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Flashcards in Transgender Deck (14):
1

Transgender health

LGBTQQIAA
Gender identity is not consistent with assigned sex at birth

2

Transgender terms

Transgender man or transgender women
Trans
MTF: male to female
FTM
Cisgender
P: polysexual

3

TERMS
Assigned sex
Sexual identity
Gender identity
Gender expression

Assigned sex: male or female based on appearance of external genitals at birth.

Sexual identity: describes who we are, or are not, attracted to

Gender identity: internal sense of gender,... of being woman, man, or neither, or antother gender

Gender expression: how express our agendat to others through dress, behavior, speech, actions...

4

Sexual identity

Not synonymous with gender

5

IOM report
Summarizes health disparities


*LGBT youth: more likely to attempt suicide and be homeless
*LGBT: higher smoke, etch, drugs, mental health issues
Attempt suicide and victimization
MSM: men have sex with men: higher risk of HIV/sex diseases
Lesbians: less likely to get preventative services for cancer
Lesbians and bisexual: women: more likely overweight/obes...

6

Elderly LGBT health disparities

Isolation
Lack of health services
Transgender less likely to have health insurance

7

Stigma

Refusal of care

8

Assessing gender

Transgender sensitive Questions on health forms

9

Transgender adults with HIV

1.4 million Americans transgender

10

Health care maintenance

Treat anatomy that is present
Address own misconceptions about risk
Use language that is less-gendered
Address patient discomfort

11

FTM health screening

Cervical Cancer Screening
Mammograms and
Breast Exams FTM
Can refuse vaginal
Rec hpv testing and vaccination

12

MTF cancer screening

HRT using progestin with estrogen –
◦Increases risk of breast cancer
 Mammogram for
◦Trans women on hormones for more than 5 years
◦Positive family history
◦BMI>35

13

Prolactinoma
 

Most frequently occurring pituitary tumor
 Seen most often in women
 Estrogen – stimulator of prolactin secreting tumors.
 Guidelines for how long to monitor prolactin levels unclear

14

Prostate Cancer Screening

 Consider screening in high-risk patients at ages 45-50
 PSA screening not recommended if current or past hormones
◦Falsely low in androgen-deficient setting
◦Reported case of prostate cancer started HRT when older than 50 years old
 Digital rectal exams in > 50 years old
◦Invasive and uncomfortable
◦Part of screening for colorectal screening at age 50
◦Gender neutral