Monday, June 6, 2011

From U.S. National Library of Medicine - OUT OF THE SHADOWS: IT IS TIME TO MAINSTREAM TREATMENT FOR TRANSGENDER PATIENTS

This article outlines a great deal of information about gender identity and why it is important for healthcare providers to understand the need to help transgender patients.

Introduction
The biggest barrier to safe hormonal therapy for transgender patients is the lack of access to conventional care. Because transgender treatment is not taught in conventional medical curricula, few physicians are comfortable with the treatment of transgender conditions. Thus, transgender patients, already stigmatized by societal discomfort with sexual issues, may incur additional risk by seeking treatment from dubious sources such as the Internet or inexperienced health-care providers.

A major concern raised by physicians is anxiety about the legitimacy of hormonal treatment. Many physicians share the misconception that transgender treatment is a psychologic issue best managed with psychiatric intervention (behavioral therapy, psychotropic medication, or both). The assumption is that gender identity can be reversed. Nevertheless, available data do not support the notion that gender identity can be reversed by external forces. Rather, the data in the medical literature to date are consistent with gender identity being fixed...

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OUT OF THE SHADOWS: IT IS TIME TO MAINSTREAM TREATMENT FOR TRANSGENDER PATIENTS

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