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ENRP > Transgender Health > Flashcards

Transgender Health Flashcards

1
Q

One’s internal sense of being male/female/neither/both

A

Gender Identity

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2
Q

Physical manifestation of one’s gender through clothes, hairstyle, etc.

A

Gender Expression

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3
Q

Romantic and sexual orientation

A

Sexual Orientation

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4
Q

Who someone has sex with

A

Sexual behavior

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5
Q

What defines Transgender?

A

Gender identity is NOT congruent with Sex assigned at birth

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6
Q

Transgender Female/Transfeminine

A

Sex assigned at birth = male

Gender identity = female

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7
Q

Transgender Male/Transmasculinization

A

Sex assigned at birth = female

Gender identity = male

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8
Q

Gender Non-binary

A

Gender identity falls outside the traditional gender binary

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9
Q

Gender Queer

A

Gender identity is neither, between or both male and female

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10
Q

Cisgender

A

Gender identity is aligned with sex assigned at birth

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11
Q

Does sexual orientation always follow gender identity?

A

NO

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12
Q

What is Gender Dysphoria?

A

Distress related to the incongruence of gender identity and sex assigned at birth

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13
Q

Distress related to the incongruence between sex assigned at birth and gender identity

A

Gender Dysphoria

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14
Q

What is Gender Affirmation/Transition?

A

Process of recognizing, accepting and expressing gender identity

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15
Q

Gender Affirmation/Transition often refers to a period when?

A

Person makes visible changes to affirm gender identity outwardly

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16
Q

Is there a linear path to transition?

A

NO

17
Q

Transgenders may or may not seek medical/surgical therapies for gender affirmation. You should give the ____ care

A

Individualized care

18
Q

What is given for Masculinizing Hormone Therapy?

A

Testosterone

19
Q

How is Testosterone given? Why?

A

Injection or Topical

–> oral = hepatotoxic

20
Q

What are the risks of Masculinizing Hormone Therapy with Testosterone?

A
  • Polycythemia/Erythrocytosis
  • Obstructive Sleep Apnea
  • Hyperlipidemia
21
Q

What is given for Feminizing Hormone Therapy?

A

Estradiol + Androgen Blocker (spironolactone)

22
Q

What Androgen Blocker is given for Feminizing Hormone Therapy in order to block Testosterone?

A

Spironolactone (K+ sparing diuretic)

23
Q

What should you monitor with Feminizing Hormone Therapy?

A

Estradiol + Spironolactone (androgen blocker)

– monitor BP and K+ levels!

24
Q

What are the risks of Feminizing Hormone Therapy with Estradiol + Androgen Blocker?

A
  • VTE (esp. smokers)

- Decreased libido, loss of erectile function

25
Q

Gender-Affirming Hormone Therapy allows for the acquisition of secondary sex characteristics that are more aligned with gender identity. What is the end result?

A

“second puberty”

    • may take years
    • physical, emotional and sexual changes
26
Q

What are 3 Gender-Affirming Surgeries for the Transmasculine patient?

A
  • Mastectomy
  • Metoidioplasty - elongate clitoris
  • Phalloplasty - creation of neo phallus
27
Q

What are 3 Gender-Affirming Surgeries for the Transmasculine patient?

A
  • Mastectomy
  • Metoidioplasty - elongation of clitoris
  • Phalloplasty - creation of neo phallus
28
Q

What are 4 Gender-Affirming Surgeries for the Transfeminine patient?

A
  • Vaginoplasty - creation of vagina
  • Breast augmentation
  • Tracheal shave - reducing adam’s apple
  • Facial Feminization surgery
29
Q

What are 4 Gender-Affirming Surgeries for the Transfeminine patient?

A
  • Vaginoplasty - creation of vagina
  • Breast augmentation
  • Tracheal shave - reducing adam’s apple
  • Facial Feminization Surgery
30
Q

What should you give your patients BEFORE starting hormone therapy?

A

Fertility preservation options

    • sperm banking
    • egg freezing
31
Q

What should you give your patient BEFORE starting hormone therapy?

A

Fertility preservation options

    • sperm banking
    • egg freezing
32
Q

What may reduce Transgender’s fertility?

A

Gender-Affirming Hormone Therapy

33
Q

Does Hormone Therapy act as a form of contraception?

A

NO

34
Q

Hormone therapy may reduce fertility but does it act as a form of contraception?

A

NO

35
Q

When it comes to cancer screening, what should you screen?

A

Organs that are present

36
Q

For the Transmasculine patient, what cancer screenings should be done?

A
  • Cervical

- Breast

37
Q

For the Transfeminine patient, what cancer screening should be done and when?

A

Breast

– after age 50 if they have been on feminizing hormones for more than 5 years

38
Q

Transfeminine patients should get a breast cancer screen after age 50 if?

A

They have been exposed to feminizing hormones for more than 5 years

ENRP (45 decks)

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