Gender affirming therapy for gender dysphoria a rapid qualitative review
This is may be due to the absence of training about transgender health in health professional education. Historically, transgender people's needs for hormone therapy were served exclusively by endocrinologists. More recently there has been a shift in the duty of responsibility toward community...
| Main Authors: | , |
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| Corporate Authors: | , |
| Format: | eBook |
| Language: | English |
| Published: |
Ottawa
CADTH
2020, June 08, 2020
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| Series: | CADTH rapid response report
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| Subjects: | |
| Online Access: | |
| Collection: | National Center for Biotechnology Information - Collection details see MPG.ReNa |
| Summary: | This is may be due to the absence of training about transgender health in health professional education. Historically, transgender people's needs for hormone therapy were served exclusively by endocrinologists. More recently there has been a shift in the duty of responsibility toward community physicians. Given the historical context of marginalization of this community, their diverse health needs, and the shift of medical care from specialists to primary care physicians, it is important to examine the experiences of transgender individuals within the current Canadian context and to explore the experiences of the health care providers who treat them. This report loks at: How do people living with gender dysphoria experience the initiation of gender affirming therapy and what are their expectations of this process? Given that the initiation of gender affirming therapy has traditionally been within the domain of specialist practitioners, how do primary care providers caring for people living with gender dysphoria understand their role in, and comfort level with, initiating this process? How are primary care providers involved in decision-making regarding gender affirming therapy? How is this experienced by patients? By primary care providers? Transgender, non-binary, and genderqueer people face high levels of discrimination, stigma and violence. Transgender individuals comprise a diverse group with specific and varied social, medical and psychological needs. Transgender people can experience high rates of distress and suicidality. Almost half (43%) of transgender people have a history of attempting suicide. Suicide risk is highest when experiencing transphobia and when waiting to transition. Rates of suicidality can drop markedly once transition has been completed. Some transgender individuals choose hormone therapy or gender reassignment surgery. Currently, candidates for hormone therapy must demonstrate a consistent and persistent gender-variant identity that meets criteria for gender dysphoria as categorized by the DSM- 5. Within the health care setting, transgender people have been underserved and often experience discrimination. |
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| Physical Description: | 1 PDF file (33 pages) illustration |