Transgender Symposium Flashcards
Someone who desires to align physical self with self perception by altering anatomy
transsexual
Someone who has a self image or gender identity not traditionally associated with their assigned birth gender
transgendered
someone who achieves sexual pleasure through the use of clothing or personal adornments of the other gender
transvestite
Someone who rejects both male and female gender identities
gender queer, non-gender
Gender Identity Disorder
no longer in use –> being unhappy with the gender you were assigned physically/anatomically –>DSM IV criteria
Gender dysphoria
a marked incongruence between one’s experienced gender and assigned gender –> less pejorative language in definition and time duration component of dx
Gender incongruence
World health alternative to GID
Hormonotherapy
not everyone wants them b/c requires life long commitment and fears of risks
MTF hormones
spiro, estrogen, progestin
FTM hormones
testosterone
MTF Hormonotherapy irreversible changes
breast tissue, erectile abilities
FTM hormonotherapy irreversible changes
voice, clitoral change, male pattern baldness
MTF change in health needs
breast and prostate exams
FTM change in health needs
annual pap smears
3 standards for care of trans
harry benjamin standards of care, american academy of child and adolescent psychiatry standard, endocrine society
Blocking endogenous puberty
usually with a gnrh analog (leuprolide or histrelin) –> shuts off gnrh receptors on pituitary gonadotrope
Adverse effect of gnrh analog
impairs bone density
penile innervation
pudendal: somatic and sensory
cavernosal: p/s and visceral afferent
homologous structure? scrotum
labia majora
homologous structure? body of penis
labia minora
homologous structure? glans
clitoris
homologous structure? bulbourethral glands
vestibular glands
Late term concerns with MTF surgery
urethral stenos, vaginal dilation required, prostate issues
WPATH
guidelines for endocrine, psychiatric, and surgical options and interventions for genital surgery
Mandatory prereqs for SRS
true dysphoria, 2 mental health specialists, hormones for at least 1 year, living true life test of 1 year
