Care of Transgender Persons

This clinical review addresses the care of transgender individuals, focusing on medical and surgical interventions to align physical characteristics with gender identity. It highlights key principles such as the use of hormone therapy (e.g., testosterone for transgender men and estrogens with antiandrogens for transgender women), surgical options (e.g., vaginoplasty and phalloplasty), and the importance of mental health support. The article also discusses fertility preservation, risks associated with treatments (e.g., thromboembolism with estrogen therapy), and guidelines from professional societies like the Endocrine Society and WPATH. Barriers to healthcare access and disparities faced by transgender populations are emphasized, alongside recommendations for improving care delivery.

This clinical review addresses the care of transgender individuals, focusing on medical and surgical interventions to align physical characteristics with gender identity. It highlights key principles such as the use of hormone therapy (e.g., testosterone for transgender men and estrogens with antiandrogens for transgender women), surgical options (e.g., vaginoplasty and phalloplasty), and the importance of mental health support. The article also discusses fertility preservation, risks associated with treatments (e.g., thromboembolism with estrogen therapy), and guidelines from professional societies like the Endocrine Society and WPATH. Barriers to healthcare access and disparities faced by transgender populations are emphasized, alongside recommendations for improving care delivery.