NASPAG Clinical Opinion: The Care of Transgender and Gender Nonbinary Adolescents and Young Adults

被引：2

作者：

Grimstad, Frances ^{[1
,2
]}

Trotman, Gylynthia ^{[3
,4
,5
]}

Krempasky, Chance

Belkind, Uri ^{[6
]}

Jarin, Jason ^{[7
]}

Cizek, Stephanie ^{[8
]}

机构：

[1] Boston Childrens Hosp, Dept Surg, Div Gynecol, Boston, MA USA

[2] Harvard Med Sch, Dept Obstet Gynecol & Reprod Biol, Boston, MA 02115 USA

[3] Icahn Sch Med Mt Sinai, Dept Obstet & Gynecol, New York, NY USA

[4] Mt Sinai Kravis Childrens Hosp, New York, NY USA

[5] Icahn Sch Med Mt Sinai, Dept Pediat, New York, NY USA

[6] Callen Lorde Community Hlth Ctr, New York, NY USA

[7] Univ Texas Southwestern Med Ctr, Dept Obstet & Gynecol, Dallas, TX USA

[8] Stanford Univ, Sch Med, Dept Obstet & Gynecol, Palo Alto, CA USA

来源：

JOURNAL OF PEDIATRIC AND ADOLESCENT GYNECOLOGY | 2024年 / 37卷 / 06期

关键词：

FERTILITY PRESERVATION; MENTAL-HEALTH; SUPPRESSION; PATIENT; YOUTH; TIME; TERM;

D O I：

10.1016/j.jpag.2024.07.007

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Transgender and gender nonbinary (TGNB) adolescents and young adults (AYA) may present to clinicians with reproductive health expertise for the spectrum of gynecologic, sexual, and reproductive care. As such, clinicians should be knowledgeable in the many facets of gender-affirming care. This clinical opinion reviews language associated with gender diversity and gender-affirming care; current clinical, social, and political barriers faced by TGNB AYA; and the creation of welcoming and inclusive clinical spaces for TGNB AYA. It discusses social, medical, and surgical affirmation processes, and focuses on gynecologic care topics which may arise in the care of TGNB AYA, including those who undergo medical or surgical therapies. This includes menstrual suppression, breakthrough bleeding on testosterone, sexual health, fertility, and the pelvic care of individuals following gender affirming vulvovaginoplasty. Key Words: Health services for transgender persons, Transgender persons, Reproductive health services

引用

页码：533 / 541

页数：9

共 69 条

[1] Semen Parameters Among Transgender Women With a History of Hormonal Treatment [J].

Adeleye, Amanda J. ;

Reid, Garrett ;

Kao, Chia-Ning ;

Mok-Lin, Evelyn ;

Smith, James F. .

UROLOGY, 2019, 124 :136-141

[2] Fertility Preservation for Transgender Individuals: A Review [J].

Ainsworth, Alessandra J. ;

Allyse, Megan ;

Khan, Zaraq .

MAYO CLINIC PROCEEDINGS, 2020, 95 (04) :784-792

[3] General Approaches to Medical Management of Menstrual Suppression [J].

Adeyemi-Fowode, Oluyemisi ;

Stambough, Kathryn C. .

OBSTETRICS AND GYNECOLOGY, 2022, 140 (03) :528-541

[4]

American College of Obstetricians and Gynecologists' Committee on Practice BulletinsGynecology, 2018, Obstet Gynecol, V131, pe157, DOI [10.1097/aog.0000000000002657, 10.1097/AOG.0000000000002656]

[5]

[Anonymous], 2021, Obstet Gynecol, V138, P950, DOI 10.1097/AOG.0000000000004601

[6]

[Anonymous], 2014, Obstet Gynecol, V123, P202, DOI 10.1097/01.AOG.0000441353.20693.78

[7]

[Anonymous], Equality maps: Snapshot: LGBTQ equality by state

[8]

[Anonymous], 2019, The Trevor Project National survey on LGBTQ mental health

[9]

[Anonymous], 2007, Obstetr Gynecol, V109, P1233, DOI DOI 10.1097/01.AOG.0000263898.22544.CD

[10] From gender dysphoria to gender euphoria: An assisted journey [J].

Benestad, E. E. P. .

SEXOLOGIES, 2010, 19 (04) :225-231

← 1 2 3 4 5 6 7 →