History and Prevalence of Gender Dysphoria.- Gaps in Transgender Care.- Biology of Gender Identity and Gender Incongruence.- Primary Care of Transgender Adults.- Primary Care of Transgender Children and Adolescents.- Geriatric Transgender Care.- Mental Health Issues in Caring for the Transgender Population.- Endocrine Care of Transgender Adults.- Endocrine Care of Transgender Children and Adolescents.- Gender Confirmation Surgery.- Fertility Issues in Transgender Care.- Voice Changes in Transgender Care.- HIV Infection in Transgender Persons.- Transgender Care and Medical Education.- The Social Elements of TGNC's Individuals Journey to Living Authentically.- Legal Issues for Transgender Individuals.- Ethics of Gender Affirming Care.- Spiritual Care of Transgender Persons.- Resources for Transgender Individuals: Transgender Organizations and Services.
Although transgender persons have been present in various societies throughout human history, it is only during the last several years that they have become widely acknowledged in our society and their right to quality medical care has been established. In the United States, endocrinologists have been providing hormonal therapy for transgender individuals for decades; however, until recently, there has been only limited literature on this subject, and non-endocrine aspects of medical care for transgender individual have not been well addressed in the endocrine literature.
The goal of this volume is not only to address the latest in hormonal therapy for transgender individuals (including pediatric and geriatric age groups), but also to familiarize the reader with other aspects of transgender care, including primary and surgical care, fertility preservation, and the management of HIV infection. In addition to medical issues, psychological, social, ethical and legal issues pertinent to transgender individuals add to the complexities of successful treatment of these patients. A final chapter includes extensive additional resources for both transgender patients and providers. Thus, an endocrinologist providing care to a transgender person will be able to use this single resource to address most of the patient's needs.
While Transgender Medicine is intended primarily for endocrinologists, this book will be also useful to primary care physicians, surgeons providing gender-confirming procedures, mental health professionals participating in the care of transgender persons, and medical residents and students.
Leonid Poretsky, MD, Northwell Health, Division of Endocrinology, Friedman Transgender Health and Wellness Program, Lenox Hill Hospital, New York, NY, USA
Wylie C. Hembree, MD, Columbia University, New York-Presbyterian Hospital, New York, NY, USA.