Transgender Health最新文献_第6页

How Do Prescribing Clinicians Obtain Consent to Initiate Gender-Affirming Hormones? 开处方的临床医生如何获得使用性别确认激素的同意?

IF 2 4区医学

Transgender Health Pub Date : 2023-12-13 eCollection Date: 2023-12-01 DOI: 10.1089/trgh.2021.0208

Gaines Blasdel, Avery Everhart, Colt St Amand, Monica Gaddis, Frances Grimstad

{"title":"How Do Prescribing Clinicians Obtain Consent to Initiate Gender-Affirming Hormones?","authors":"Gaines Blasdel, Avery Everhart, Colt St Amand, Monica Gaddis, Frances Grimstad","doi":"10.1089/trgh.2021.0208","DOIUrl":"10.1089/trgh.2021.0208","url":null,"abstract":"Purpose: Multiple consent models exist for initiating gender-affirming hormone therapy (GAHT). Our study aim was to examine the variety of approaches utilized by clinicians.Methods: Online and in-person recruitment of clinicians involved in gender-affirming care was undertaken from June 2019 through March 2020. Participants completed an online survey.Results: Of the 175 respondents, 148 prescribed GAHT. Sixty-one (41.2%) prescribed to adults only, 11 (7.4%) to minors only, and 76 (51.4%) prescribed to adults and minors. Of those who prescribed to adults, more than half (n=74, 54.4%) utilized a written consent model, one-fourth only verbal consent (n=33, 24.3%), and one-fifth required an additional mental health assessment (MHA) (n=29, 21.3%). Of those prescribing to minors, most required either written consent (n=39, 44.8%) or an additional MHA (n=35, 40.2%). Only 11 (12.6%) utilized only verbal consent for minors. Rationales provided for requiring an additional MHA in adults included protection from litigation, lack of competence in assessing psychosocial readiness for GAHT, and believing that this is the best way to ensure the patient has processed the information. Practicing in multidisciplinary clinics was associated with not requiring an MHA for adult GAHT.Conclusion: Clinicians across fields are utilizing different models to provide the same treatment, with varying rationales for the same model. As a result, patients receive nonstandard access to care despite similar clinical presentations. Our study highlights an important area for further improvement in GAHT care.","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10732162/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41626056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

"Modified" Penile Inversion Vaginoplasty: First Case Series of a Turkish Single Center. “改良”阴茎内翻阴道成形术:土耳其单一中心首例

IF 2 4区医学

Transgender Health Pub Date : 2023-12-13 eCollection Date: 2023-12-01 DOI: 10.1089/trgh.2021.0003

Ersan Arda, Mehmet Gürkan Arıkan, Hüsamettin Top

{"title":"\"Modified\" Penile Inversion Vaginoplasty: First Case Series of a Turkish Single Center.","authors":"Ersan Arda, Mehmet Gürkan Arıkan, Hüsamettin Top","doi":"10.1089/trgh.2021.0003","DOIUrl":"10.1089/trgh.2021.0003","url":null,"abstract":"Purpose: The aim of this study was to share our outcomes, including complications and their management, of a \"modified\" penile inversion vaginoplasty (PIV) technique applied to transgender individuals, which we presume to be the first reported case series of a single center from Turkey.Methods: A cross-sectional study, including adult transgender cases who underwent male to female gender-affirming surgery in our institution, between January 2015 and December 2019, was planned. The same \"modified\" PIV technique, in which the spatulated urethra was incorporated to the penile skin flap, was applied to all cases. Demographic data including case characteristics, medical history with prior operative details, and complications detected during follow-up examination were collected prospectively.Results: The mean age of 30 cases included in the study was 31.03±7.05 years. The mean length of hospitalization after the surgical procedures was 10.13±2.24 days. The mean vaginal depth measured at postoperative 1st year follow-up examination was 14.2±2.95 cm. Satisfactory neovaginal moistening was reported by 24 (80%) cases. In 8 (26.6%) of 30 cases, no complication was reported at all. Intraoperative (rectal injury) and postoperative (meatal stenosis, vaginal narrowing, scars, infections, etc.) complications occurred in 22 (63.4%) cases. Postoperative satisfaction rates including mental, physical, and social health in general were found to be 81.84% (66-98%).Conclusion: The \"modified\" PIV can be used as a preferred technique showing high satisfactory outcomes, especially in cases with short penile skin or circumcision, due to the achievable lubricity and vaginal width/depth.","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10732160/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41779137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Quality of Chest Masculinization in Trans Men: A Retrospective Study Evaluating Surgical Technique, Complications, Secondary Corrections, and Trends 变性男性胸部男性化的质量：评估手术技术、并发症、二次矫正和趋势的回顾性研究

IF 2 4区医学

Transgender Health Pub Date : 2023-11-27 DOI: 10.1089/trgh.2023.0034

Mirjam Saarinen, Kaisu Ojala, M. Kolehmainen, Sinikka Suominen

引用次数: 0

Gender-Affirming Hysterectomy and Oophorectomy Counseling Practices for Transmasculine Adolescents 针对跨性别青少年的性别确认子宫切除术和输卵管切除术咨询做法

IF 2 4区医学

Transgender Health Pub Date : 2023-11-20 DOI: 10.1089/trgh.2022.0090

Frances W. Grimstad, Steven J. Staffa, til kus, Elizabeth R. Boskey

引用次数: 0

Function, Satisfaction, and Sexual Activity of Trans Women After Vulvovaginoplasty: Results of a Multicenter Study 外阴阴道成形术后变性女性的功能、满意度和性活动：一项多中心研究的结果

IF 2 4区医学

Transgender Health Pub Date : 2023-11-17 DOI: 10.1089/trgh.2023.0047

Théo Duflot, N. Morel-Journel, Lucie Jurek, Xavier Plainard, Gauthier Delporte, D. Carnicelli, François Marcelli, P. Neuville

引用次数: 0

Mental Health Status and Its Psychosocial Correlates Among Help-Seeking Transgender Individuals: Experiences from a Clinic in South India 寻求帮助的变性人的心理健康状况及其社会心理相关因素：南印度一家诊所的经验

IF 2 4区医学

Transgender Health Pub Date : 2023-11-15 DOI: 10.1089/trgh.2022.0150

S. Srinivasan, Sruti Chandrasekaran

引用次数: 0

Minority Stress Across Proximal Contexts and Suicide in Transgender Young Adults: A Critical Scoping Review 变性年轻人的近亲压力与自杀：严格的范围界定审查

IF 2 4区医学

Transgender Health Pub Date : 2023-11-15 DOI: 10.1089/trgh.2022.0188

A. Anderson, Angela D. Alston, Barbara J. Warren, Ethan Morgan, Jeff A. Bridge, Jodi L. Ford

引用次数: 0

Metoidioplasty and Phalloplasty Gender-Affirming Surgery and Association with Gender Congruence and Life Satisfaction: A Cross-Sectional Study 性别确认手术与性别一致性和生活满意度的关系:一项横断面研究

4区医学

Transgender Health Pub Date : 2023-11-10 DOI: 10.1089/trgh.2023.0060

Jada M. English, Rebecca Butcher, Linda M. Kinney, Lee K. Brown, Oakland C. Walters, Gaines Blasdel, John H. Turco, Rachel A. Moses

{"title":"Metoidioplasty and Phalloplasty Gender-Affirming Surgery and Association with Gender Congruence and Life Satisfaction: A Cross-Sectional Study","authors":"Jada M. English, Rebecca Butcher, Linda M. Kinney, Lee K. Brown, Oakland C. Walters, Gaines Blasdel, John H. Turco, Rachel A. Moses","doi":"10.1089/trgh.2023.0060","DOIUrl":"https://doi.org/10.1089/trgh.2023.0060","url":null,"abstract":"Purpose: The purpose of this study was to compare the Gender Congruence and Life Satisfaction (GCLS) Scale scores between transgender men and nonbinary individuals assigned female at birth who have had metoidioplasty and phalloplasty gender-affirming surgery (MaPGAS) versus those who have not. Methods: We conducted a national cross-sectional survey of individuals considering or post-MaPGAS recruited through social media and a community health center. Data collected included demographics, medical health history, and GCLS scale scores. GCLS scale items evaluate gender congruence across psychological, physical, quality of life, genital, chest, and social domains on a 1–5 Likert scale, with higher values indicating greater gender congruence. The mean GCLS total and subscale scores were compared between groups, and open-ended comments related to gender, mental well-being, and life satisfaction were thematically analyzed. Results: A total of 326 participants, mean age 29.9 years (standard deviation 8.8), identifying primarily as transgender male (n=208, 64%) and White (n=273, 74%) completed the survey. Respondents post-phalloplasty scored the highest on the GCLS scale overall, with a mean score of 3.97/5.00 (p<0.001), and had the highest ratings in three subdomains: genitalia at 3.32 (p<0.001), life satisfaction at 3.81 (p<0.004), and psychological functioning at 4.22 (p=0.002). Respondents who had not undergone MaPGAS had the lowest ratings of gender congruence on the genitalia subscale (mean score=2.82). The open-ended comments frequently cited the COVID-19 pandemic as an exacerbating issue with gender congruence. Conclusion: In this cohort of individuals considering MaPGAS, individuals post-MaPGAS demonstrated higher GCLS scale scores. Individuals post-phalloplasty reported the highest overall GCLS score and majority subscale scores.","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135093122","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

The Effects of Testosterone on Bone Turnover Markers Among Hormone-Naive Transgender Men 睾酮对未接受激素治疗的跨性别男性骨转换标志物的影响

4区医学

Transgender Health Pub Date : 2023-11-08 DOI: 10.1089/trgh.2023.0056

Suchanant Chavaengkiat, Ammarin Suwan, Krasean Panyakhamlerd, Lalita Wattanachanya, Thanapob Bumphenkiatikul

{"title":"The Effects of Testosterone on Bone Turnover Markers Among Hormone-Naive Transgender Men","authors":"Suchanant Chavaengkiat, Ammarin Suwan, Krasean Panyakhamlerd, Lalita Wattanachanya, Thanapob Bumphenkiatikul","doi":"10.1089/trgh.2023.0056","DOIUrl":"https://doi.org/10.1089/trgh.2023.0056","url":null,"abstract":"Purpose: Transgender medicine has become rapidly recognized and evolving in health care system. The consequences of hormone therapy are among the most concerned health issues in transgender population. This study aims to compare bone turnover markers before and after testosterone administration in hormone-naive transgender men. Methods: This prospective study included 20 hormone-naive transgender men. Comparisons of serum C-terminal cross-linking telopeptide of type I collagen (CTX) at baseline with 12 weeks and 24 weeks were analyzed using Wilcoxon signed-rank test. Serum procollagen type I N-propeptide (P1NP) and osteocalcin levels at 24 weeks compared to baseline were also assessed. Pearson's correlation coefficient analysis was used to compare the correlation between serum bone turnover markers and sex hormone levels. Results: At 12 weeks after testosterone administration, significant higher serum CTX level compared to baseline (p-value 0.035) was demonstrated. At 24 weeks after testosterone administration, there were significant differences in serum CTX, P1NP, and osteocalcin levels compared to baseline (p-value 0.019, <0.001, and 0.003, respectively). Serum CTX, P1NP, and osteocalcin levels significantly increased 28.30%, 44.26%, and 21.89%, respectively, at 24 weeks after testosterone treatment. There was a moderate negative correlation between serum CTX and estradiol level. Conclusion: Testosterone administration in transgender men significantly increased the levels of bone turnover markers. Further, well-controlled studies of bone health in transgender men are required to prove and assess the other aspects of bone status over a long-term follow-up period. Thai Clinical Trial Registry identification number TCTR20220817002.","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135393267","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

Nonsuicidal Self-Injury in Transgender and Non-Binary Adolescents and Young Adults: The Protective Role of Self-Compassion 跨性别和非二元青少年和年轻人的非自杀性自伤:自我同情的保护作用

4区医学

Transgender Health Pub Date : 2023-11-08 DOI: 10.1089/trgh.2023.0070

Esther Calvete, Aitor Jiménez-Granado, Maite Larrucea-Iruretagoyena, Sara Rodriguez-Gonzalez, Liria Fernández-González

{"title":"Nonsuicidal Self-Injury in Transgender and Non-Binary Adolescents and Young Adults: The Protective Role of Self-Compassion","authors":"Esther Calvete, Aitor Jiménez-Granado, Maite Larrucea-Iruretagoyena, Sara Rodriguez-Gonzalez, Liria Fernández-González","doi":"10.1089/trgh.2023.0070","DOIUrl":"https://doi.org/10.1089/trgh.2023.0070","url":null,"abstract":"Purpose: The purpose of this study was to explore the association of self-compassion with nonsuicidal self-injury (NSSI) behavior in transgender and non-binary adolescents and young adults. Secondary aims were to examine (1) whether self-compassion buffered the association between victimization experiences and NSSI and (2) whether anxiety and depression symptoms explained the association between self-compassion and NSSI. Method: The participants were 236 Spanish-speaking transgender and non-binary adolescents and young adults (mean age=20.86, standard deviation [SD]=2.92), who were assessed through an online questionnaire consisting of several self-report measures. Path analysis was used to test the moderation hypothesis and the indirect associations between variables. Results: Victimization was associated with anxiety and depression symptoms and NSSI, whereas self-compassion was negatively associated with them. Self-compassion buffered the association between victimization and NSSI such that victimization was significantly associated with a higher frequency of NSSI only in participants with low levels of self-compassion. Anxiety and depression explained part of the association between self-compassion and NSSI. Conclusion: These results are important for future interventions aimed at reducing the negative consequences of victimization in transgender and non-binary people, focusing on developing their self-compassion.","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135391904","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