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Chapter 9 - Gynecological Office Medicine for Trans and Gender Diverse People

from Section B - Practicing Transgynecology

Published online by Cambridge University Press:  22 December 2022

Mick van Trotsenburg
Affiliation:
Sigmund Freud PrivatUniversität, Wien
Rixt A. C. Luikenaar
Affiliation:
Rebirth Health Center, Utah
Maria Cristina Meriggiola
Affiliation:
Università di Bologna
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Summary

Transgynecology provides care to maintain genital health and to remedy complaints and disorders irrespective of the individual’s gender. In this sense, Ob/Gyn practices are open to either transgender females after having had genital gender-affirmative surgery (and sometimes already prior to surgery for counseling and preparatory work-up), and for transgender males prior and after surgical procedures and of course for gender diverse persons.

The challenge of running an Ob/Gyn practice open to trans and gender diverse people is to overcome prejudices and stereotypes on the side of the gynecologist and staff, the cisgender patients visiting this practice, and fears on the side of trans and gender diverse people. Fears for respectless behavior and fears to expose a physical region heavily burdened with emotions and sometimes also burdened with shame. the first visit especially determines whether a trustful and supportive relationship can be established.

In daily Ob/Gyn practice dealing with transgender people, it is also of importance to anticipate the effects of gender-related wording, as it may lead to irritation and can negatively affect the patient–physician relationship.

This chapter focuses on the gynecological needs and what gynecology essentially means to transgender people. What needs meet gynecology?

Type
Chapter
Information
Context, Principles and Practice of TransGynecology
Managing Transgender Patients in ObGyn Practice
, pp. 67 - 71
Publisher: Cambridge University Press
Print publication year: 2022

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References

Grant, JM, Mottet, LA, Tanis, J. Injustice at Every Turn. A Report of the National Transgender Discrimination Survey. National Center for Transgender Equality and National Gay and Lesbian Task Force. Washington, DC: 2011. Available from: https://transequality.org/sites/default/files/docs/resources/NTDS_Report.pdfGoogle Scholar
Flütsch, N. Survey on the acceptance of terms related to the genital organs altered by testosterone, 2019–2021 (yet not published). Available from: www.FTM-Portal.netGoogle Scholar
Defreyne, J, Elaut, E, Den Heijer, M, et al. Sexual orientation in transgender individuals: results from the longitudinal ENIGI study. Int J Impot Res 2021 (online). https://doi.org/10.1038/s41443–020-00402-7Google Scholar
Shaw, PA. The history of cervical screening part I. J Soc Obstet Gynaecol Can 2000;22(2):110114.Google Scholar
Schoell, WM, Janicek, MF, Mirhashemi, R. Epidemiology and biology of cervical cancer. Semin Surg Oncol 1999;16(3):203211.Google Scholar
Giuliano, AR, Anic, G, Nyitray, AG. Epidemiology and pathology of HPV disease in males. Gynecol Oncol 2010;117(2 Suppl):S15–19.Google Scholar
Zhiyue, L, Nyitray, AG, Hwang, LY, et al. Acquisition, persistence, and clearance of human papillomavirus infection among male virgins residing in Brazil, Mexico, and the United States. J Inf Dis 2018;5:767776.Google Scholar
Zhiyue, L, Rashid, T, Nyitray, AG. Penises not required: a systematic review of the potential for human papillomavirus horizontal transmission that is non-sexual or does not include penile penetration. Sex Health 2016;13(1):1021.Google Scholar
Coleman, E., et al. Standards of care for the health of transsexual, transgender, and gender-nonconforming people, version VII. Int J Transgend 2012;13(4):165232.Google Scholar
Rahman, M, Li, DH, Moskowitz, DA. Comparing the healthcare utilization and engagement in a sample of transgender and cisgender bisexual+ persons. Arch Sex Behav 2019;48(1):255260.Google Scholar
Thomsen, LT, Kjær, SK, Munk, C, et al. Clinical performance of human papillomavirus (HPV) testing versus cytology for cervical cancer screening: results of a large Danish implementation study. Clin Epidemiol 2020;12:203213.Google Scholar
Canfell, K, Caruana, M, Gebski, V, et al. Cervical screening with primary HPV testing or cytology in a population of women in which those aged 33 years or younger had previously been offered HPV vaccination: results of the Compass pilot randomised trial. PLOS ONE 2017;14(9):e1002388.Google Scholar
S3 guideline prevention of cervical carcinoma long version 1.1. March 2020. AWMF register number 015/027OL. Available from: www.awmf.org/leitlinien/detail/ll/015-027OL.htmlGoogle Scholar
Stokes-Lampard, H, Wilson, S, Waddel, Cl, et al. Vaginal vault smears after hysterectomy for reasons other than malignancy: a systematic review of the literature. BJOG 2006;113(12):13541365.Google Scholar
Elaut, E, Weyers, S, Hoeboeke, P, Stockman, S, Monstrey, S. Sexuality and relationships of transgender people. In Bouman, WP and Arcelus, J, Eds. The Transgender Handbook. New York, NY: Nova Science Publishers, 2017, Chapter 10.Google Scholar
Buncamper, ME, Honselaar, JS, Bouman, MB, et al.. Aesthetic and functional outcomes of neovaginoplasty using penile skin in male-to-female transsexuals. J Sex Med 2015;12:16261634.Google Scholar
Opsomer, D, Gast, KM, Lisa Ramaut, L, et al. Creation of clitoral hood and labia minora in penile inversion vaginoplasty in circumcised and uncircumcised transwomen. Plast Reconstr Surg 2018;142(5):729e733e.Google Scholar
Van der Grift, T, Cohen-Kettenis, PT, Steensma, T, et al. Body satisfaction and physical appearance in gender dysphoria. Arch Sex Behav 2016;45:575585.Google Scholar

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