Care of the Transgender Patient

Ann Intern Med. 2019 Jul 2;171(1):ITC1-ITC16. doi: 10.7326/AITC201907020.

Abstract

Transgender persons are a diverse group whose gender identity differs from their sex recorded at birth. Some choose to undergo medical treatment to align their physical appearance with their gender identity. Barriers to accessing appropriate and culturally competent care contribute to health disparities in transgender persons, such as increased rates of certain types of cancer, substance abuse, mental health conditions, infections, and chronic diseases. Thus, it is important that clinicians understand the specific medical issues that are relevant to this population.

Publication types

  • Review

MeSH terms

  • Confidentiality
  • Counseling
  • Estrogens / adverse effects
  • Estrogens / therapeutic use
  • Ethics, Medical
  • Fertility
  • HIV Infections / prevention & control
  • Humans
  • Monitoring, Physiologic
  • Patient Education as Topic
  • Physician's Role
  • Primary Health Care / methods*
  • Puberty
  • Referral and Consultation
  • Sex Reassignment Procedures
  • Terminology as Topic
  • Testosterone / adverse effects
  • Testosterone / therapeutic use
  • Transgender Persons* / classification
  • Transgender Persons* / legislation & jurisprudence
  • Transgender Persons* / psychology
  • Transsexualism / classification
  • Transsexualism / psychology
  • Transsexualism / therapy*

Substances

  • Estrogens
  • Testosterone