International Journal of Transgender Health最新文献

{"title":"Prostatic diseases in transgender women: A systematic review of diagnosis, risk, and management.","authors":"Alice Bourillon, Cyrille Guillot-Tantay, Lucas Freton, Lee Zhao, Benoit Mesnard, Nicolas Morel-Journel, Romain Mathieu, Paul Neuville, Aurélie Schirmann, Benoit Peyronnet, François-Xavier Madec","doi":"10.1080/26895269.2025.2503225","DOIUrl":"10.1080/26895269.2025.2503225","url":null,"abstract":"<p><strong>Introduction: </strong>Most transgender women have their prostate left in situ throughout and after their transition. Managing prostate‑related conditions in transgender women remains challenging due to the lack of clear recommendations. This review aims to summarize the available data on prostate health, including cancer screening and treatment, lower urinary tract symptoms, and prostate evaluation.</p><p><strong>Material and methods: </strong>A comprehensive literature review was conducted in accordance with the PRISMA statement using PubMed, Embase, and The Cochrane Library, with the keywords (prostate), (lower urinary tract symptoms (LUTS)), (prostate evaluation), and (transgender women). All relevant data were analyzed.</p><p><strong>Results: </strong>Twenty studies were included in the final analysis: 15 focused on prostate cancer, four on LUTS, and one on prostate evaluation. A total of 961 prostate cancer cases were identified. Of the 17 detailed oncologic treatments, the most common were surgery and hormone therapy. Data regarding LUTS and prostate evaluation were very limited; the most frequently reported symptom was a split urinary stream. Surgical interventions for LUTS included two cases of transurethral resection of the prostate (TURP) and one Rezum procedure. Prostate evaluation was performed via transvaginal exam in 50 patients. Transvaginal ultrasonographic assessment of the prostate was feasible in 67 out of 70 patients (96%).</p><p><strong>Conclusion: </strong>The present systematic review demonstrates that prostatic diseases can occur in transgender women. Neovaginal prostatic exam appears as the appropriate way to assess the prostate on physical exam. The paucity of data highlights the need to raise awareness of healthcare professionals and to promote further research on this critical issue.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 2","pages":"1153-1165"},"PeriodicalIF":14.8,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13015100/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147522364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The case for a unified health system (SUS)-funded integrated transgender health clinic in a Brazilian urban center.","authors":"Jeffersson Santos, Liandra Pires, Jessica Santos, Brandon Brown","doi":"10.1080/26895269.2025.2503223","DOIUrl":"10.1080/26895269.2025.2503223","url":null,"abstract":"<p><strong>Background: </strong>The Brazilian transgender movement has advocated for the establishment of transgender health clinics funded by the country's Unified Health System (SUS) to advance health equity for this population. We aimed to explore the perspectives of transgender women in sex work about the importance of initiating a SUS-funded transgender health clinic in a Brazilian urban center. Additionally, we investigated these women's perceptions on essential healthcare services that such a clinic must provide.</p><p><strong>Materials and methods: </strong>We collaborated with a Brazilian non-governmental organization focused on transgender rights advocacy. This cross-sectional study used quantitative and qualitative data from a larger mixed-method survey exploring the social determinants of health among 89 transgender sex workers from June 2022 to August 2022.</p><p><strong>Results: </strong>The mean age of participants was 32 years old. Most participants were mixed-race, earned less than minimum wage monthly, and relied on hospital/urgent care as the primary source of care within SUS. Participants highlighted the potential benefits of having a SUS-funded transgender health clinic, including enhanced convenience, better care experiences, staff preparedness in transgender health, and addressing issues related to self-medication. Moreover, participants stressed the importance of integrated healthcare services within the clinic, advocating for the availability of interdisciplinary teams of healthcare professionals (e.g. endocrinologists, dentists, nutritionists, general health practitioners, and mental health providers) to meet the diverse healthcare needs of transgender individuals.</p><p><strong>Conclusion: </strong>This community-engaged study provides crucial insights that are essential for advocacy efforts aimed at establishing transgender health clinics funded by SUS.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 2","pages":"1000-1019"},"PeriodicalIF":14.8,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13015103/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147522326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Worldwide prevalence of anxiety in transgender persons: Systematic review with meta-analysis.","authors":"Davi Oliveira Teles, Raquel Alves de Oliveira, Manuela de Mendonça Figueirêdo Coelho, Ana Karina Bezerra Pinheiro, Fernando Lannes Fernandes","doi":"10.1080/26895269.2025.2498753","DOIUrl":"10.1080/26895269.2025.2498753","url":null,"abstract":"<p><strong>Objective: </strong>This systematic review and meta-analysis estimate the global pooled prevalence of anxiety among transgender individuals.</p><p><strong>Methods: </strong>A comprehensive search was conducted in Scopus, Web of Science, Embase, EBSCOhost, VHL, PsycINFO, and PubMed. Observational studies reporting anxiety prevalence in transgender people were included. Meta-analytical methods were applied using a random-effects model to compute pooled prevalence estimates. Heterogeneity, publication bias, and subgroup analyses were assessed.</p><p><strong>Results: </strong>A total of 71 studies, comprising 73,565 transgender individuals from 23 countries, were included. The global pooled prevalence of anxiety was 43% (95% CI: 38-48%), with higher rates among non-binary individuals (59%) compared to transmasculine (44%) and transfeminine (37%) identities. Significant variability was observed across geographic regions, age groups, ethnicity/race of the samples, and assessment methods. Non-probabilistic sampling and self-reported measures were associated with higher prevalence estimates.</p><p><strong>Conclusion: </strong>Transgender individuals experience a disproportionately high prevalence of anxiety, with notable disparities by gender identity and region. Findings emphasize the need for targeted mental health interventions and inclusive healthcare policies. Standardized methodologies and broader geographical and ethnical representation in future research are essential to enhance global understanding and inform policy development.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 2","pages":"1130-1152"},"PeriodicalIF":14.8,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13015042/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147522462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A qualitative study exploring a gender-affirming weightlifting program among trans and nonbinary students.","authors":"Eva Nowakowski-Sims, Ryan Papciak","doi":"10.1080/26895269.2025.2498758","DOIUrl":"10.1080/26895269.2025.2498758","url":null,"abstract":"<p><strong>Background: </strong>Exercise and weightlifting can be a transformative experience for trans and nonbinary (TNB) students. Yet, few TNB students use gym spaces due to discrimination and distress related to their gender identity.</p><p><strong>Methods: </strong>A qualitative methodology was used to explore TNB students' experience with gender dysphoria using Feminist Participatory Action Research (FPAR) commitments. Five TNB college students (3 transmasculine, 1 transfeminine, and 1 nonbinary) participated in a 12-week group weightlifting program with a trans trainer. Following the program, participants completed an interview about their experience and offered recommendations for creating a gender-affirming college gym space.</p><p><strong>Results: </strong>Three themes highlighted the participants' narratives and experiences: Distress and Barriers to Gym Entry; Finding Safety Through Group Weightlifting; and, From Dysphoria to Euphoria in Safe Spaces. There were subthemes related to safety. Safety was felt by working with a trans trainer, having group support, and experiencing a gender-affirming gym environment.</p><p><strong>Discussion: </strong>Findings revealed that the gender-affirming group weightlifting program helped TNB students shift from gender dysphoria to joy and satisfaction related to gender euphoria, and finally to self-acceptance separate from gender. Participant-driven recommendations were offered to university recreation programs to create gender-affirming gym spaces.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 2","pages":"984-999"},"PeriodicalIF":14.8,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13015029/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147522458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Post-operative outcomes for transmasculine and nonbinary individuals who received top surgery as minors.","authors":"Tara Weixel, Michael J Pellicane, Jeffrey A Ciesla, Beth Wildman, Daniel Medalie","doi":"10.1080/26895269.2025.2498751","DOIUrl":"10.1080/26895269.2025.2498751","url":null,"abstract":"<p><strong>Background: </strong>Few studies assess post-operative outcomes for transmasculine and nonbinary individuals assigned female at birth who received top surgery as minors (i.e. younger than 18 years of age).</p><p><strong>Methods: </strong>This study collected online post-operative follow-up surveys from transmasculine and nonbinary individuals who received top surgery as minors. Top surgery was received, on average, 3.70 years ago (range = 0.5-7.6 years) between the years 2016-2023. The sample consisted of 53 transmasculine (<i>n</i> = 49) and nonbinary (<i>n</i> = 4) individuals. The average age of participants at survey was 20 years (SD = 2.56; range = 16-25 years). Most participants were White/Caucasian (<i>n</i> = 48) and non-Hispanic/Latinx (<i>n</i> = 51). Transgender appearance congruence and gender identity acceptance were measured using the Transgender Congruence Scale. Chest dysphoria was measured using the Chest Dysphoria Measure. Anxiety and depression were measured using the Patient Health Questionnaire Anxiety and Depression Scale. Social support was measured using the Multidimensional Scale of Perceived Social Support. Demographic and clinical characteristics were also collected.</p><p><strong>Results: </strong>Analyses revealed high appearance congruence (total scale = 53.21, SD = 5.99; Appearance Congruence subscale = 40.40; SD = 4.81), and high gender identity acceptance (12.81; SD = 2.33). Chest dysphoria was very low (1.64; SD = 1.55). Anxiety (4.81, SD = 4.21) and depression (4.57, SD = 3.94) were minimal/mild. Social support was high (5.72; SD = 1.18).</p><p><strong>Discussion: </strong>The present study shows good post-operative outcomes for transmasculine and nonbinary individuals who received top surgery as minors. Medical providers should consider gender affirming surgeries as a possible beneficial treatment for gender diverse youth that follows the World Professional Association for Transgender Health Standards of Care.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 2","pages":"973-983"},"PeriodicalIF":14.8,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13015025/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147522359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"#TransTok: A digital ethnographic study using content analysis to investigate transgender and gender diverse 'for you page' content on TikTok that may affect mental health.","authors":"Rigel Paciente, Eliza Kouznetsova, Taniya Shrimali, Penelope Strauss, Karen Lombardi, Alix Woolard","doi":"10.1080/26895269.2025.2492613","DOIUrl":"10.1080/26895269.2025.2492613","url":null,"abstract":"<p><strong>Background: </strong>Transgender and gender diverse (\"trans\") people are more likely to experience adverse mental health outcomes due to the social adversities that are commonly experienced. One ameliorating factor for poor mental health outcomes can be connection to community, often facilitated in online spaces such as TikTok.</p><p><strong>Aim: </strong>This study aimed to describe the types of content on TikTok that a trans person may encounter.</p><p><strong>Methods: </strong>A digital ethnographic methodology was used. The research team created an account on TikTok, then curated the For You Page (FYP) by engaging in trans-related content. Data was then collected via the first 150 videos that appeared on the FYP. Publicly available demographic variables on the video were collected manually. Videos were included if they were created by Trans creators discussing factors which could impact mental health, such as social support or adversity. Qualitative inductive content analysis was then performed on video content and the top 5 comments to generate categories. Data collection through analysis was performed between September and November 2023.</p><p><strong>Results: </strong>Three main categories were generated: (1) community connection, (2) engaging in discourse, (3) recounting experiences of social adversity. The categories highlight the trans community's willingness to share information, experiences with each other as a form of online support. In addition, trans users were active in engaging with discourses about trans identities and politics. As part of sharing experiences and information, trans users also highlighted the social adversity they have experienced directly tied to their trans identity.</p><p><strong>Discussion: </strong>The results have shown that the curation of the FYP to reflect trans-related content can be a safe space for trans people to find social support. This implies benefits to the use of TikTok on mental health and wellbeing. Future studies should investigate the mental health impacts of engagement on TikTok among trans people.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 2","pages":"957-972"},"PeriodicalIF":14.8,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13015066/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147522495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parental consent: A barrier to transgender health care in China.","authors":"Qiang Cao, Yuquan Chen, liangJing Xia, Xinyan Wu, Hao Chi","doi":"10.1080/26895269.2025.2487019","DOIUrl":"10.1080/26895269.2025.2487019","url":null,"abstract":"","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 2","pages":"1168-1170"},"PeriodicalIF":14.8,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13015111/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147521903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gender recognition and health rights vis-à-vis reproductive justice: Exploring the experiences of transmasculine persons in India.","authors":"Chanchal De Boxi, Seema Singh, Debdas Roy","doi":"10.1080/26895269.2025.2483224","DOIUrl":"10.1080/26895269.2025.2483224","url":null,"abstract":"<p><strong>Background: </strong>The narratives of trans women dominate the discourse on 'trans rights' in India, thereby marginalizing transmasculine identities that continue to be 'invisible' in public perception. Trans men are often neglected in gynecological and reproductive healthcare, including gender-affirming services, despite their distinct sexual and reproductive requirements. Notwithstanding substantial progress in recognizing and protecting women's reproductive rights, Indian judiciaries have persistently overlooked the reproductive and health rights of transgender individuals. The recent enactment of India's ART Bill of 2008 and the Surrogacy Bill of 2016 and the Transgender Persons Act, 2019 has further reinforced this conviction.</p><p><strong>Purpose: </strong>The study aimed to explore trans men's experiences of poor healthcare facilities and reproductive (in)justice shaped by India's recent legislations.</p><p><strong>Method: </strong>Comprehensive searches were performed across multiple databases, including Google Scholar, Web of Science, PubMed, and official government websites, employing search strings pertinent to gender recognition and assisted human reproduction (AHR) legislation, and reproductive healthcare. A total of four narratives were identified for discussion using thematic analysis.</p><p><strong>Results: </strong>Four themes were developed: (1) uninformed and reluctant healthcare providers, (2) invalidation of gender identity and invasive questions, (3) lack of availability of free gender-transition services in public hospitals, and (4) Denial of protection under constitutional framework.</p><p><strong>Conclusion: </strong>This study adds to the expanding field of literature calling for transmasculine persons' reproductive health rights and informing policies.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 2","pages":"947-956"},"PeriodicalIF":14.8,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13015026/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147522417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Short-term effects of testosterone on quality of life and sexual function among hormone naïve Thai transmasculine individuals.","authors":"Vichadet Vichuladda, Ammarin Suwan, Krasean Panyakhamlerd, Suchanant Chavaengkiat, Panachai Nimitpanya","doi":"10.1080/26895269.2025.2483214","DOIUrl":"10.1080/26895269.2025.2483214","url":null,"abstract":"<p><strong>Purpose: </strong>Testosterone therapy is a standard intervention for improving both physical and mental health in transmasculine individuals. The aim of this study is to identify the effects of testosterone on the quality of life and sexual function among hormone-naïve transmasculine individuals in Thailand.</p><p><strong>Methods: </strong>This prospective study was conducted at King Chulalongkorn Memorial Hospital, Bangkok, Thailand from September 2022 to February 2024. Transmasculine individuals who met the inclusion criteria were invited to complete two questionnaires: the World Health Organization Quality of Life BREF THAI (WHO-QOL-BREF-THAI) and the female sexual function index (FSFI). Testosterone enanthate, 250 milligrams, was administered intramuscularly every 4 wk. Both questionnaires were reevaluated at 12 wk after initiation of testosterone therapy.</p><p><strong>Results: </strong>A total of 55 hormone naïve transmasculine individuals were recruited. After a 12-wk period of testosterone therapy, the WHO-QOL-BREF-THAI mean total score was significantly higher compared to baseline (94.3 versus 101.4 out of 130, <i>p</i> < 0.001). Moreover, the mean scores in all particular WHO-QOL-BREF-THAI domains were also significantly different. Percentages of participants who reported good quality of life according to WHO-QOL-BREF-THAI score at 12 wk were significantly higher compared to baseline (69.1% versus 43.6%, <i>p</i> = 0.004). Among 34 participants who were sexually active throughout the study, there were significantly better total FSFI, desire domain, and orgasm domain scores at 12 wk of treatment compared to baseline (28.0 vs 24.2, 4.5 vs 3.4, and 4.6 vs 3.7, <i>p</i> = 0.022, <0.001 and 0.017, respectively).</p><p><strong>Conclusion: </strong>Hormone naïve-transmasculine individuals demonstrated significantly higher overall quality of life as early as 12 wk after testosterone therapy. Among transmasculine individuals who were sexually active, total FSFI, sexual desire, and orgasm scores were also significantly better compared to baseline. The longer-term effects of testosterone therapy on quality of life and sexual function among TM need to be elucidated in further studies.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 2","pages":"930-938"},"PeriodicalIF":14.8,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13015038/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147522330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient reports of motivations and preparation for penile prosthesis among transgender individuals.","authors":"Oscar Li, Carolyn Im, Seoho Lee, Andrew J Cohen, Fan Liang, Arthur L Burnett, Harry Barbee","doi":"10.1080/26895269.2025.2483222","DOIUrl":"10.1080/26895269.2025.2483222","url":null,"abstract":"<p><strong>Background: </strong>Penile prostheses are widely used to improve erectile function, yet existing research has largely focused on cisgender male patients, overlooking the unique experiences and needs of transgender individuals.</p><p><strong>Aim: </strong>To explore the motivations and preparatory steps of transgender patients who pursue penile prosthesis implantation following phalloplasty.</p><p><strong>Methods: </strong>Six virtual semi-structured interviews were conducted with transgender patients at a single institution who had undergone phalloplasty and subsequent penile prosthesis implantation between 2017 and 2023. Interviews were transcribed verbatim, and the data were analyzed using an inductive coding approach to identify key themes.</p><p><strong>Results: </strong>Analysis revealed two major themes: motivations for pursuing phalloplasty with penile prosthesis and preparatory steps taken. The three primary motivations described by respondents included alleviating gender dysphoria, improving sexual function, and achieving personal fulfillment through the completion of medical and surgical procedures. The key preparatory steps included seeking community and online social support, engaging with the medical care team, consuming scholarly medical literature, and attending academic conferences.</p><p><strong>Discussion: </strong>This study uncovers important aspects of transgender patients' journeys leading up to penile prosthesis procedures. Findings suggest that enhancing patient education and decision aids could improve the decision-making process for patients considering the procedure. This study underscores the importance of understanding and addressing the unique needs of transgender patients in gender-affirming care, and learning from them could help healthcare practitioners better support transgender individuals in their medical and penile prosthesis decision-making processes.</p>","PeriodicalId":48480,"journal":{"name":"International Journal of Transgender Health","volume":"27 2","pages":"939-946"},"PeriodicalIF":14.8,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13015030/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147521822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}