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Primary Care For Transgender Patients

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The document summarizes primary care considerations for transgender patients. It discusses clinical background, barriers to care, standards of care from organizations like HBIGDA, and models of care including hormone therapy options and risks, surgical options, screening guidelines, and challenges providing care to transgender individuals. It also presents results from studies on transgender health issues and HIV risk.

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Primary Care for Transgender Patients ,[object Object],[object Object],[object Object],[object Object]
Primary Care for Transgender Patients ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
TRANSGENDER ,[object Object],[object Object],[object Object],[object Object]
Clinical Experience ,[object Object],[object Object],[object Object],[object Object]
Barriers to Medical Care for Transgender patients ,[object Object],[object Object],[object Object],[object Object],[object Object]
Prevalence Estimates ,[object Object],[object Object],[object Object]
DSM-IV 302.85 Gender Identity Disorder ,[object Object],[object Object],[object Object]
DSM-IV Gender Identity Disorder (cont) ,[object Object],[object Object]
GENDER SEXUAL ORIENTATION GENDER IDENTITY SEXUAL IDENTITY AESTHETIC SOCIAL CONDUCT SEXUAL ACTIVITY Fem Masculine Submissive Female Butch Dominant Male Straight Lesbian/Gay Male Female Feminine Unbridled Monogamous
Harry Benjamin International Gender Dysphoria Association (HBIGDA) Standards of Care for Gender Identity Disorders – 2001 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HBIGDA -2001 Real Life Experience ,[object Object],[object Object],[object Object]
HBIGDA - 2001 Readiness Criteria for Hormone Therapy ,[object Object],[object Object],[object Object]
HBIGDA-2001 Hormone Therapy for Incarcerated Persons ,[object Object],[object Object],[object Object],[object Object]
HBIGDA-2001 ,[object Object]
Initial Visits ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Transgender Hormone Therapy ,[object Object],[object Object]
Female to Male Treatment Options ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Other Treatment Considerations for FTMs ,[object Object],[object Object],[object Object]
Testosterone Therapy Permanent Changes ,[object Object],[object Object],[object Object],[object Object]
Testosterone Therapy – Reversible Changes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Risks of Testosterone Therapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DRUG INTERACTIONS - Testosterone ,[object Object],[object Object],[object Object]
LABORATORY MONITORING FOR FTM PATIENTS ON TESTOSTERONE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
LABORATORY MONITORING FOR FTM PATIENTS ON TESTOSTERONE ,[object Object],[object Object],[object Object],[object Object]
FOLLOW-UP CARE FOR FTM PATIENTS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
FOLLOW-UP CARE FOR FTM PATIENTS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SURGICAL OPTIONS FOR FTMs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Male to Female Treatment Options ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Estrogen Treatment May Lead To ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Risks of Estrogen Therapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Spironolactone Therapy May Lead To ,[object Object],[object Object]
Risks of Spironolactone Therapy ,[object Object],[object Object],[object Object]
Women over 40 yo ,[object Object],[object Object]
Cosmetic Therapies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Drug Interaction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Drug Interactions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Drug Interactions ,[object Object],[object Object],[object Object],[object Object],[object Object]
Drug Interactions ,[object Object],[object Object]
Screening Labs for MTF Patients ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Follow-up labs for MTF Patients ,[object Object],[object Object]
Follow-Up Care for MTF Patients ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Health Care Maintenance for MTF Patients ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment Considerations- MTFs ,[object Object],[object Object],[object Object],[object Object]
Morbidity and Mortality in Transexual Subjects Treated with Cross-Sex Hormones- Van Kestern, et.al., Clinical Endocrinology, 1997 ,[object Object],[object Object]
Morbidity and Mortality (cont) ,[object Object],[object Object],[object Object],[object Object]
Case Reports ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SFDPH Transgender Community Health Project, Clements,et al 1997 ,[object Object],[object Object],[object Object]
SFDPH-TCHP- MTF ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SFDPH TCHP (cont)-MTF results ,[object Object],[object Object],[object Object],[object Object],[object Object]
SFDPH-TCHP(cont) MTF results ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SFDPH-TCHP(cont) MTF Conclusions ,[object Object],[object Object],[object Object]
SFDPH-TCHP FTM ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SFDPH-TCHP FTM Results ,[object Object],[object Object],[object Object],[object Object],[object Object]
SFDPH-TCHP FTM Results ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Challenges for the California Department of Corrections ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
GENDER SEXUAL ORIENTATION GENDER IDENTITY SEXUAL IDENTITY AESTHETIC SOCIAL CONDUCT SEXUAL ACTIVITY Fem Masculine Submissive Female Butch Dominant Male Straight Lesbian/Gay Male Female Feminine Unbridled Monogamous

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