Tran Awareness in Healthcare Flashcards
What is meant by coming out in a LGBTQ+ context?
Telling someine something about yourself that isnt immediately obvious
Sharing that you are LGBTQ
Different for everyone and can be repeated multiple times throughout life to different people in different aspects of someones life
Define transgender
Term to describe someone whose gender identifity does not correspond with the sex that they were assigned at birth
What is meant by non-binary?
An umbrella term for a person who identifies with or expresses a gender identity that is neither entirely male or entirely female.
For example - demigirl, trigender, genderfluid, agender
What is the Gender Identity Clinical Pathway in Adults?
Referall by GP (five year wait)
First appointment then 3 to 12 months apart receive a second appointment from service - often request GP prescribe and monitor hormones in blood, psychology referral, hair removal, fertility preservation, voice and communication therapy.
Then a follow up service
Then referall to a surgery.
What hormones are given to a trans gender male?
Testosterone gel or IM
wit our without and anti-androgen often a GNRH analgue
What hormones are given to transgender female?
Estradiol - oral, gel, patch
With ot without anti-androgen (usually GNRH analogue)
What are the different parts of transition for transgender people?
Social transition
Medical transition
Surgical transition
What are some of the effects of testosterone therapy?
Body fat moves from hips/thight to tummy
Increase in size and strength of muscle
Increase in amount and thickness of body hair and facial hair
Oilier skin and acne
Voice deepens
More rbcs made (risk of thrombus)
Menstrual period stop
Clitoris growth
Increased sex drive
Vaginal dryness and thinning of vaginal walls
Head hair loss
These changes can take 1 month to 4 years.
What are the different effects of estradiol therapy?
Breast growth
Body fat moves from tummy to hips/thighs
Less muscle bulk and strength
Less hair on body on face
Stop losing more hair from head (will not grow back)
Softer skin and less oiliness
Smaller testicles
Reduced sperm production
Lower libido
Difficulty in achieving an erection
Reduced levels of Hb
These changes can occur within 1 month to 3 years.
What are some of the risks associated with testosterone therapy?
Polycythemia (inc rbcs)
Weight gain, acne, androgenic alopecia, sleep apnoea
May also have elevated liver enzymes, hyperlipidemia
Destabilisation of certain psychiatric disorders
Cardiovascular disease
Hypertension
T2D
Loss of bone density
Breast cancer
Cervical cancer
Ovarian cancer
Uterine cancer
What is heterosexism?
System of attidues, bias and discrimination in favour of opposite-sex relationship
E.g female patient says she is married and nurse asks for her husbands name
What is cissexism?
A system of attitudes, bias and discrimination in favour os cisgender gender identity
A men’s bathroom with no sanitary binds meaning that a trans man is unable to expose of his sanitary pad correctly.
What is homophobia?
An irrational fear of, aversion to or discrimination against homosexuality or homosexual people
What is transphobia?
Irrational fear of, aversion to or discrimination against transgender people
What is minority stress theory?
Minority groups experience extra stress stemming from experiences of stigma and discrimination which increases their risk of negative physical and mental health outcomes.
Stigma and discrimination are stressors as it requires adaptation, people who feel unable to fit into a group have less coping abilities.
Experience external minorty stress (direct and indirect discrimination) and internal minority stress (internalised societal stigma) .
Often have poorer social resources (peer support) and internal resources (self esteem) leading to poorer coping with stressors.
