3- LGBQT Flashcards
(32 cards)
Does “sex” mean “gender”?
NO
Sex is based on anatomy (biologically sex, XX vs XY)
Gender is based on sexual identity (Gender identity)
What is sexuality?
Who you are attracted to physically, romantically and/or emotionally
What is a transgender?
Someone whose gender identity is different than their birth sex
What is stress felt when one’s physical body or the way others see the person does not align w/ their gender identity?
Gender dysphoria
What is someone who is born w/ ambiguous genitalia or sex organs of both sexes?
Intersex
What is someone who may move along the gender spectrum at different time?
Gender fluid
What is someone who may identify as androgynous or closer to the middle of the gender spectrum?
Genderqueer
What is someone who felt like they are the gender they are born w/?
CIS gender
What is a Native American term for someone who posses two genders or the body one gender and the spirit of another?
Two spirit
What is a transman?
FtM
What is a transwomen?
MtF
What is the DSM5 criteria from gender dysphoria? (2)
A: Incongruence b/w one’s experience/expressed gender and natal gender for 6+ mos w/ 2+
- Incongruence b/w ones expressed gender and primary and/or secondary sex characteristic, desire to be rid of one’s primary and/or secondary sex characteristics, desire for primary and/or secondary sex characteristic of the other gender, desire to be the other gender, desire to be treated as the other gender, strong conviction that one has the feelings and reactions of the other gender
B. A/w distress/impairment
What are the specifiers of Gender dysphoria? (2)
- Does it exist w/ a d/o of sex development?
2. Is the condition post-transitional?
What is the role of the World Professional Associated for Transgender Health (WPATH)?
Supports pt autonomy in choosing whether or not to seek psychologists care for medical transition
Are psychologists letters required for gender confirming surgery?
Yes
Informed consent for the TransMale includes the expected effects of T therapy (take 3-5 yrs). What are the PERMANENT changes? (5)
- Pitch of voice becomes deeper
- Increased growth/thickening of body hair
- Facial hair
- Possible male patterned baldness
- Increase in size clitoris/phallus
Informed consent for the TransMale includes the expected effects of T therapy (take 3-5 yrs). What are the NON- PERMANENT changes? (6)
- Menses will stop
- Weight gain to abdomen
- increased muscle mass/upper body strength
- Increased sex drive
- Changes in mood/thinking, decreased emotional reactions, increased aggression
- +/- more physical energy
What are the SE of T therapy? (9)
- Loss of fertility (T is not reliable birth control, even if menses stop)
- M CV RF (higher BP, cholesterol)
- Increased risk of DM, sleep apnea
- Increased appetite/weight from muscle/fat
- Abn liver tests
- Weakening of tendons/increased risk of injury
- Worsening of HA/migraine
- Worsening of bipolar, schizophrenia, psych d/o
TransMales are at VERY HIGH risk of what due to T therapy? (1)
Erythocytosis
TransMales are at MODERATE risk of what due to T therapy? (3)
- Breast/Uterine CA (neglect screening exams)
- Liver disease
- CAD, CVD, HTN
Informed consent for the TransFemale includes the expected effects of E therapy (take 3-5 yrs). What are the PERMANENT changes? (3)
- Breast growth
- Testicle get smaller/softer
- Testicle produce less sperm, +/- become infertile
Informed consent for the TransFemale includes the expected effects of E therapy (take 3-5 yrs). What are the NON- PERMANENT changes? (9)
- Loss of muscle mass, decreased strength (esp. in upper body)
- Weight gain to buttocks, hips, thighs
- Skin becomes softer/less acne
- Facial/body hair get softer/light and grow more slowly
- Slowing of male patterned baldness
- Reduced sex drive
- Decreased strength of erections (less semen)
- Increased emotional rxns
- No changes to bone structure
What are the SE of E therapy? (6)
- Loss of fertility
- Increased risk of DVT, PE, MI, CVA
- HTN
- DM
- N/V
- Increase risk of breast CA
TransFemales are at VERY HIGH risk of what due to E therapy? (1)
Thromboembolic disease
