B8-064 CBCL Transgender Care Flashcards
changing one’s pronouns, clothing, hairstyle and presentation is referred to as […] affirmation
social
changing one’s body to align with identity via medications/surgery is referred to as […] affirmation
medical
changing one’s gender marker on identity documents is referred to as […] affirmation
legal
are adult transgender patients required to have a psych eval prior to hormone therapy?
no
anatomic inventories are used to guide
preventative care recommendations
breast and chest surgery is referred to as
top surgery
feminizing hormone therapy most commonly uses what type of estrogen?
17-beta estradiol
the most medically serious risk of estrogen is
DVT
a transgender patient is most likely to experience […] in their lifetime
homelessness
[…] estrogen has the lowest risk of DVT
transdermal
MOA of finasteride
5-alpha-reductase inhibitor
MOA of spironolactone
androgen receptor antagonist
serious side effect of spironolactone
hyperkalemia
how does estrogen affect serum lipid profiles?
LDL: decrease
HDL: increase
triglycerides: increase
factors that contribute to increased cardiovascular risk in transgender women
higher rates of tobacco use, obesity, and lipid disorders
lower rates of physical activity
persistent cross-gender identification that leads to persistent distress with sex assigned at birth
gender dysphoria
desire to live as the opposite sex, often through surgery or hormone treatment
trans-sexualism
aromatase converts testosterone to
estradiol
prohibits most health insurers from discriminating based on transgender status
ACA
protects patients privacy when it comes to certain health information (like gender identity)
HIPAA
non-random sampling, or treatment allocation of subject such that study population is not representative of target population
selection bias
synthetic androgen that acts as partial agonist at androgen receptor
danazole
aromatase inhibitor, inhibits peripheral conversion of androgens to estrogen
letrozole
tamoxifen and clomiphene belong to what drug class?
SERMs
most commonly observed side effect of androgen therapy
erythrocytosis
men receiving androgen therapy should be monitored to keep the hematocrit less than […]%
50
best contraception for a transgender male wanting to prevent pregnancy
long acting reversible contraception like copper IUD
(oral contraceptives not ideal because they contain estrogen)
norethindrone and prometrium are
progestins
competitive inhibitor of progestins at progesterone receptors
mifepristone
has antagonist properties when used in a continuous fashion, leading to decreased FSH/LH
GnRH analog
persistence of the paramesonephric duct during development results in […] phenotype
female
