (SpFv), and overall satisfaction with the surgical technique (Sst) on a visual analogue scale (VAS)...
March 24, 2018: Laryngoscope
https://www.readbyqxmd.com/read/29573014/a-modified-continuous-quality-improvement-approach-to-improve-culturally-and-socially-inclusive-care-within-rural-health-services
#10
Olivia Mitchell, Christina Malatzky, Lisa Bourke, Jane Farmer
BACKGROUND: The sickest Australians are often those belonging to non-privileged groups, including Indigenous Australians, gay, lesbian, bisexual, transsexual, intersex and queer people, people from culturally and linguistically diverse backgrounds, socioeconomically disadvantaged groups, and people with disabilities and low English literacy. These consumers are not always engaged by, or included within, mainstream health services, particularly in rural Australia where health services are limited in number and tend to be generalist in nature...
March 23, 2018: Australian Journal of Rural Health
https://www.readbyqxmd.com/read/29503778/transgender-associations-and-possible-etiology-a-literature-review
#11
REVIEW
Fatima Saleem, Syed W Rizvi
Transgender or gender dysphoria has been defined in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), as distress resulting from the incongruence between one's experienced gender and one's assigned gender, along with a persistent and strong desire to be of another gender, and accompanied by clinically significant distress. Adolescents referred for evaluation often want hormonal therapy and several among them also express a desire for gender reassignment surgery. Furthermore, evidence shows that adolescents and adults with gender dysphoria without a sex development disorder, before gender reassignments, are at increased risk for suicide...
December 24, 2017: Curēus
https://www.readbyqxmd.com/read/29490365/temporal-trends-in-gender-affirming-surgery-among-transgender-patients-in-the-united-states
#12
Joseph K Canner, Omar Harfouch, Lisa M Kodadek, Danielle Pelaez, Devin Coon, Anaeze C Offodile, Adil H Haider, Brandyn D Lau
Importance: Little is known about the incidence of gender-affirming surgical procedures for transgender patients in the United States. Objectives: To investigate the incidence and trends over time of gender-affirming surgical procedures and to analyze characteristics and payer status of transgender patients seeking these operations. Design, Setting, and Participants: In this descriptive observational study from 2000 to 2014, data were analyzed from the National Inpatient Sample, a representative pool of inpatient visits across the United States...
February 28, 2018: JAMA Surgery
https://www.readbyqxmd.com/read/29454176/efficacy-of-intensive-voice-feminisation-therapy-in-a-transgender-young-offender
#13
Sterling Quinn, Nathaniel Swain
Research suggests that transgender young offenders are a uniquely vulnerable caseload that may benefit from speech pathology intervention to help bring their voice into alignment with their gender identity. However, no previous studies have investigated treatment efficacy in this population. This study investigated the impact of intensive voice feminisation therapy targeting fundamental frequency and oral resonance in a 17 year old transgender individual within a youth justice institution. Acoustic analysis, listener and self-ratings of vocal femininity, self-ratings of vocal satisfaction, a post-treatment structured interview, and pre- and post- treatment completion of the Transsexual Voice Questionnaire (TVQMtF ) were utilised to determine treatment impact...
March 2018: Journal of Communication Disorders
https://www.readbyqxmd.com/read/29422297/-development-of-the-facial-feminization-surgery-patient-s-satisfaction-questionnaire-qesff1-qualitative-phase
#14
C Verbruggen, R Weigert, P Corre, V Casoli, M Bondaz
OBJECTIVE: Facial feminization surgery is becoming a more frequently requested procedure in transsexual male to female patients transformation. A global way of reporting outcomes data and showing the beneficial impact of this specific procedure is necessary. The objective of this study is to develop a reliable and valid tool to report patients' outcomes after facial feminization surgery. METHODS: A systematic literature review, input from experts working with transsexual patients and patient interviews were used to develop the conceptual framework of the questionnaire...
February 5, 2018: Annales de Chirurgie Plastique et Esthétique
https://www.readbyqxmd.com/read/29406766/-retraction-notice-is-sexual-identity-optional-a-study-of-the-genetics-of-transsexuality-cuadernos-de-bio%C3%A3-tica-2017-28-94-343-353
#15
(no author information available yet)
No abstract text is available yet for this article.
January 2018: Cuadernos de Bioética: Revista Oficial de la Asociación Española de Bioética y Ética Médica
https://www.readbyqxmd.com/read/29392290/voice-articulation-and-prosody-contribute-to-listener-perceptions-of-speaker-gender-a-systematic-review-and-meta-analysis
#16
Yeptain Leung, Jennifer Oates, Siew Pang Chan
Purpose: The aim of this study was to provide a systematic review of the aspects of verbal communication contributing to listener perceptions of speaker gender with a view to providing clinicians with guidance for the selection of the training goals when working with transsexual individuals. Method: Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) guidelines were adopted in this systematic review. Studies evaluating the contribution of aspects of verbal communication to listener perceptions of speaker gender were rated against a new risk of bias assessment tool...
February 15, 2018: Journal of Speech, Language, and Hearing Research: JSLHR
https://www.readbyqxmd.com/read/29383415/autologous-fibroblast-seeded-amnion-for-reconstruction-of-neo-vagina-in-male-to-female-reassignment-surgery
#17
Kamal Seyed-Forootan, Hamid Karimi, Nazilla-Sadat Seyed-Forootan
BACKGROUND: Plastic surgeons have used several methods for the construction of neo-vaginas, including the utilization of penile skin, free skin grafts, small bowel or recto-sigmoid grafts, an amnion graft, and cultured cells. PURPOSE: The aim of this study is to compare the results of amnion grafts with amnion seeded with autograft fibroblasts. MATERIALS AND METHODS: Over 8 years, we compared the results of 24 male-to-female transsexual patients retrospectively based on their complications and levels of satisfaction...
April 2018: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/29373697/azithromycin-resistant-neisseria-gonorrhoeae-spreading-amongst-men-who-have-sex-with-men-msm-and-heterosexuals-in-new-south-wales-australia-2017
#18
David M Whiley, Ratan L Kundu, Amy V Jennison, Cameron Buckley, Athena Limnios, Tiffany Hogan, Rodney Enriquez, Jasmin El Nasser, C Robert George, Monica M Lahra
Objectives: To identify the genetic basis of resistance as well as to better understand the epidemiology of a recent surge in azithromycin-resistant Neisseria gonorrhoeae in New South Wales, Australia. Methods: Azithromycin-resistant N. gonorrhoeae isolates (n = 118) collected from 107 males, 10 females and 1 transsexual between January and July 2017 were genotyped using a previously described iPLEX method. The results were compared with phenotypic resistance profiles and available patient data...
January 24, 2018: Journal of Antimicrobial Chemotherapy
https://www.readbyqxmd.com/read/29364080/from-continuity-to-contiguity-a-response-to-the-fraught-temporality-of-gender
#19
Oren Gozlan
This paper examines current psychoanalytic engagements with the use of hormone blockers in transsexual children and the underlying premises concerning our understanding of the child's process of coming into his or her gendered self. Rather than taking sides in the debate, I explore how the "hormones question" becomes entangled in a series of misreadings and displacements through which the child's request could potentially be missed. In examining psychoanalytic conceptualizations of the trans child's agency, autonomy, and future and the relation between the natal body and gender, I ask, how is psychoanalytic discourse implicated in the very dilemmas it attempts to elucidate? Specifically, the essay examines critically the psychoanalytic use of continuity, authenticity, and alignment as implicit ideals, interrogates the focus on mourning as therapeutic horizon, and proposes that we conceive of gender as a good-enough placeholder with the potential to carry us from the ideal of continuity to an ethos of contiguity...
February 2018: Psychoanalytic Review
https://www.readbyqxmd.com/read/29340443/-gender-performativity-medicalization-and-health-in-transsexual-women-in-mexico-city
#20
José Arturo Granados Cosme, Pedro Alberto Hernández Ramírez, Omar Alejandro Olvera Muñoz
The World Health Organization and the American Psychological Association consider transsexuality a pathology and suggest sex-gender reassignment for the biopsychic adjustment of trans people. Through the discursive analysis of experience, this study describes the processes of medicalization and gender performativity in relation to the health of a group of trans women from Mexico City. For this purpose, a qualitative study was conducted in which 10 semi-structured interviews were carried out in 2015. As part of medicalization, the pathologization of transsexuality generated psychic suffering; on the other hand, sex-gender reassignment also entailed additional risks...
October 2017: Salud Colectiva
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