1. History and Prevalence of Gender Dysphoria
2. Review of Medical, Socioeconomic, and Systemic Barriers to Transgender Care
3. Biology of Gender Identity and Gender Incongruence
4. Primary Care of Transgender Adults
5. Primary Care of Transgender Children and Adolescents
6. Geriatric Transgender Care
7. Mental Health Issues in Caring for the Transgender Population
8. Endocrine Care of Transgender Adults
9. Endocrine Care of Transgender Children and Adolescents
10. Gender Confirmation Surgery
11. Fertility Issues in Transgender Care
12. Voice Changes in Transgender Care
13. HIV Infection in Transgender Persons
14. Transgender Care and Medical Education
15. The Social Elements of TGNC’s Individual’s Journey to Living Authentically
16. Legal Issues for Transgender Individuals
17. Ethics of Gender-Affirming Care
18. Spiritual Care of Transgender Persons
19. Resources for Transgender Individuals: Transgender Organizations and Services
Although transgender persons have been present in various societies throughout human history, it is only during the last several years that they have become widely acknowledged in our society and their right to quality medical care has been established. In the United States, endocrinologists have been providing hormonal therapy for transgender individuals for decades; however, until recently, there has been only limited literature on this subject, and non-endocrine aspects of medical care for transgender individual have not been well addressed in the endocrine literature.
The goal of this volume is not only to address the latest in hormonal therapy for transgender individuals (including pediatric and geriatric age groups), but also to familiarize the reader with other aspects of transgender care, including primary and surgical care, fertility preservation, and the management of HIV infection. In addition to medical issues, psychological, social, ethical and legal issues pertinent to transgender individuals add to the complexities of successful treatment of these patients. A final chapter includes extensive additional resources for both transgender patients and providers. Thus, an endocrinologist providing care to a transgender person will be able to use this single resource to address most of the patient’s needs.
While Transgender Medicine is intended primarily for endocrinologists, this book will be also useful to primary care physicians, surgeons providing gender-confirming procedures, mental health professionals participating in the care of transgender persons, and medical residents and students.
• Addresses the challenges of both endocrine and non-endocrine care of transgender patients, from hormone therapy to gender reassignment surgery
• Provides discussion of psychological, legal, ethical and social issues surrounding transgender patient care
• An excellent resource for practicing endocrinologists, primary care physicians and allied medical professionals
• Leonid Poretsky, MD, Northwell Health, Division of Endocrinology, Friedman Transgender Health and Wellness Program, Lenox Hill Hospital, New York, NY, USA
• Wylie C. Hembree, MD, Columbia University, New York-Presbyterian Hospital, New York, NY, USA.