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TRANSGENDER HEALTH CARE Julianne Stout, M.D

.. INTERNAL . MEDICINE/PEDIATRICS. INDIANA UNIVERSITY SCHOOL OF . MEDICINE-WEST LAFAYETTE. Goals and Objectives:. What is gender and what does it mean when it is “trans”?. Why should I care?. How can .

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TRANSGENDER HEALTH CARE Julianne Stout, M.D






Presentation on theme: "TRANSGENDER HEALTH CARE Julianne Stout, M.D"— Presentation transcript:

Slide1

TRANSGENDER HEALTH CARE

Julianne Stout, M.D

.

INTERNAL

MEDICINE/PEDIATRICS

INDIANA UNIVERSITY SCHOOL OF

MEDICINE-WEST LAFAYETTE

Slide2

Goals and Objectives:

What is gender and what does it mean when it is “trans”?

Why should I care?

How can

I support medical care for transgender individuals

in my community?

Slide3

DefinitionsChromosomal Sex- genetic sex

XX = “female”

XY = “male”

Assigned Gender- in the US, gender is usually assigned based on visible external genitalia

vagina = “female”

penis and testicles = “male”

Slide4

DefinitionsSexual orientation- an individual’s pattern of physical and emotional arousal toward other persons

“sexual attraction”

Gender identity- your personal concept of yourself (male, female, neither, other)

Gender expression- outward manifestations of personality that reflect your gender identity

activities

clothing

Slide5

DefinitionsIdentities

Behaviors

Gender Identity

Sexual Identity

Relationship structure

possibilities

Gender ExpressionSexual BehaviorsCurrent Relationship

“Alternative combinations” of biology, identity, and behavior result in gender diversity

Slide6

Other Cultures Recognize Gender DiversityHawaii-

Kanaka

Maoli

indigenous society

“Mahu”- biological males or females inhabiting a gender role somewhere between. Sacred social role as educators, maintaining ancient traditions and rituals.

http://www.pbs.org/independentlens/two-spirits/map.html

Slide7

Transgender persons have a mismatch between biological sex and gender identity resulting in gender dysphoria.

Slide8

Medical Care of Transgender Individuals is not a new concept

Harry Benjamin MD

1885-1986

Christine Jorgensen

1926-1989

"Harry Benjamin" by Source. Licensed under Fair use via Wikipedia - http://en.wikipedia.org/wiki/File:Harry_Benjamin.jpg#/media/File:Harry_Benjamin.jpg

Slide9

Goals and Objectives:What is gender and what does it mean when it is “trans”?

Why should I care

?

Health Care Disparities in the LGBTQ+ population

How can

I support medical care for transgender individuals

in my community? Medical and Mental Health Aspects of Transgender Care Community Education and Advocacy

Slide10

National Transgender Discrimination SurveyConducted in 2008 by the National Center for Transgender Equality and the National LGBTQ Task Force

Over a six month period 6456 transgender and gender non-conforming people answered a 70 question survey

Results released in 2011

Update planned for 2016

Grant, Jaime M., Lisa A.

Mottet

, Justin Tanis, Jack Harrison, Jody L. Herman, and Mara Keisling. Injustice at Every Turn: A Report of the National Transgender Discrimination Survey. Washington: National Center for Transgender Equality and National Gay and Lesbian Task Force, 2011.

Slide11

19% of transgender Hoosiers were refused medical care due to their gender identity

18% of transgender Hoosiers postponed medical care due to discrimination

42% of transgender Hoosiers reported attempting suicide at some point in their life, 26 times the general population rate of 1.6%

Grant, Jaime M., Lisa A.

Mottet

, Justin Tanis, Jack Harrison, Jody L. Herman, and Mara

Keisling. Injustice at Every Turn: A Report of the National Transgender Discrimination Survey. Washington: National Center for Transgender Equality and National Gay and Lesbian Task Force, 2011.

Slide12

http://transequality.org/issues/resources/transgender-healthcare-insurance-laws

. January 30, 2015.

Slide13

General Primary Care

Transgender hormone management

Surgical treatment options

Collaboration with mental health professionals

Patient Advocacy (housing, employment, court documents)

Tasks of the Medical Professional

Slide14

Tasks of the Mental Health Professional

1. Assess gender dysphoria

2. Provide information regarding options for gender identity expression and possible medical interventions

3. Assess, diagnose, and discuss treatment options for co-existing mental health concerns

4. If applicable, assess eligibility, prepare, and refer for hormone therapy

5. If applicable, assess eligibility, prepare, and refer for surgery