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Chapter 1 - Terminology in Transgender Medicine

from Section A - Contextual 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

Language in healthcare settings is important in order to better serve and understand the unique needs of various groups within transgender and gender diverse communities. Failure of healthcare professionals and institutions to adapt to evolving terminology contributes to the marginalization, invalidation, and exclusion of gender diversity in the medical field. Rather than dismissing or erasing unfamiliar identities, identifiers, or terminology, healthcare professionals should reflectively listen to how the patient affirms their autonomy and agency by using patient-provided terms. This chapter discusses the importance of using gender-affirming terminology in healthcare settings, reviews basic terms and definitions from a Western perspective, and provides recommendations for inclusive practices.

Type
Chapter
Information
Context, Principles and Practice of TransGynecology
Managing Transgender Patients in ObGyn Practice
, pp. 2 - 8
Publisher: Cambridge University Press
Print publication year: 2022

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References

Vermeir, E, Jackson, LA, Marshall, EG. Barriers to primary and emergency healthcare for trans adults. Cult Heal Sex 2018;20(2):232246. https://doi.org/10.1080/13691058.2017.1338757Google Scholar
Eyssel, J, Koehler, A, Dekker, A, et al. Needs and concerns of transgender individuals regarding interdisciplinary transgender healthcare: a non-clinical online survey. PLoS One 2017;12(8): 23512070. https://doi.org/10.1371/journal.pone.0183014Google Scholar
Fantz, CR, Roberts, TK. Barriers to quality health care for the transgender population. Clin Biochem 2014;47(10–11):983987. https://doi.org/10.1016/j.clinbiochem.2014.02.009Google Scholar
Rowe, D, Ng, Y-C, O’Keefe, L. Addressing transgender patients’ barriers to access care. Nurse Pract 2019;44(6):3038.Google Scholar
Salkas, S, Conniff, J, Budge, SL. Provider quality and barriers to care for transgender people: an analysis of data from the Wisconsin transgender community health assessment. Int J Transgenderism 2018;19(1):5963. https://doi.org/10.1080/15532739.2017.1369484Google Scholar
Thomas, R, Pega, F, Khosla, R, et al. Ensuring an inclusive global health agenda for transgender people. Bull World Health Organ 2017;95:154156. https://doi.org/10.2471/BLT.16.183913CrossRefGoogle ScholarPubMed
World Professional Association for Transgender Health. Standards of Care for the Health of Transsexual, Transgender, and Gender-Nonconforming People (7th Version). Published 2012 (Online). Available at: www.wpath.org/publications/soc [last accessed May 16, 2022].Google Scholar
World Health Organization. Consolidated Guidelines on HIV Prevention, Diagnosis, Treatment, and Care for Key Populations. Published 2014 (online). Available at: https://apps.who.int/iris/bitstream/handle/10665/128048/9789241507431_eng.pdf;jsessionid=B24E309801443B27D788AC7EB82381E9?sequence=1 [last accessed May 16, 2022].Google Scholar
Transgender Europe. Guidelines to Human Rights-Based Trans-Specific Healthcare. Published 2019.Google Scholar
The Yogyakarta Principles – Principles on the Application of International Human Rights Law in Relation to Sexual Orientation and Gender Identity. Published 2007 (online). Available at: www.refworld.org/docid/48244e602.html [last accessed May 16, 2022].Google Scholar
Yogyakarta Principles. The Yogyakarta Principles Plus 10 – Additional Principles and State Obligation on the Application of International Human Rights Law in Relation to Sexual Orientation, Gender Expression and Sex Characteristics to Complement the Yogyakarta Principles. Geneva, 2017 (online). Available at: http://yogyakartaprinciples.org/[last accessed May 16, 2022].Google Scholar
Kismodi, E, Cabral, M, Byrne, J. Transgender health care and human rights. In Ettner, R., Monstrey, S., and Coleman, E., Eds. Principles of Transgender Medicine and Surgery (2nd ed.). New York: Routledge, 2016, pp. 379401.Google Scholar
Knudson, G. Language and terminology in transgender health. In Schechter, L. S., Ed. Gender Confirmation Surgery. Cham: Springer International Publishing, 2020, pp. 4146.CrossRefGoogle Scholar
Winter, S, Diamond, M, Green, J, et al., Transgender people: health at the margins of society. Lancet, 2016;388:390400. https://doi.org/10.1016/S0140-6736(16)00683-8CrossRefGoogle ScholarPubMed
Ding, JM, Ehrenfeld, JM, Edmiston, EK, Eckstrand, K, Beach, LB. A model for improving health care quality for transgender and gender nonconforming patients. Jt Comm J Qual Patient Saf 2020;46(1):3743. https//doi.org/10.1016/j.jcjq.2019.09.005Google Scholar
Heng, A, Heal, C, Banks, J, Preston, R. Transgender peoples’ experiences and perspectives about general healthcare: a systematic review. Int J Transgend 2018;19(4):359378. https://doi.org/10.1080/15532739.2018.1502711Google Scholar
Morgensen, SL. Theorising gender, sexuality and settler colonialism: an introduction. Settl Colon Stud 2012;2(2):222. https://doi.org/10.1080/2201473X.2012.10648839Google Scholar
Thomas, G. The Sexual Demon of Colonial Power: Pan-African Embodiment and Erotic Schemes of Empire. Bloomington, IN: Indiana University Press, 2007.Google Scholar
Spurlin, WJ. Queer theory and biomedical practice: the biomedicalization of sexuality/the cultural politics of biomedicine. J Med Humanit 2019;40:720. https://doi.org/10.1007/s10912-018-9526-0Google Scholar
Foucault, M. Body/Power. In Gordon, C., Ed. Power/Knowledge: Selected Interviews and Other Writings, 1972–1977. Hemel Hemstead: The Harvester Press, 1980, pp. 5562.Google Scholar
Foucault, M. The History of Sexuality, translated by Hurley, R.. London: Penguin Books, 1978.Google Scholar
Oliphant, J, Veale, JF, Macdonald, J, et al. Guidelines for Gender Affirming Healthcare for Gender Diverse and Transgender Children, Young People and Adults in Aotearoa, New Zealand.Google Scholar
Bockting, W, Robinson, B, Benner, A, Scheltema, K. Patient satisfaction with transgender health services. J Sex Marital Ther 2004;30(4):277294. https://doi.org/10.1080/00926230490422467CrossRefGoogle ScholarPubMed
Lerner, JE, Robles, G. Perceived barriers and facilitators to health care utilization in the United States for transgender people: a review of recent literature. J Health Care Poor Underserved 2017;28(1):127152. https://doi.org/10.1353/hpu.2017.0014Google Scholar
McPhail, D, Rountree-James, M, Whetter, I. Addressing gaps in physician knowledge regarding transgender health and healthcare through medical education. Can Med Educ J 2016;7(2):7078.Google Scholar
Moseson, H, Zazanis, N, Goldberg, E, et al. The imperative for transgender and gender nonbinary inclusion: beyond women’s health. Obstet Gynecol 2020;135(5):10591068. https://doi.org/10.1097/AOG.0000000000003816Google Scholar
Smith, JR, Washington, AZ, Morrison, SD, Gottlieb, LJ. Assessing patient satisfaction among transgender individuals seeking medical services. Ann Plast Surg 2018;81(6):725729. https://doi.org/10.1097/SAP.0000000000001582Google Scholar
Besse, M, Lampe, NM, Mann, ES. Experiences with achieving pregnancy and giving birth among transgender men: a narrative literature review. Yale J Biol Med 2020;93(4):517528.Google Scholar
Noonan, EJ, Sawning, S, Combs, R, et al. Engaging the transgender community to improve medical education and prioritize healthcare initiatives. Teach Learn Med 2018;30(2):119132. https://doi.org/10.1080/10401334.2017.1365718CrossRefGoogle ScholarPubMed
Cuccolo, NG, Kang, C, Boskey, ER, et al. Mastectomy in transgender and cisgender patients: a comparative analysis of epidemiology and postoperative outcomes. Plast Reconstr Surg Glob Open 2019;7(6):e2316. https://doi.org/10.1097/gox.0000000000002316Google Scholar
Massie, JP, Streed, J, Carl, G, Neira, PM, Morrison, SD. Terminology in transgender patient care. J Am Soc Plast Surg 2018;141(2):20172018. https://doi.org/10.1097/PRS.0000000000004054Google Scholar
Trans Student Educational Resources. Definitions. Available at: https://transstudent.org/about/definitions/ [last accessed May 16, 2022].Google Scholar
Crissman, H, Stroumsa, D. Gynecologic care considerations for transmasculine people. Contemp Ob Gyn 2020;65(8):2024.Google Scholar
Murphy, KP, Pierce, JL, Ruiz, J. What makes queer oral history different. Oral Hist Rev 2016;43(1):124. https://doi.org/10.1093/ohr/ohw022Google Scholar
Stryker, S. Transgender History. Berkeley, CA: Seal Press, 2008.Google Scholar
Bogart, LM, Revenson, TA, Whitfield, KE, France, CR. Introduction to the special section on lesbian, gay, bisexual, and transgender (LGBT) health disparities: where we are and where we’re going. Ann Behav Med 2014;47(1):14. https://doi.org/10.1007/s12160-013-9574-7Google Scholar
Knutson, D, Martyr, MA, Mitchell, TA, Arthur, T, Koch, JM. Recommendations from transgender healthcare consumers in rural areas. Transgender Heal 2018;3(1):109117. https://doi.org/10.1089/trgh.2017.0052Google Scholar
Center for Disease Control and Prevention. Community Needs Assessment: Participant Workbook. Published 2013 (online). Available at: www.cdc.gov/globalhealth/healthprotection/fetp/training_modules/15/community-needs_pw_final_9252013.pdf [last accessed May 16, 2022].Google Scholar
Patel, K, Lyon, ME, Luu, HS. Providing inclusive care for transgender patients: capturing sex and gender in the electronic medical record. J Appl Lab Med 2021;6(1):210218. https://doi.org/10.1093/jalm/jfaa214Google Scholar
Deutsch, MB, Green, J, Keatley, J, et al. Electronic medical records and the transgender patient: recommendations from the World Professional Association for Transgender Health EMR Working Group. J Am Med Informatics Assoc 2013;20:700703. https://doi.org/10.1136/amiajnl-2012-001472Google Scholar
Sequeira, GM, Kidd, K, Coulter, RWS, et al. Affirming transgender youths’ names and pronouns in the electronic medical record. JAMA Pediatr 2020;174(5):501503. https://doi.org/10.1001/jamapediatrics.2019.6071Google Scholar
Trans Care BC at Provincial Health Services Authority. Gender Inclusive Language: Clinical Settings with New Clients. www.phsa.ca/transcarebc/Documents/HealthProf/Gender_Inclusive_Language_Clinical.pdf [last accessed May 16, 2022].Google Scholar

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