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Incidence of breast cancer in a cohort of 5, transgender veterans. Links to various non-Aetna sites are provided for your convenience only. Psychosexual outcome of gender-dysphoric children. Preventive Services Task Force. See related article from Annals of Family Medicine: Factors associated with desistence and persistence of childhood gender dysphoria: Prejudicial attitudes about persons who are not cisgender.

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Topics considered in this narrative review include terminology, how to address transgender patients, obtaining an inclusive history that takes into account gender-affirming surgery, managing hormone therapy and other clinical issues, consideration for hospitalized patients, interpreting laboratory values in the setting of hormone use, legal issues, and considerations for health systems.

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Acute Clinical Care for Transgender Patients: A Review.

November 1,to September 18, American Academy of Family Physicians. The authors concluded that transgender persons seeking hormonal therapy are being seen with increasing frequency. General term used to describe persons whose gender identity or expression differs from their sex assigned at birth A transgender person designated as male at birth A transgender person designated as female at birth. Transgender patients typically have high rates of mental health diagnoses. Some have cited breast reconstruction surgery for breast cancer, i.

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For patients seeking MTF affirmation, hormone treatment includes estrogens, finasteride, spironolactone, and GnRH analogs. Obtain an age-appropriate and confidential psychosocial history. Term describing an enduring physical and emotional attraction to another group; sexual orientation is distinct from gender identity and is defined by the individual. Persons whose experienced or expressed gender differs from their sex assigned at birth may identify as transgender. Gender identity is distinct from sexual orientation, sex development, and external gender expression. The constructed vagina has a 2-layer structure and is much more resistant to trauma and laceration.

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