GLBTQ- Johnson Flashcards

1
Q

Gender Identity

A

Internal sense of being male/female/ not conforming to either

Same thing as assigned gender

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2
Q

Sexual Orientation

A

An individual’s attraction to the same and/or other sexd

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3
Q

Gay

A

Attracted to same sex

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4
Q

Lesbian

A

Gay women

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5
Q

Define transgender

A

self identity and general sense of self does not conform to the physical gender

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6
Q

Define transsexual

A

a person who has undergone treatment to become recognizable as a gender different from birth or assigned gender

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7
Q

Gender non-conforming

A

Not corresponding to usual male/female identity of that culture

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8
Q

Gender dysphoria

A

Physical or assigned gender does not align with gender identity and causes distress

Previously called gender identity disorder

**the physical and psychological mismatch is NOT a pathology but the STRESS THAT IS CAUSES IS

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9
Q

Treatment for gender dysphoria?

A

Feminizing or masculiniing hormones
Sex reassignment surgery
Counseling

*unique to each person

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10
Q

What is the prevalence of gender dysphoria?

A

0.3% of the population

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11
Q

What does 46 XX classical congenital adrenal hyperplasia result in?

A

Excess androgen exposure prenatally

Results in ambiguous genitalia at birth

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12
Q

5-alpha reductase 2 deficiency

17 beta-hydroxylase deficiency

A

in 46 XY individuals cause impaired virilization during fetal development due to blocked conversion of testostersone to its active form

Genetic male with female or ambiguous genitalia

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13
Q

What percent of 46 XY individuals raised as girls have gender role change at puberty?

A

56-64%

**Suggests influence of pre and post natal androgen exposure on gender identity

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14
Q

When can symptoms of gender dysphoria start?

A

As early as age 2

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15
Q

Do majority of gender dysphoria resolve by puberty?

A

Yes

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16
Q

What is the best mental health outcome for children with gender dysphoria?

A

Achieved with allowing gender expression and observing for persistence

17
Q

What is pubertal suppression?

A

Reversible
Delays development of secondary sex characteristics

Provides time to explore gender identity before permanent changes in hormones occur

GnRH analogue or progesterone to suppress pituitary horomones and testosterone production

**does NOT allow for sperm banking or ova harvesting

18
Q

What percent of TG individuals use illegally obtained hormones due to barriers in health care?

A

50%

19
Q

Male to female HT

A

Estrogen + androgen inhibitor

Onset of change is 3-6 months

Maximum effect 6 months-2years

Effect is unpredictable

20
Q

What are 3 contraindications of estrogen therapy?

A

History of:

DVT
Estrogen dependent neoplasm
End stage liver disease

21
Q

What anti-androgen is available in US?

A

Spironolactone

Blocks testosterone receptor and suppresses testosterone excretion

22
Q

What are the most effective drugs to suppress FSH and LH?

A

GnRH analogous

Prohibitively expensive

23
Q

Approach to hormone therapy

A
  • manage expectation
  • Assess baseline risk for medical complications
  • continue other appropriate screening exams appropriate for biologic sex