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https://www.readbyqxmd.com/read/28805149/contestation-instrumental-resistance-and-strategic-conformation-within-the-diagnostic-process-of-gender-dysphoria-in-portugal
#1
Ana Patrícia Hilário
This article aims to provide insights into the ways in which trans people (i.e. those whose gender identity or expression do not align with their assigned sex at birth) in Portugal make sense of the diagnosis of gender dysphoria. Drawing upon in-depth interviews with 10 trans men and 9 trans women carried out by the TRANSRIGHTS team, we identified three major themes: (a) contestation of gender dysphoria as a (mental) illness, (b) instrumental resistance to complete demedicalisation of gender dysphoria and (c) strategic conformation to gender essentialism within the diagnostic process of gender dysphoria...
September 2017: Health (London)
https://www.readbyqxmd.com/read/28771690/caring-for-transgender-patients-with-epilepsy
#2
REVIEW
Emily L Johnson, Peter W Kaplan
OBJECTIVE: Approximately 25 million individuals older than age 15 identify as transgender, representing about 0.3-0.9% of the world's population. The aim of this paper is to identify and describe important medical and social considerations facing transgender persons with epilepsy. METHODS: We performed literature searches on the following terms: transgender AND epilepsy, transgender AND neurology, gender dysphoria AND epilepsy, gender dysphoria AND neurology. We also performed literature searches for common feminizing or masculinizing treatment regimens, and searched for interactions of those treatment regimens with antiepileptic drugs (AEDs) and with seizures...
August 3, 2017: Epilepsia
https://www.readbyqxmd.com/read/28760257/a-historical-review-of-gender-affirming-medicine-focus-on-genital-reconstruction-surgery
#3
REVIEW
Jordan D Frey, Grace Poudrier, Jennifer E Thomson, Alexes Hazen
Gender dysphoria (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition) is characterized by a marked discrepancy between one's birth-assigned sex and one's gender identity and is sometimes addressed by gender-affirming surgery. As public visibility and institutional support for the transgender and gender non-conforming population continue to increase, the demand for competent multidisciplinary teams of medical professionals equipped to care for this population is expected to rise-including plastic surgeons, urologists, gynecologists, endocrinologists, and breast surgeons, among others...
August 2017: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/28716082/efficacy-of-hormonal-and-mental-treatments-with-mmpi-in-ftm-individuals-cross-sectional-and-longitudinal-studies
#4
Hiroyuki Oda, Toshihiko Kinoshita
BACKGROUND: Cross-sex hormone treatment (CSHT) is an important option for gender dysphoria (GD) individuals to improve the quality of life. However, in Japan, sex reassignment surgery (SRS) and CSHT for GD had been discontinued until 1998 (over 30 years). After resumption, the number of GD individuals wishing treatment rapidly increased. On the other hand, the number of medical institutions available for evaluation was limited. For this reason, hormonal treatment has been administered to GD individuals requiring the prompt start of CSHT in the absence of mental health assessment by specialists...
July 17, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28696129/gender-dysphoria-in-klinefelter-s-syndrome-three-cases
#5
Gordon W Davies, John Parkinson
BACKGROUND: Previous reports have found the incidence of gender dysphoria in Klinefelter's patients greater than in the general male population. METHODS: A cohort of patients with gender dysphoria was reviewed. RESULTS: Of the 220 patients with gender dysphoria, three had Klinefelter's syndrome. CONCLUSIONS: These three reports are further examples of gender dysphoria in Klinefelter's syndrome. The role of biological factors in gender identity is affirmed...
July 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28688011/separation-anxiety-among-birth-assigned-male-children-in-a-specialty-gender-identity-service
#6
Doug P VanderLaan, Alanna Santarossa, A Natisha Nabbijohn, Hayley Wood, Allison Owen-Anderson, Kenneth J Zucker
Previous research suggested that separation anxiety disorder (SAD) is overrepresented among birth-assigned male children clinic-referred for gender dysphoria (GD). The present study examined maternally reported separation anxiety of birth-assigned male children assessed in a specialty gender identity service (N = 360). SAD was determined in relation to DSM-III and DSM-IV criteria, respectively. A dimensional metric of separation anxiety was examined in relation to several additional factors: age, ethnicity, parental marital status and social class, IQ, gender nonconformity, behavioral and emotional problems, and poor peer relations...
July 7, 2017: European Child & Adolescent Psychiatry
https://www.readbyqxmd.com/read/28679645/when-gender-identity-doesn-t-equal-sex-recorded-at-birth-the-role-of-the-laboratory-in-providing-effective-healthcare-to-the-transgender-community
#7
REVIEW
Zil Goldstein, Trevor A Corneil, Dina N Greene
BACKGROUND: Transgender is an umbrella term used to describe individuals who identify with a gender incongruent to or variant from their sex recorded at birth. Affirming gender identity through a variety of social, medical, and surgical interventions is critical to the mental health of transgender individuals. In recent years, awareness surrounding transgender identities has increased, which has highlighted the health disparities that parallel this demographic. These disparities are reflected in the experience of transgender patients and their providers when seeking clinical laboratory services...
August 2017: Clinical Chemistry
https://www.readbyqxmd.com/read/28678450/-care-network-for-patients-with-gender-dysphoria
#8
Lorenzo Soldati, Marion Hischier, Jean-Michel Aubry
Gender dysphoria refers to the distress caused by the discrepancy between a person's gender identity and his or her sex assignment at birth. It can be alleviated by specialized multidisciplinary care, which is summarized in this article.Unfortunately, this disorder is still not widely known in the medical world and this can cause a discriminatory attitude on the part of caregivers and can lead to detrimental patient care.Faced with this finding and the complaints of some patients, we have decided to create a care network which includes healthcare professionals from various disciplines...
September 21, 2016: Revue Médicale Suisse
https://www.readbyqxmd.com/read/28667001/gender-dysphoria-assessment-and-management-for-non-specialists
#9
James Barrett
No abstract text is available yet for this article.
June 30, 2017: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/28660776/gender-affirming-pharmacological-interventions-for-youth-with-gender-dysphoria-when-treatment-guidelines-are-not-enough
#10
Leena Nahata, Gayathri Chelvakumar, Scott Leibowitz
Youth with gender dysphoria, also known as transgender youth, are increasingly presenting to multidisciplinary clinics within academic pediatric centers across the United States. Gender-affirming pharmacological interventions for adolescents with gender dysphoria may be used to promote positive psychological well-being and mental health outcomes. Interventions range from completely reversible to partially irreversible, based on the age and sexual maturity of the adolescent. For each intervention, dilemmas and controversies exist regarding age at treatment initiation, treatment duration, safety, and cost...
June 1, 2017: Annals of Pharmacotherapy
https://www.readbyqxmd.com/read/28657118/clinicopathologic-findings-in-female-to-male-gender-affirming-breast-surgery
#11
Ellen G East, Katherine M Gast, William M Kuzon, Emily Roberts, Lili Zhao, Julie M Jorns
AIMS: Gender dysphoria is a diagnosis wherein an individual identifies as the opposite gender. Management of patients seeking female-to-male (FTM) transition includes hormonal therapy and surgical intervention, including mastectomy. We aim to characterize the immunohistologic findings in resection specimens from FTM patients. METHODS AND RESULTS: We reviewed 68 cases (67 patients, 1 with re-excision) of FTM breast tissue resection by collecting clinical data, reviewing breast imaging and pathology reports (gross fibrous density, specimen weight and number of cassettes submitted), and reviewing pathology slides (number of tissue pieces submitted, number of terminal duct lobule units [TDLUs], and presence of histologic findings)...
June 28, 2017: Histopathology
https://www.readbyqxmd.com/read/28647948/gender-creative-or-transgender-youth-and-advanced-nursing-practice
#12
Nicole Kirouac, Mabel Tan
The World Professional Association for Transgender Health (WPATH) defines gender dysphoria as "Discomfort or distress that is caused by a discrepancy between a person's gender identity and that person's sex assigned at birth (and the associated gender role and/or primary and secondary sex characteristics)" (WPATH, 2016). Gender creative (GC) and transgender (TG) youth are at high risk for severe mental health disparities if they don't receive competent and timely gender transitioning care. Although awareness and early care of TG youth in specialty clinics is improving and increasing, there is still much effort that is required to eliminate barriers to care at many levels and thus improve outcomes...
June 2017: Pediatric Endocrinology Reviews: PER
https://www.readbyqxmd.com/read/28645619/supporting-and-caring-for-transgender-and-gender-nonconforming-youth-in-the-urology-practice
#13
REVIEW
L E Conard
INTRODUCTION: Gender identity is a person's internal sense of gender, which may be different than the sex they were assigned at birth. Pediatric urologists are starting to see more transgender and gender non-conforming (TGN) youth and need to be able to provide culturally competent and appropriate care for these patients and their caregivers. This review will discuss common transgender terminology, specific health concerns and treatment options. METHODS AND MATERIALS: A systematic literature review was performed on Medline(®), PubMed(®), and Google Scholar™ for key words transgender, gender dysphoria and gender identity disorder...
June 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28605302/a-brief-corrective-to-levine-s-2017-ethical-concerns-about-treatment-paradigms-for-gender-dysphoria
#14
Kenneth J Zucker
No abstract text is available yet for this article.
June 12, 2017: Journal of Sex & Marital Therapy
https://www.readbyqxmd.com/read/28603386/quality-of-life-improves-early-after-gender-reassignment-surgery-in-transgender-women
#15
Ebba K Lindqvist, Hannes Sigurjonsson, Caroline Möllermark, Johan Rinder, Filip Farnebo, T Kalle Lundgren
BACKGROUND: Few studies have examined the long-term quality of life (QoL) of individuals with gender dysphoria, or how it is affected by treatment. Our aim was to examine the QoL of transgender women undergoing gender reassignment surgery (GRS). METHODS: We performed a prospective cohort study on 190 patients undergoing male-to-female GRS at Karolinska University Hospital between 2003 and 2015. We used the Swedish version of the Short Form-36 Health Survey (SF-36), which measures QoL across eight domains...
2017: European Journal of Plastic Surgery
https://www.readbyqxmd.com/read/28594603/behavior-problems-and-psychiatric-diagnoses-in-girls-with-gender-identity-disorder-a-follow-up-study
#16
Kelley D Drummond, Susan J Bradley, Michele Peterson-Badali, Doug P VanderLaan, Kenneth J Zucker
This study evaluated the presence of clinical range behavior problems and psychiatric diagnoses in 25 girls referred for gender identity disorder (GID) in childhood (mean age: 8.88 years) at the time of follow-up in adolescence or adulthood (mean age: 23.2 years). At follow-up, three (12%) of the girls were judged to have persistent GID based on DSM-IV criteria. With regard to behavior problems at follow-up, 39.1% of the girls had a clinical range score on either the Child Behavior Checklist or Adult Behavior Checklist as rated by their mothers, and 33...
June 8, 2017: Journal of Sex & Marital Therapy
https://www.readbyqxmd.com/read/28578758/the-primary-health-care-of-transgender-adults
#17
Stuart Aitken
Gender dysphoria is associated with significant health disparity. Gender services perform specialised activities such as diagnosis, endocrine management and liaison with surgical services. Although providing these specialised transition services appears to be safe and improves well-being, significant health disparity remains. Engaging primary care providers is an important part of any strategy to improve the health care of transgender people. The relationships between gender dysphoria and a range of primary care issues such as mental health, cardiovascular disease and cancer are explored...
June 5, 2017: Sexual Health
https://www.readbyqxmd.com/read/28574859/female-to-male-chest-reconstruction-a-review-of-technique-and-outcomes
#18
Daniel P Donato, Norelle K Walzer, Andy Rivera, Lindsey Wright, Cori A Agarwal
PURPOSE: Female-to-male transgender individuals frequently seek out chest wall masculinization as part of their gender transition and to aid with treating gender dysphoria. Critical evaluation of techniques, complications, and outcomes is important particularly as the surgery becomes more commonly performed. METHODS: A retrospective review was performed of all patients undergoing female-to-male chest wall reconstruction by the senior author from 2008 to 2015. Charts were reviewed to evaluate patient demographics, intraoperative details, and postoperative outcomes...
June 1, 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28557738/cross-sex-hormones-and-metabolic-parameters-in-adolescents-with-gender-dysphoria
#19
MULTICENTER STUDY
Jason Jarin, Elyse Pine-Twaddell, Gylynthia Trotman, Jaime Stevens, Lee Ann Conard, Eshetu Tefera, Veronica Gomez-Lobo
BACKGROUND AND OBJECTIVES: The Endocrine Society states that adolescents with gender dysphoria may start cross-sex hormones. The goal of this study was to identify patterns in metabolic parameters in transgender adolescents receiving cross-sex hormones. METHODS: Data from adolescents aged 14 to 25 years seen in 1 of 4 clinical sites between 2008 and 2014 were retrospectively analyzed. Subjects were divided into affirmed male (female-to-male) patients taking testosterone and affirmed female (male-to-female) patients taking estrogen...
May 2017: Pediatrics
https://www.readbyqxmd.com/read/28553996/gender-dysphoria-and-the-controversy-over-the-safe-schools-program
#20
Patrick Parkinson
The Safe Schools program has attracted great controversy. On one end of the spectrum, it is defended as an anti-bullying program for young people who identify themselves as gay or lesbian, or have issues concerning their gender identity. On the other end of the spectrum, it is regarded as social engineering. This article seeks to promote a discussion of the way in which gender identity issues are addressed in the Safe Schools program. It is argued that the information in this program to Principals, teachers and young people is inaccurate and misleading...
May 30, 2017: Sexual Health
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