transgender person
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Epidemiology
- despite high risk for HIV1 infection, screening for HIV1 is low[2]
Laboratory
- adult transgender laboratory testing[7]
Complications
- transgender adolescents more likely to report long-term physical health problems (25 vs 15%) & mental health problems (59 vs 17%) than cisgender adolescents[3][6]
- transgender adults who use estrogen therapy might face increased risk for venous thromboembolism & stroke[4]
- transgender women retain prostate after gender-affirmation surgery & remain at risk of prostate cancer, regardless of estrogen use[8]
Management
- screening & preventive medicince based on anatomy[5]
- gender-affirming hormone therapy
Additional terms
- gender-affirming hormone therapy
- lesbian, gay, bisexual, transgender, or questioning their sexual orientation or gender identity (LGBTQ)
- transgender surgery
References
- ↑ Judge C, Sofair A, Chavey WE. "Socially Transitioned" Prepubescent Transgender Kids Have Similar Mental Health to Their Peers. Physician's First Watch, Feb 26, 2016 David G. Fairchild, MD, MPH, Editor-in-Chief Massachusetts Medical Society http://www.jwatch.org
Olson KR, Durwood L, DeMeules M, McLaughlin KA Mental Health of Transgender Children Who Are Supported in Their Identities. Pediatrics Mar 2016 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/26921285 <Internet> http://pediatrics.aappublications.org/content/early/recent - ↑ 2.0 2.1 Pitasi MA et al HIV Testing Among Transgender Women and Men - 27 States and Guam, 2014-15. MMWR Morb Mortal Wkly Rep 2017;66:883-887 https://www.cdc.gov/mmwr/volumes/66/wr/mm6633a3.htm
- ↑ 3.0 3.1 Rider GN, McMorris BJ, Gower AL et al Health and Care Utilization of Transgender and Gender Nonconforming Youth: A Population-Based Study. Pediatrics. February 2018 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/28736148 <Internet> http://pediatrics.aappublications.org/content/early/2018/02/01/peds.2017-1683
- ↑ 4.0 4.1 Getahun D, Nash R, Flanders WD et al Cross-sex Hormones and Acute Cardiovascular Events in Transgender Persons: A Cohort Study. Ann Intern Med. 2018. July 10. <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/29987313 <Internet> http://annals.org/aim/article-abstract/2687653/cross-sex-hormones-acute-cardiovascular-events-transgender-persons-cohort-study
- ↑ 5.0 5.1 Medical Knowledge Self Assessment Program (MKSAP) 18, 19 American College of Physicians, Philadelphia 2018, 2022
- ↑ 6.0 6.1 Baker KE. Findings from the behavioral risk factor surveillance system on health-related quality of life among U.S. transgender adults, 2014-2017, JAMA Intern Med 2019 Apr 22 PMID: https://www.ncbi.nlm.nih.gov/pubmed/31009042 https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2730765
- ↑ 7.0 7.1 ARUP Consult: Adult Transgender Laboratory Testing The Physician's Guide to Laboratory Test Selection & Interpretation https://www.arupconsult.com/content/adult-transgender-laboratory-testing
- ↑ 8.0 8.1 Nik-Ahd F, De Hoedt A, Butler C et al Prostate Cancer in Transgender Women in the Veterans Affairs Health System, 2000-2022. JAMA. Published online April 29, 2023. PMID: https://www.ncbi.nlm.nih.gov/pubmed/37119522 https://jamanetwork.com/journals/jama/fullarticle/2804566