Principles of Transgender Medicina and Surgery

About the Title

A comprehensive and important text for health care professionals

Gender variance is widely misunderstood, and few medical texts examine the social, legal, emotional, historical, biological, and economic issues involved. Principles of Transgender Medicine and Surgery provides medical and health care guidelines and comprehensive information on all aspects of treatment of gender diverse individuals. This one-of-a-kind resource examines a full range of relevant data important to health care professionals. Each chapter addresses a different aspect of care, written by an authority on that sub-specialty. This practical guide instructs both novices and experienced practitioners on the state-of-the-art treatments and knowledge.

Principles of Transgender Medicine and Surgery presents the foremost international specialists on the issues, offering their expert knowledge on the wide spectrum of issues encountered by gender diverse individuals. In this handy text, professionals of all types can get important information about various aspects of transgender health care. This essential text is extensively referenced, and includes numerous photos, tables, and figures to clearly illustrate information.

Topics in Principles of Transgender Medicine and Surgery include:

• etiology
• primary medical care
• evidence-based preventive care
• hormone treatment of adults and juvenile transsexual patients
• general principles of surgical therapy
• reassignment surgery
• mental health issues
• developmental stages of the coming out process
• reproduction issues
• fertility issues
• karyotyping and genetics
• intersex individuals
• gender identity disorders
• aging and the care of elderly transgender patients

Principles of Transgender Medicine and Surgery is an essential guide for health care professionals, educators, students, patients, and patients' families.

Table of Contents

About the Editors
Contributors
Foreword (Frederic M. Ettner)
Introduction (Randi Ettner)

• Chapter 1. The Etiology of Transsexualism (Randi Ettner)
  Introduction
  Early Theories of the Etiology of Transsexualism
  Recent Theories of the Etiology of Transsexualism
  The Current Status of the Attempt to Identify the Etiology of Gender Variation
• Chapter 2. Primary Medical Care of the Gender-Variant Patient (A. Evan Eyler)
  Introduction
  The Spectrum of Gender Identity and Expression
  Transgender Health Care
  Ten Principles of Transgender Medical Care
  Conclusion
• Chapter 3. Preventive Care of the Transgendered Patient: An Evidence-Based Approach (Jamie Feldman)
  Introduction
  Challenges in Providing Preventive Care to the Transgendered Population
  Evidence-Based Transgender Health Care
  Preventive Care Recommendations
  Conclusion
• Chapter 4. Hormone Treatment of the Adult and Juvenile Transsexual Patient (Louis J. Gooren and Helene A. Delemarre-van de Waal)
  Introduction
  General Principles of Treatment
  Hormonal Sex Reassignment
  Side Effects of Hormonal Sex Reassignment
  Sexual Function After Sex Reassignment
  Regrets After Sex Reassignment
  Juvenile Gender Dysphoria
• Chapter 5. Surgery: General Principles (Stan Monstrey, Griet De Cuypere, and Randi Ettner)
  Introduction
  Controversies Surrounding Surgery
  Ethical and Legal Challenges
  Financial Aspects
  Surgeries for Gender Reassignment
  Conditions for Surgical Interventions
• Standards of Care of the Harry Benjamin International Gender Dysphoria Association
  Chapter 6. Surgery: Male-to-Female Patient (Stan Monstrey, Gennaro Selvaggi, and Peter Ceulemans)
  History of Male-to-Female Surgery
  Male-to-Female Gender Reassignment Surgery: An Overview
• Chapter 7. Surgery: Female-to-Male Patient (Stan Monstrey, Peter Ceulemans, and Peter Hoebeke)
  History of Male-to-Female Surgery
  Subcutaneous Mastectomy
  Phalloplasty
  The Importance of a Multidisciplinary Approach
• Chapter 8. Mental Health Issues (Friedemann Pfäfflin)
  Mental Health Issues in the History of Sex Reassignment
  Practical Aspects of Clinical Care
  Writing Recommendations and Reports
• Chapter 9. Developmental Stages of the Transgender Coming-Out Process: Toward an Integrated Identity (Walter Bockting and Eli Coleman)
  Introduction
  Coming Out As a Developmental Process
  Conclusion
• Chapter 10. Reproductive and Fertility Issues for Transpeople (Petra De Sutter)
  Introduction
  Transpeople and Their Children
  Ethical Arguments in Favor of Fertility Preservation
  Cryopreservation of Sperm in Transwomen
  Donor Inseminations in Partners of Transmen
  Cryopreservation of Oocytes, Embryos, or Ovarian Tissue in Transmen
  Future Possibilities
• Chapter 11. Karyotyping and Genetics in the Transgender Population (Gale Bearman)
  Introduction
  What Is a Karyotype?
  What Is a Variant Karyotype?
  Chromosomal Variance, Phenotypic Variance, and Gender Identity
  Variant Karyotypes or Forms of Intersex in the Transgender Population
  Is Gender Identity Genetic?
  Intersexed or Transgendered?
  Recommendations
  Conclusion
• Chapter 12. Intersex: Definition, Examples, Gender Stability, and the Case Against Merging with Transsexualism (Tom Mazur, Melissa Colsman, and David E. Sandberg)
  Introduction
  Intersexuality Defined
  Typical Sexual Differentiation Process
  Intersex Syndromes and Related Conditions
  Appendix A
• Chapter 13. Gender Identity Disorders in Children and Adolescents (Peggy T. Cohen-Kettenis)
  Introduction
  Classification
  Epidemiology
  Clinical Picture
  Appendix A: DSM-IV Criteria for Gender Identity Disorder in Children and Adolescents
• Chapter 14. Transgender Aging and the C