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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/27914566/free-flap-phalloplasty-for-female-to-male-gender-dysphoria
#2
Giulio Garaffa, David J Ralph
The Surgical Techniques Section is sponsored in part by Coloplast.
December 2016: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/27889011/limb-amputation-and-other-disability-desires-as-a-medical-condition
#3
REVIEW
Peter Brugger, Markus Christen, Lena Jellestad, Jürgen Hänggi
Some people have a profound dissatisfaction with what is considered an able-bodied state by most others. These individuals desire to be disabled, by conventional standards. In this Review, we integrate research findings about the desire for a major limb amputation or paralysis (xenomelia). Neuropsychological and neuroimaging explorations of xenomelia show functional and structural abnormalities in predominantly right hemisphere cortical circuits of higher-order bodily representation, including affective and sexual aspects of corporeal awareness...
December 2016: Lancet Psychiatry
https://www.readbyqxmd.com/read/27883307/informed-consent-in-the-medical-care-of-transgender-and-gender-nonconforming-patients
#4
Timothy Cavanaugh, Ruben Hopwood, Cei Lambert
Informed consent as a model of care has evolved as an alternative to the standard model of care recommended by the World Professional Association for Transgender Health's Standards of Care, version 7, which emphasizes the importance of mental health professionals' role in diagnosing gender dysphoria and in assessing the appropriateness and readiness for gender-affirming medical treatments. By contrast, the informed consent model for gender-affirming treatment seeks to acknowledge and better support the patient's right to, and capability for, personal autonomy in choosing care options without the required involvement of a mental health professional...
November 1, 2016: AMA Journal of Ethics
https://www.readbyqxmd.com/read/27883299/should-mental-health-screening-and-psychotherapy-be-required-prior-to-body-modification-for-gender-expression
#5
Timothy F Murphy
Some people want to modify their bodies through hormonal and surgical treatments in order to resolve gender dysphoria, the distress they experience when their bodies do not align with their gender identity. The World Professional Association for Transgender Health (WPATH) offers guidelines to clinicians regarding treatment of people wanting to modify their bodies for this reason. Prior to these modifications, WPATH advises that mental health screening is needed and that psychotherapy is recommended though not a requirement...
November 1, 2016: AMA Journal of Ethics
https://www.readbyqxmd.com/read/27872002/gender-dysphoria-and-autism-spectrum-disorder-a-systematic-review-of-the-literature
#6
REVIEW
Derek Glidden, Walter Pierre Bouman, Bethany A Jones, Jon Arcelus
INTRODUCTION: There is a growing clinical recognition that a significant proportion of patients with gender dysphoria have concurrent autism spectrum disorder (ASD). AIM: The purpose of this review is to systematically appraise the current literature regarding the co-occurrence of gender dysphoria and ASD. METHODS: A systematic literature search using Medline and PubMed, PsycINFO, and Embase was conducted from 1966 to July 2015. MAIN OUTCOME MEASURES: Fifty-eight articles were generated from the search...
January 2016: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/27867895/gender-of-rearing-and-psychosocial-aspect-in-46-xx-congenital-adrenal-hyperplasia
#7
Arushi Gangaher, Viveka P Jyotsna, Vasundhera Chauhan, Jomimol John, Manju Mehta
BACKGROUND: In congenital adrenal hyperplasia (CAH) with ambiguous genitalia, assigning gender of rearing can be complex, especially If genitalia is highly virilized. Apart from karyotype, prenatal androgen exposure, patient's gender orientation, sociocultural, and parental influences play a role. The aim of this study was to assess gender dysphoria and psychosocial issues in patients of CAH raised as males and females. MATERIALS AND METHODS: This is a cross-sectional study that includes patients (old and new) with CAH who were treated by us in the last 6 months...
November 2016: Indian Journal of Endocrinology and Metabolism
https://www.readbyqxmd.com/read/27865337/what-the-primary-care-pediatrician-needs-to-know-about-gender-incongruence-and-gender-dysphoria-in-children-and-adolescents
#8
REVIEW
Annelou L C de Vries, Daniel Klink, Peggy T Cohen-Kettenis
The recognition and acknowledgment that gender identity and birth-assigned sex may be incongruent in children and adolescents have evolved in recent decades. Transgender care for children and adolescents has developed and is now more widely available. Controversies exist, however, around clinical management of gender dysphoria and gender incongruence in children and adolescents. Clinical guidelines are consensus based and research evidence is limited. Puberty suppression as part of clinical management has become a valuable element of adolescent transgender care, but long-term evidence of success is limited...
December 2016: Pediatric Clinics of North America
https://www.readbyqxmd.com/read/27845262/effect-of-pubertal-suppression-and-cross-sex-hormone-therapy-on-bone-turnover-markers-and-bone-mineral-apparent-density-bmad-in-transgender-adolescents
#9
Mariska C Vlot, Daniel T Klink, Martin den Heijer, Marinus A Blankenstein, Joost Rotteveel, Annemieke C Heijboer
Puberty is highly important for the accumulation of bone mass. Bone turnover and bone mineral density (BMD) can be affected in transgender adolescents when puberty is suppressed by gonadotropin-releasing hormone analogues (GnRHa), followed by treatment with cross-sex hormone therapy (CSHT). We aimed to investigate the effect of GnRHa and CSHT on bone turnover markers (BTMs) and bone mineral apparent density (BMAD) in transgender adolescents. Gender dysphoria was diagnosed based on diagnostic criteria according to the DSM-IV (TR)...
November 11, 2016: Bone
https://www.readbyqxmd.com/read/27844235/robot-assisted-laparoscopic-colpectomy-in-female-to-male-transgender-patients-technique-and-outcomes-of-a-prospective-cohort-study
#10
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/27775428/initial-clinical-guidelines-for-co-occurring-autism-spectrum-disorder-and-gender-dysphoria-or-incongruence-in-adolescents
#11
John F Strang, Haley Meagher, Lauren Kenworthy, Annelou L C de Vries, Edgardo Menvielle, Scott Leibowitz, Aron Janssen, Peggy Cohen-Kettenis, Daniel E Shumer, Laura Edwards-Leeper, Richard R Pleak, Norman Spack, Dan H Karasic, Herbert Schreier, Anouk Balleur, Amy Tishelman, Diane Ehrensaft, Leslie Rodnan, Emily S Kuschner, Francie Mandel, Antonia Caretto, Hal C Lewis, Laura G Anthony
Evidence indicates an overrepresentation of youth with co-occurring autism spectrum disorders (ASD) and gender dysphoria (GD). The clinical assessment and treatment of adolescents with this co-occurrence is often complex, related to the developmental aspects of ASD. There are no guidelines for clinical care when ASD and GD co-occur; however, there are clinicians and researchers experienced in this co-occurrence. This study develops initial clinical consensus guidelines for the assessment and care of adolescents with co-occurring ASD and GD, from the best clinical practices of current experts in the field...
October 24, 2016: Journal of Clinical Child and Adolescent Psychology
https://www.readbyqxmd.com/read/27751416/uterine-and-ovarian-changes-during-testosterone-administration-in-young-female-to-male-transsexuals
#12
Giuseppe Loverro, Leonardo Resta, Miriam Dellino, Di Naro Edoardo, Maria Arcangela Cascarano, Matteo Loverro, Salvatore Andrea Mastrolia
OBJECTIVE: Female-to-male transition remains a specific clinical indication for long-term testosterone administration. There is a limited number of studies dealing with the effect of androgen treatment on their female receptive targets (mainly breast and uterus) and the knowledge in this field is scarce and, sometimes, contradictory. MATERIALS AND METHODS: We performed a prospective study including 12 patients aged between 20 years and 32 years, with a diagnosis of gender dysphoria, treated with parenteral testosterone administration before sexual reassignment surgery...
October 2016: Taiwanese Journal of Obstetrics & Gynecology
https://www.readbyqxmd.com/read/27731969/gender-and-sexual-health-care-of-transgender-patients
#13
Ronni Hayon
Transgender and gender-nonconforming individuals experience significant health disparities. They are more likely to use drugs and alcohol, smoke, be diagnosed with HIV infection or other sexually transmitted infections, and experience depression or attempt suicide. Many also experience discrimination within the health care system. Office-level strategies to create a safe and affirming space for gender-expansive patients include posting of a nondiscrimination statement, use of intake forms that ask about current gender identity and birth-assigned sex, provision of gender-neutral restrooms, and staff training in use of appropriate language...
October 2016: FP Essentials
https://www.readbyqxmd.com/read/27696903/early-pubertal-timing-is-common-among-adolescent-girl-to-boy-sex-reassignment-applicants
#14
Maria Sumia, Nina Lindberg, Marja Työläjärvi, Riittakerttu Kaltiala-Heino
OBJECTIVES: The aim of our study was to explore whether gender dysphoria in adolescent girls is associated with early pubertal timing. METHODS: We compared menarcheal timing among 52 adolescent girl-to-boy sex reassignment (SR) applicants with that of 644 adolescent girls who participated in an adolescent population mental health survey. RESULTS: Of the population girls, 21% presented with early (≤11 years), 61% with normative (12-13 years) and 19% with late (≥14 years) menarcheal timing; among the SR applicants, 42% presented with early, 46% with normative and 12% with late menarcheal timing (p = 0...
October 3, 2016: European Journal of Contraception & Reproductive Health Care
https://www.readbyqxmd.com/read/27693263/psychosexual-outcome-among-iranian-individuals-with-5%C3%AE-reductase-deficiency-type-2-and-its-relationship-with-parental-sexism
#15
Behzad S Khorashad, Zahra Aghili, Baudewijntje P C Kreukels, Mehran Hiradfar, Ghasem M Roshan, Mozhgan Afkhamizadeh, Mohammad Reza Abbaszadegan, Nosrat Ghaemi, Behnaz Khazai, P T Cohen-Kettenis
INTRODUCTION: Few studies exist on the psychosexual outcome of homogeneous groups of individuals with 5α-reductase deficiency type 2 (5α-RD-2) and the relation between gender changes and parental hostile and benevolent sexism, which are two components of ambivalent sexism that assume a stereotypical approach toward women in an overtly negative way or a chivalrous, seemingly positive way. AIM: To report on the psychosexual outcome of individuals with 5α-RD-2 and to investigate its relation to the level of parental sexism in a relatively large sample of Iranians with 5α-RD-2...
November 2016: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/27686088/introduction-to-the-special-section-on-culture-and-variants-of-sex-gender-bias-and-stigma
#16
Heino F L Meyer-Bahlburg
As a side effect of globalization, the ideological and religious heterogeneity of many local populations is increasing. This trend is particularly noticeable at tertiary-care medical centers serving patients with rare conditions such as somatic intersexuality or gender dysphoria and transgenderism (both with and without somatic intersexuality). This special section is designed to familiarize clinicians and researchers with culture-associated gender bias and stigma that may influence attitudes to individuals with somatic or behavioral gender atypicalities...
September 29, 2016: Archives of Sexual Behavior
https://www.readbyqxmd.com/read/27660460/the-increasing-prevalence-in-intersex-variation-from-toxicological-dysregulation-in-fetal-reproductive-tissue-differentiation-and-development-by-endocrine-disrupting-chemicals
#17
REVIEW
Alisa L Rich, Laura M Phipps, Sweta Tiwari, Hemanth Rudraraju, Philip O Dokpesi
An increasing number of children are born with intersex variation (IV; ambiguous genitalia/hermaphrodite, pseudohermaphroditism, etc.). Evidence shows that endocrine-disrupting chemicals (EDCs) in the environment can cause reproductive variation through dysregulation of normal reproductive tissue differentiation, growth, and maturation if the fetus is exposed to EDCs during critical developmental times in utero. Animal studies support fish and reptile embryos exhibited IV and sex reversal when exposed to EDCs...
2016: Environmental Health Insights
https://www.readbyqxmd.com/read/27649694/gender-issues-and-related-social-stigma-affecting-patients-with-a-disorder-of-sex-development-in-india
#18
Angela Ann Joseph, Bindu Kulshreshtha, Iram Shabir, Eunice Marumudi, Tony Sam George, Rajesh Sagar, Manju Mehta, Ariachery C Ammini
Children with disorders of sex development (DSD) manifest at birth with malformed genitalia or later with atypical pubertal development. Those born with malformed genitalia are often diagnosed at birth. However, in resource-poor countries like India, where not all births are supervised by healthcare workers, some of these children remain undiagnosed until puberty or even later. The aim of this study was to assess the gender issues and psychosocial problems of children with DSD. Participants included 205 children with DSD (103 with 46,XX DSD and 102 with 46,XY DSD)...
September 20, 2016: Archives of Sexual Behavior
https://www.readbyqxmd.com/read/27642794/psychopharmacotherapy-of-severe-self-injury-in-an-adolescent-with-gender-dysphoria-and-comorbidity
#19
Yael Kufert, Andreas Walther, Elyana Feldman, Barbara J Coffey
No abstract text is available yet for this article.
September 2016: Journal of Child and Adolescent Psychopharmacology
https://www.readbyqxmd.com/read/27639401/who-has-the-worst-attitudes-toward-sexual-minorities-comparison-of-transphobia-and-homophobia-levels-in-gender-dysphoric-individuals-the-general-population-and-health-care-providers
#20
A D Fisher, G Castellini, J Ristori, H Casale, G Giovanardi, N Carone, E Fanni, M Mosconi, G Ciocca, E A Jannini, V Ricca, V Lingiardi, M Maggi
PURPOSE: To date, few studies have addressed attitudes toward transgender individuals. In addition, little is known about health care providers' (HCP) attitudes toward sexual minorities. The aim of the present study is to compare attitudes toward homosexual and transgender individuals between gender dysphoric individuals (GDs), general population controls (C) and HCP. METHODS: A total of 310 subjects were considered, including 122 GDs (63 transwomen and 59 transmen), 53 heterosexual HCP (26 males and 27 females) and 135 C...
September 17, 2016: Journal of Endocrinological Investigation
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