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Gepubliceerd in:

2024 | OriginalPaper | Hoofdstuk

14. Gynaecological care for transgender and gender-diverse people

Auteurs : Dr. Norah M. van Mello, Marian A. Spath, Md PhD, Dr. Karin van der Tuuk, Laura Spinnewijn, Md PhD, Dr. Robert de Leeuw, Dr. Freek Groenman, Dr. Emmy van den Boogaard, Dr. Marjan van den Berg

Gepubliceerd in: Textbook of Obstetrics and Gynaecology

Uitgeverij: Bohn Stafleu van Loghum

Summary

Transgender and gender-diverse individuals have a gender identity that differs from the sex assigned at their birth. Depending on the needs of each individual, medical and/or surgical gender affirming treatment may be provided. Transition may impact a person’s reproductive options, so fertility counselling and preservation should be available. People of all gender identities with a uterus can become pregnant, and they may need specific obstetric guidance. The aetiology of gynaecological complaints does not differ much from the cisgender population and warrants all social and health care employees to take a trans-specific and gender-inclusive medical approach. To address the specific health concerns and needs of transgender and gender-diverse people, it is of the utmost importance that all health care providers are educated and trained in transgender health.

vorige hoofdstuk Sexual Health

volgende hoofdstuk Contraception

Alleen toegankelijk voor geautoriseerde gebruikers

Cisgender

People whose current gender identity corresponds to the sex they were assigned at birth.

Gender-affirmation

Being recognised or affirmed in a person’s gender identity. It is usually conceptualised as having social, psychological, medical, and legal dimensions. Gender affirmation is used as a term in lieu of transition (as in medical gender affirmation) or it can be used as an adjective (as in gender-affirming care).

Gender affirming surgery

Surgery to change primary and/or secondary sex characteristics to affirm a person’s gender identity.

Gender diverse

People with gender identities and/or expressions different from social and cultural expectations attributed to their sex assigned at birth. This may include, among many other culturally diverse identities, people who identify as nonbinary, gender expansive, gender nonconforming and others who do not identify as cisgender.

Gonadotropin-releasing hormone agonist (GnRHa)

A type of medication which affects gonadotropins and sex hormones. They are used for a variety of indications including to lower sex hormone levels.

In vitro maturation

The technique of letting the immature oocytes inside ovarian follicles mature in vitro.

Transgender

Umbrella term used to describe people whose gender identities and/or gender expressions are not what is typically expected for the sex to which they were assigned at birth.

Coleman E, Radix AE, Bouman WP, Brown GR, De Vries ALC, Deutsch MB, et al. Standards of Care for the Health of Transgender and Gender Diverse People, Version 8. Int J Transgend Health. 2022; 23(Suppl 1): S1–S259. Published online 2022. doi: https://doi.org/10.1080/26895269.2022.2100644.

Wiepjes CM, Nota NM, De Blok CJM, Klaver M, De Vries ALC, Wensing-Kruger SA, et al. The Amsterdam cohort of gender dysphoria study (1972–2015): trends in prevalence, treatment, and regrets. The journal of sexual medicine. 2018;15(4):582–90.CrossRefPubMed

Kwaliteitsstandaard Transgenderzorg – Somatisch.pdf (richtlijnendatabase.nl).

T’Sjoen G, Arcelus J, Gooren L, Klink DT, Tangpricha V. Endocrinology of Transgender Medicine. Endocrine Reviews. 2019;40(1):97–117. https://doi.org/10.1210/er.2018-00011.CrossRefPubMed

Groenman F, Nikkels C, Huirne J, Van Trotsenburg M, Trum H. Robot-assisted laparoscopic colpectomy in female-to-male transgender patients; technique and outcomes of a prospective cohort study. Surg Endosc. 2017;31(8):3363–3369. doi: https://doi.org/10.1007/s00464-016-5333-8. Epub 2016 Nov 14.

Al-Tamimi M, Pigot GL, Van der Sluis WB, Van de Grift TC, Mullender MG, Groenman F, Bouman MB. Colpectomy Significantly Reduces the Risk of Urethral Fistula Formation after Urethral Lengthening in Transgender Men Undergoing Genital Gender Affirming Surgery. J Urol. 2018;200(6):1315–22. https://doi.org/10.1016/j.juro.2018.07.037.CrossRefPubMed

Krempasky C, Harris M, Abern L, Grimstad F. Contraception across the transmasculine spectrum. Am J Obstet Gynecol. 2020;222(2):134–43. https://doi.org/10.1016/j.ajog.2019.07.043.CrossRefPubMed

Stolk THR, Asseler JD, Huirne JAF, Van den Boogaard E, Van Mello NM. Desire for children and fertility preservation in transgender and gender-diverse people: A systematic review. Best Practice & Research Clinical Obstetrics & Gynaecology. Available online 21 January 2023, 102312.

Leonard SA, Berrahou I, Zhang A, Monseur B, Main EK, Obedin-Maliver J. Sexual and/or gender minority disparities in obstetrical and birth outcomes. Am J Obstet Gynecol. 2022 Jun;226(6):846.e1–846.e14 PMID: 35358492 DOI: https://doi.org/10.1016/j.ajog.2022.02.041.

10.

Besse M, Lampe NM, Mann ES. Focus: Sex & Reproduction: Experiences with Achieving Pregnancy and Giving Birth Among Transgender Men: A Narrative Literature Review. The Yale Journal of Biology and Medicine. 2020;93(4):517.PubMedPubMedCentral

Titel: Gynaecological care for transgender and gender-diverse people
Auteurs: Dr. Norah M. van Mello
Marian A. Spath, Md PhD
Dr. Karin van der Tuuk
Laura Spinnewijn, Md PhD
Dr. Robert de Leeuw
Dr. Freek Groenman
Dr. Emmy van den Boogaard
Dr. Marjan van den Berg
Uitgeverij: Bohn Stafleu van Loghum
Boek: Textbook of Obstetrics and Gynaecology
Print ISBN: 978-90-368-2993-9

Elektronisch ISBN: 978-90-368-2994-6

Copyright: 2024
DOI: https://doi.org/10.1007/978-90-368-2994-6_14

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14. Gynaecological care for transgender and gender-diverse people

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