Principles Of Transgender Medicine And Surgery

by Ettner, Randi

• ISBN13: 9780789032683
• ISBN10: 0789032686
• Edition: 1st
• Format: Hardcover
• Copyright: 2007-08-01
• Publisher: Routledge

Summary

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 subspecialty. This practical guide instructs both novices and experienced practitioners on the state-of-the-art treatments and knowledge.

Table of Contents

About the Editors	p. xiii
Contributors	p. xv
Foreword	p. xxi
Introduction	p. xxiii
The Etiology of Transsexualism	p. 1
Introduction	p. 1
Early Theories of the Etiology of Transsexualism	p. 3
Recent Theories of the Etiology of Transsexualism	p. 5
The Current Status of the Attempt to Identify the Etiology of Gender Variation	p. 9
Primary Medical Care of the Gender-Variant Patient	p. 5
Introduction	p. 15
The Spectrum of Gender Identity and Expression	p. 15
Transgender Health Care	p. 17
Ten Principles of Transgender Medical Care	p. 21
Conclusion	p. 30
Preventive Care of the Transgendered Patient: An Evidence-Based Approach	p. 33
Introduction	p. 33
Challenges in Providing Preventive Care to the Transgendered Population	p. 33
Evidence-Based Transgender Health Care	p. 34
Preventive Care Recommendations	p. 39
Conclusion	p. 62
Hormone Treatment of Adult and Juvenile Transsexual Patients	p. 73
Introduction	p. 73
General Principles of Treatment	p. 73
Hormonal Sex Reassignment	p. 75
Side Effects of Hormonal Sex Reassignment	p. 80
Sexual Function After Sex Reassignment	p. 83
Regrets After Sex Reassignment	p. 84
Juvenile Gender Dysphoria	p. 84
Surgery: General Principles	p. 89
Introduction	p. 89
Controversies Surrounding Surgery	p. 90
Ethical and Legal Challenges	p. 92
Financial Aspects	p. 93
Surgeries for Gender Reassignment	p. 94
Conditions for Surgical Interventions	p. 95
Standards of Care of the Harry Benjamin International Gender Dysphoria Association	p. 98
Surgery: Male-to-Female Patient	p. 105
History of Male-to-Female Surgery	p. 105
Male-to-Female Gender Reassignment Surgery: An Overview	p. 110
Surgery: Female-to-Male Patient	p. 135
History of Female-to-Male Surgery	p. 135
Subcutaneous Mastectomy	p. 137
Phalloplasty	p. 149
The Importance of a Multidisciplinary Approach	p. 164
Mental Health Issues	p. 169
Mental Health Issues in the History of Sex Reassignment	p. 170
Practical Aspects of Clinical Care	p. 176
Writing Recommendations and Reports	p. 182
Developmental Stages of the Transgender Coming-Out Process: Toward an Integrated Identity	p. 185
Introduction	p. 185
Coming Out As a Developmental Process	p. 186
Conclusion	p. 205
Reproduction and Fertility Issues for Transpeople	p. 209
Introduction	p. 209
Transpeople and Their Children	p. 210
Ethical Arguments in Favor of Fertility Preservation	p. 211
Cryopreservation of Sperm in Transwomen	p. 213
Donor Inseminations in Partners of Transmen	p. 214
Cryopreservation of Oocytes, Embryos, or Ovarian Tissue in Transmen	p. 214
Future Possibilities	p. 217
Karyotyping and Genetics in the Transgendered Population	p. 223
Introduction	p. 223
What Is a Karyotype?	p. 223
What Is a Variant Karyotype?	p. 224
Chromosomal Variance, Phenotypic Variance, and Gender Identity	p. 225
Variant Karyotypes or Forms of Intersex in the Transgender Population	p. 226
Is Gender Identity Genetic?	p. 227
Intersexed or Transgendered?	p. 229
Recommendations	p. 231
Conclusion	p. 232
Intersex: Definition, Examples, Gender Stability, and the Case Against Merging with Transsexualism	p. 235
Introduction	p. 235
Intersexuality Defined	p. 236
Typical Sexual Differentiation Process	p. 237
Intersex Syndromes and Related Conditions	p. 240
	p. 254
Gender Identity Disorders in Children and Adolescents	p. 261
Introduction	p. 261
Classification	p. 261
Epidemiology	p. 262
Clinical Picture	p. 264
DSM-IV Criteria for Gender Identity Disorder in Children and Adolescents	p. 280
Transgender Aging and the Care of the Elderly Transgendered Patient	p. 285
Introduction	p. 285
Successful Aging and its Predictors: The Concept of "Aging Well"	p. 286
Transgender Aging and Health Care	p. 287
Transgender Aging and Social Adjustment	p. 301
Graceful Exits: Living and Dying Well	p. 303
Conclusion	p. 304
Afterword	p. 311
The Standards of Care for Gender Identity Disorders, Sixth Version	p. 315
Index	p. 345
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