Gender affirming care Flashcards
Sex
chromosomal and anatomic
Sexual orientation
the gender a person is attracted to
Gender identity
internal state of being male, female, or on the spectrum
Gender expression
how one manifests one’s self through social norms
Pansexual
attracted to more than one sex
Bisexual
attracted to both male and female
Asexual
not attracted to anyone
Queer
still figuring out how they feel
Transgender male
transgender person who was recorded female at birth but has a masculine gender identity
Transgender female
transgender person who was recorded male at birth but has a feminine gender identity
Non-binary
a spectrum of gender identities that are not exclusively male or female
Endosex
a term used to describe a person whose sex characteristics meet social and medical norms for male and female bodied-people
Intersex
a term used to describe a person who is born with biological traits that do not fit into those that traditionally characterize male or female
What is important to assess during appointments
gender identity, pronouns, sexual orientation, and affirmed name
What is needed before biomedical interventions are used
psychosocial assessment of gender dysphoria
What needs to be in control before biomedical assessments are used
other mental health conditions
How are facial feminization surgeries done
done on one area of the face at a time, under general
Post-op of facial feminization surgery
4-6 week recovery, limits on lifting, limits on strenuous activity, avoid certain supplements, avoid sunlight, swelling can take months to go down
How long are feminizing hormones needed before breast surgery
12 months
Post-op chest masculizing surgery
drains and/or compression vest after surgery, 6+ week recovery
Orchiectomy
surgical removal of testes –> testosterone production
Orchiectomy intra-op
low-risk same day procedure, tissue can be saved for vaginoplasty
Vaginoplasty
overall creation of a vagina - labiaplasty, clitoroplasty, penectomy
Does the prostate stay intact during vaginoplasty
yes, routine screenings still need to be done
Post-op vaginoplasty
healing is at least a year, stent is placed in the canal and removed one day 5, new canal can collapse, monitor urinary retention, urethra can develop scarring
Phalloplasty
overall creation of a penis
Post-op phalloplasty
Need to heal before penis is used for urination, at least one year recovery time
Metaidoplasty
clitoral tissue is extended from the body
When does a metaidoplasty occur
after clitoral enlargement due to testosterone
What is important for post-op (all surgeries)
make sure the patient understands what things are expected to look like post-op
