General

Transgender Medicine

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22 Jul 2016 - General
 

In the recent years, more people have become comfortable with their gender identity. Social organizations, composed of the LGBT community and transgender individuals are increasing in number, both on a national and international scale. Aside from gaining more acceptance, one of the concerns of these organizations is to address concerns of transgender discrimination, especially the healthcare setting. In the United States, there is a law that prohibits discrimination against treatment and provision of healthcare services amongst this community. In the Philippines, there are no existing laws regarding this, although I have not heard of a doctor refusing to treat a transgender individual. Admittedly, the conservative culture of my country is responsible for the existing social stigma of transgender individuals. Some issues about treating them are: for those who had gender reassignment surgery (with uterine implantation) and hormonal treatment, should they also be screened for cervical cancer and breast cancer? Should their genders be formally changed to females on medical records? How often do we screen them for STDs? Is your local health setting ready to provide transgender medicine? Do you have existing laws to prevent discrimination against them?

We don't have clear cut guidelines for gender reassignment, because the truth is, 1.) Not everybody sees it as a priority because the involved group is not big enough; 2.) Somehow, it is not a welcoming topic that everyone wants to talk about.

Which makes it difficult for the patient and the physician as well. Maybe a gender reassignment specialist could shed light on management post operatively and on the long term? This could also pose a risk for mismanagement and failure of treat...
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Transgender persons may avoid medical care for fear of being rejected. Many have been turned away by health care providers or had other negative experiences. Not all providers know how to deal with specialized transgender issues. Often, transgender health services are not covered by insurance. For these reasons, transgender persons may not be able to access the care they need.Transgender persons have higher rates of depression and anxiety compared to others. These problems are often worse for th...
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Although we club all the LGBT and Q people together, the confusion regarding identity is within the transgender and queer people only. The rest of the community belong to either gender, although their sexual preferences may be different. They also deserve some special attention because of some specific diseases or health hazards which they may face because of their sexual practices.
Recently the Government of India, recognised transgender as a separate gender and allowed a separate column fo...
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@Marinelle: Oh definitely. It seemed pretty clear that none of your statements was against the LGBTQ community. Queer I always thought was just another term for gay. Queer apparently is for the group of people who are still searching for the sexual identity or in that state of confusion. I agree that there should be a universally-accepted criteria on the indications for gender-reassignment surgery. Psychiatric evaluations are necessary before doing such surgeries. These evaluations are not to de...
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@Jennifer: This is the first time I've heard of queer. How is that different from being a homosexual? These labels are really confusing and I think on the medical standpoint we need to establish an operational definition for these terms as a basis for scientific literature. My opinions are not based on religious beliefs and I'd like to clarify that I am not against LGBT+Q community. But on the evolutionary perspective, this gender identity revolution poses serious dilemmas in reproductio...
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Transgender should be managed like their original gender right? I am not sure. Have not really seen one before for consultation ie PAP smear. I will also wonder what I will do if a transgender woman come for PAP smear. I guess I should refer to the gynecologist. However i see a lot of lesbian and gay man nowadays and I believe I am not well train to manage them. I have a girl who is taking testosterone to prepare her for gender change operation presenting with suprapubic pain. She was amenorrhoe...
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Someone probably bought the list of HIV patient from an authorized person. According to the news I read, the scammer told the patient he can get subsidies for HIV treatment by calling a stipulated number which belongs to another province in China. Upon dialing the number, the person on the another line will request the patient to transfer a sum of money to a bank account. If the patient declines, he will be threaten exposure of his condition online unless the money is transferred immediately. Th...
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Someone probably bought the list of HIV patient from an authorized person. According to the news I read, the scammer told the patient he can get subsidies for HIV treatment by calling a stipulated number which belongs to another province in China. Upon dialing the number, the person on the another line will request the patient to transfer a sum of money to a bank account. If the patient declines, he will be threaten exposure of his condition online unless the money is transferred immediately. Th...
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Philippines is not an LGBTQ friendly country. Majority of Filipinos are tolerant, yes. But still, Filipinos have common notion that puts LGBTQ in a bad light. Like using the word "Bakla" (gay), when trying to ridicule or be used as a derogatory word for someone.

I do think that trans people should be treated like everyone else. Everyone should be checked for STDs regularly. As per uterine implantation, we should be more knoeledgeable with its post operative and long term compl...
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I have come to learn lately that the term is not only LGBT but also LGBTQ. I did not know that Queer is another set of people. So with that issue in regards to how often we should do STD screening on transgenders I think the schedule should be just the same as everybody else. Their sexual orientation has just changed. If the transgender is promiscuous or is in a high risk occupation then screen annually. They should be screened for cervical cancer and breast cancer but a criteria should be made...
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