Transgender Flashcards
Transgender health
LGBTQQIAA
Gender identity is not consistent with assigned sex at birth
Transgender terms
Transgender man or transgender women Trans MTF: male to female FTM Cisgender P: polysexual
TERMS Assigned sex Sexual identity Gender identity Gender expression
Assigned sex: male or female based on appearance of external genitals at birth.
Sexual identity: describes who we are, or are not, attracted to
Gender identity: internal sense of gender,… of being woman, man, or neither, or antother gender
Gender expression: how express our agendat to others through dress, behavior, speech, actions…
Sexual identity
Not synonymous with gender
IOM report
Summarizes health disparities
*LGBT youth: more likely to attempt suicide and be homeless
*LGBT: higher smoke, etch, drugs, mental health issues
Attempt suicide and victimization
MSM: men have sex with men: higher risk of HIV/sex diseases
Lesbians: less likely to get preventative services for cancer
Lesbians and bisexual: women: more likely overweight/obes…
Elderly LGBT health disparities
Isolation
Lack of health services
Transgender less likely to have health insurance
Stigma
Refusal of care
Assessing gender
Transgender sensitive Questions on health forms
Transgender adults with HIV
1.4 million Americans transgender
Health care maintenance
Treat anatomy that is present
Address own misconceptions about risk
Use language that is less-gendered
Address patient discomfort
FTM health screening
Cervical Cancer Screening Mammograms and Breast Exams FTM Can refuse vaginal Rec hpv testing and vaccination
MTF cancer screening
HRT using progestin with estrogen – ◦Increases risk of breast cancer Mammogram for ◦Trans women on hormones for more than 5 years ◦Positive family history ◦BMI>35
Prolactinoma
Most frequently occurring pituitary tumor
Seen most often in women
Estrogen – stimulator of prolactin secreting tumors.
Guidelines for how long to monitor prolactin levels unclear
Prostate Cancer Screening
Consider screening in high-risk patients at ages 45-50
PSA screening not recommended if current or past hormones
◦Falsely low in androgen-deficient setting
◦Reported case of prostate cancer started HRT when older than 50 years old
Digital rectal exams in > 50 years old
◦Invasive and uncomfortable
◦Part of screening for colorectal screening at age 50
◦Gender neutral
