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Foreword: Gynecologic Care of the Transgender Patient. 跨性别患者的妇科护理。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2025-09-01 Epub Date: 2025-06-23 DOI: 10.1097/GRF.0000000000000959
Cecile A Ferrando
{"title":"Foreword: Gynecologic Care of the Transgender Patient.","authors":"Cecile A Ferrando","doi":"10.1097/GRF.0000000000000959","DOIUrl":"10.1097/GRF.0000000000000959","url":null,"abstract":"","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"321"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144367970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Contraception and Menstrual Suppression for Transmasculine Patients. 跨男性患者的避孕和月经抑制。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2025-09-01 Epub Date: 2025-07-16 DOI: 10.1097/GRF.0000000000000953
Daniel S Lee, Christopher R Douglas
{"title":"Contraception and Menstrual Suppression for Transmasculine Patients.","authors":"Daniel S Lee, Christopher R Douglas","doi":"10.1097/GRF.0000000000000953","DOIUrl":"10.1097/GRF.0000000000000953","url":null,"abstract":"<p><p>Transmasculine individuals require patient-centered and shared decision-making approaches to address menstrual suppression and contraceptive needs. Gender-affirming testosterone therapy may be utilized by individuals to achieve menstrual suppression but is not a reliable form of contraception. While menstrual suppression and contraception are not mutually exclusive, this article provides a framework to help determine patient goals and points of consideration when selecting treatments. A table (Table 1) and decision tree (Fig. 1) of options are provided to assist clinicians in addressing a patient's unique reproductive needs with a focus on individualized and informed care.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"334-339"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144641971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comprehensive Gynecologic Care of the Transfeminine Patient. 跨性别患者的综合妇科护理。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2025-09-01 Epub Date: 2025-07-21 DOI: 10.1097/GRF.0000000000000951
K Ashley Brandt, Sarah Dreibelbis
{"title":"Comprehensive Gynecologic Care of the Transfeminine Patient.","authors":"K Ashley Brandt, Sarah Dreibelbis","doi":"10.1097/GRF.0000000000000951","DOIUrl":"10.1097/GRF.0000000000000951","url":null,"abstract":"<p><p>As visibility of transfeminine individuals increases, so does the need for inclusive and competent gender-affirming health care. Regardless of a patient's stage during their transition, gynecologists are essential health care providers for transfeminine patients. With the proper education and training, gynecologists can provide gender-affirming hormone therapy, assess and manage postoperative complications, and conduct routine health screening. The goal of this article is to provide an overview of available feminizing hormone therapies and effects, review feminizing surgical procedures, discuss the management of their complications, and highlight evidence-based screening recommendations for transfeminine patients.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"359-364"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144674018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Innovations in Fetal Therapy: Cardiac Anomalies and Interventions. 胎儿治疗的创新：心脏异常和干预。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2025-09-01 Epub Date: 2025-06-11 DOI: 10.1097/GRF.0000000000000955
Andrii Kurkevych, Domitilla Polidori, Roland Axt-Fliedner
{"title":"Innovations in Fetal Therapy: Cardiac Anomalies and Interventions.","authors":"Andrii Kurkevych, Domitilla Polidori, Roland Axt-Fliedner","doi":"10.1097/GRF.0000000000000955","DOIUrl":"10.1097/GRF.0000000000000955","url":null,"abstract":"<p><p>Congenital heart disease is the most common major congenital abnormality with a prevalence of ∼1% of all live births and is associated with a high perinatal and long-term postnatal morbidity and mortality. This review describes recent results regarding invasive and noninvasive interventions for cardiac anomalies during gestation. Early diagnosis and intervention remain crucial for optimizing fetal outcomes and for reducing the risk of long-term cardiovascular sequelae.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"432-441"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144265503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ethical Considerations for Maternal-Fetal Interventions: Innovation, Research, and Oversight. 母胎干预的伦理考虑：创新，研究和监督。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2025-09-01 Epub Date: 2025-03-05 DOI: 10.1097/GRF.0000000000000936
Michele D Anzabi, Claudio Schenone, Steven J Ralston, Christy L Cummings
{"title":"Ethical Considerations for Maternal-Fetal Interventions: Innovation, Research, and Oversight.","authors":"Michele D Anzabi, Claudio Schenone, Steven J Ralston, Christy L Cummings","doi":"10.1097/GRF.0000000000000936","DOIUrl":"10.1097/GRF.0000000000000936","url":null,"abstract":"<p><p>Advances in prenatal diagnostics, imaging, and surgical techniques have accelerated maternal-fetal interventions (MFI), fetal care centers, and expanded options for families. Progress in this field has also raised ethical issues surrounding maternal autonomy, informed consent and decision-making, innovation versus research, equitable access, and disability and reproductive rights. We review ethical frameworks to evaluate MFIs, from innovation to research and, ideally, clinical practice. Necessary oversight and resources are summarized to promote ethical, equitable innovation and research while protecting maternal autonomy and supporting the informed consent and decision-making process. Additional implications amidst abortion restrictions are discussed, along with areas for future research.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"459-466"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143556034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Genital Gender Affirmation Surgery for the Transfeminine Patient. 变性患者生殖器性别确认手术。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2025-09-01 Epub Date: 2025-07-21 DOI: 10.1097/GRF.0000000000000961
Ann Tran, Trieu Do
{"title":"Genital Gender Affirmation Surgery for the Transfeminine Patient.","authors":"Ann Tran, Trieu Do","doi":"10.1097/GRF.0000000000000961","DOIUrl":"10.1097/GRF.0000000000000961","url":null,"abstract":"<p><p>Advancements in surgical techniques over time have enhanced both the safety and efficacy of vaginoplasty, resulting in consistently high levels of patient satisfaction in terms of both functional and aesthetic outcomes. Given the rising volume of these procedures, it is increasingly probable that gynecologists will encounter transgender and gender-diverse (TGD) patients seeking specialized care. As experts in pelvic anatomy and reconstructive procedures, gynecologists are uniquely positioned to contribute meaningfully to the care of individuals seeking genital gender-affirming surgical interventions. This document aims to provide a comprehensive review of genital gender-affirming surgery for the transfeminine patient.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"347-351"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144674019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Gynecologic Care of the Transmasculine Patient. 变性男性患者的妇科护理。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2025-09-01 Epub Date: 2025-06-06 DOI: 10.1097/GRF.0000000000000952
Chloe S Kaunitz, Christopher J Cantwell
{"title":"Gynecologic Care of the Transmasculine Patient.","authors":"Chloe S Kaunitz, Christopher J Cantwell","doi":"10.1097/GRF.0000000000000952","DOIUrl":"10.1097/GRF.0000000000000952","url":null,"abstract":"<p><p>As the proportion of the population in the US that identifies as transgender and gender-diverse (TGD) increases, it is imperative that providers across all specialties be able to provide inclusive and affirming care. Here, we review recommendations for gynecologic care for TGD patients, including gender-inclusive terminology, screening examinations, birth control, preconception counseling, and management of common gynecologic complaints.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"328-333"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144233386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Management of Complications Associated With Vulvovaginoplasty. 外阴阴道成形术并发症的处理。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2025-09-01 Epub Date: 2025-07-21 DOI: 10.1097/GRF.0000000000000958
Meg Quint, Frances Grimstad
{"title":"Management of Complications Associated With Vulvovaginoplasty.","authors":"Meg Quint, Frances Grimstad","doi":"10.1097/GRF.0000000000000958","DOIUrl":"10.1097/GRF.0000000000000958","url":null,"abstract":"<p><p>Over the past few decades, vulvovaginoplasty for transfeminine patients has rapidly advanced in both technique and access. However, a variety of barriers, including geographical access to surgeons, may make it difficult to access the original surgical team for evaluation and management of complications. Given this, local gynecologists and other health professionals may play a vital role in the evaluation and management of nonsurgical complications. Here, we review common complications and provide an overview of their related nonsurgical and surgical management for vulvovaginoplasty for transfeminine patients.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"352-358"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144674020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Contributors: Gynecologic Care of the Transgender Patient. 投稿人：变性患者的妇科护理。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2025-09-01 Epub Date: 2025-08-14 DOI: 10.1097/01.grf.0001126328.49211.83
{"title":"Contributors: Gynecologic Care of the Transgender Patient.","authors":"","doi":"10.1097/01.grf.0001126328.49211.83","DOIUrl":"https://doi.org/10.1097/01.grf.0001126328.49211.83","url":null,"abstract":"","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":"68 3","pages":"v-vi"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144844771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Index. 索引。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2025-09-01 Epub Date: 2025-08-14 DOI: 10.1097/01.grf.0001126336.76431.82
{"title":"Index.","authors":"","doi":"10.1097/01.grf.0001126336.76431.82","DOIUrl":"https://doi.org/10.1097/01.grf.0001126336.76431.82","url":null,"abstract":"","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":"68 3","pages":"467-469"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144844775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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