Transgender Flashcards
1
Q
What is your initial approach to a 16 year old female who reports she feels like is more comfortable being a man?
A
Check if they have a preferred name
Duration of symptoms > 6 months = gender dysphoria.
Are they living as the different gender at present?
Change and legal documents?
Consideration for gender reassignment surgery?
Do they want hormones?
HEADSS assessment
2
Q
What differential should you consider in a patient with gender dysphoria?
A
Transvestic disorder Borderline personality Body dysmorphic disorder Aspergers syndrome Dissociative identity disorder
3
Q
To help confirm your suspicion of gender dysphoria, who could you consider referring to?
A
Clinical psychologist to confirm gender dysphoria
4
Q
What baseline tests might you consider in a gender dysmorphic patient considering hormonal therapy?
A
FBC for polycythaemia LFT prior testosterone Lipids - as testosterone may increase this BSL/HbA1c ECG as increase CVD
5
Q
Outline what needs to be monitored in a patient on testosterone therapy?
A
Medical ongoing review Bloods Changes in secondary sexual characteristics. mental health voice changes may take up to 6 months blood pressure
