Transgender Health Flashcards
One’s internal sense of being male/female/neither/both
Gender Identity
Physical manifestation of one’s gender through clothes, hairstyle, etc.
Gender Expression
Romantic and sexual orientation
Sexual Orientation
Who someone has sex with
Sexual behavior
What defines Transgender?
Gender identity is NOT congruent with Sex assigned at birth
Transgender Female/Transfeminine
Sex assigned at birth = male
Gender identity = female
Transgender Male/Transmasculinization
Sex assigned at birth = female
Gender identity = male
Gender Non-binary
Gender identity falls outside the traditional gender binary
Gender Queer
Gender identity is neither, between or both male and female
Cisgender
Gender identity is aligned with sex assigned at birth
Does sexual orientation always follow gender identity?
NO
What is Gender Dysphoria?
Distress related to the incongruence of gender identity and sex assigned at birth
Distress related to the incongruence between sex assigned at birth and gender identity
Gender Dysphoria
What is Gender Affirmation/Transition?
Process of recognizing, accepting and expressing gender identity
Gender Affirmation/Transition often refers to a period when?
Person makes visible changes to affirm gender identity outwardly
Is there a linear path to transition?
NO
Transgenders may or may not seek medical/surgical therapies for gender affirmation. You should give the ____ care
Individualized care
What is given for Masculinizing Hormone Therapy?
Testosterone
How is Testosterone given? Why?
Injection or Topical
–> oral = hepatotoxic
What are the risks of Masculinizing Hormone Therapy with Testosterone?
- Polycythemia/Erythrocytosis
- Obstructive Sleep Apnea
- Hyperlipidemia
What is given for Feminizing Hormone Therapy?
Estradiol + Androgen Blocker (spironolactone)
What Androgen Blocker is given for Feminizing Hormone Therapy in order to block Testosterone?
Spironolactone (K+ sparing diuretic)
What should you monitor with Feminizing Hormone Therapy?
Estradiol + Spironolactone (androgen blocker)
– monitor BP and K+ levels!
What are the risks of Feminizing Hormone Therapy with Estradiol + Androgen Blocker?
- VTE (esp. smokers)
- Decreased libido, loss of erectile function