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Current Obstetrics and Gynecology Reports

, Volume 6, Issue 2, pp 140–148 | Cite as

Gynecologic Care for Transgender Adults

  • Juno Obedin-MaliverEmail author
  • Gene de Haan
Care for the Transgender Patient (C Unger, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Care for the Transgender Patient

Abstract

Purpose of the Review

Transgender people need both routine gynecological and reproductive health care and services specific to gender-affirming processes. However, there is little evidence to guide their routine gynecological and reproductive health care, and data suggests that 33% of transgender people avoid routine health care due to persistent discrimination and disrespect. Here we systematically approach the care of transmasculine and transfeminine people for practicing obstetrician-gynecologists (OBGYNs) with an eye towards enhancing knowledge and enhancing respectful care.

Recent Findings

Though hampered by a paucity of high-quality data specific to transgender people, topics covered in the review include routine health care maintenance; including cancer screening, assessment of sexually transmitted infections, and contraception; as well as issues specific to transgender individuals such as to use of gender-affirming hormones and care surrounding gender-affirming surgeries. Additionally, we incorporate perspectives to support cultural humility and provider preparedness towards promoting patient comfort in seeking and obtaining care.

Summary

We aim to demonstrate that though there are some clinical topics specific to transgender people and their health care that warrant enhanced training and resources, obstetrician-gynecologists (OBGYNs) are actually well-poised to support the care of this population. Bringing awareness of the needs of transgender people to OBGYNs will help decrease the well-documented care gap for this underserved population.

Keywords

Transgender Transsexual Obstetrics Gynecology Reproductive health 

Notes

Compliance with Ethical Standards

Conflict of Interest

Juno Obedin-Maliver and Gene de Haan declare that they have no conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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Copyright information

© Springer Science+Business Media New York (outside the USA) 2017

Authors and Affiliations

  1. 1.Department of Obstetrics, Gynecology & Reproductive SciencesUniversity of California, San FranciscoSan FranciscoUSA
  2. 2.Department of General Internal MedicineSan Francisco Veterans Affairs Medical CenterSan FranciscoUSA
  3. 3.Department of Obstetrics and GynecologyOregon Health & Science UniversityPortlandUSA

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