scholarly journals Position statement on the hormonal management of adult transgender and gender diverse individuals

2019 ◽  
Vol 211 (3) ◽  
pp. 127-133 ◽  
Author(s):  
Ada S Cheung ◽  
Katie Wynne ◽  
Jaco Erasmus ◽  
Sally Murray ◽  
Jeffrey D Zajac
Keyword(s):  
Position Statement ◽  
Gender Diverse ◽  
And Gender

scholarly journals SUN-039 Estradiol Dose and Concentrations in Transfeminine Individuals

2020 ◽  
Vol 4 (Supplement_1) ◽  
Author(s):  
Brendan J Nolan ◽  
Adam Brownhill ◽  
Ingrid Bretherton ◽  
Peggy Wong ◽  
Susan Fox ◽  
...  
Keyword(s):  
Position Statement ◽  
Target Range ◽  
Estradiol Valerate ◽  
Consensus Guidelines ◽  
Cross Sectional ◽  
Care Clinic ◽  
Gender Diverse ◽  
And Gender ◽  
Sectional Analysis ◽  
Estradiol Concentration

Abstract Background: Feminizing hormone therapy with estradiol is used to align an individual’s physical characteristics with their gender identity. Australian expert consensus guidelines (1) recommend targeting estradiol concentrations of 250-600 pmol/L (68-163 pg/mL) based on local cross-sectional data (2). We aimed to establish the proportion of individuals achieving estradiol concentrations in consensus guidelines. Methods: A retrospective cross-sectional analysis was performed of transfeminine individuals attending a primary or secondary care clinic in Melbourne, Australia who were prescribed oral estradiol valerate for at least 6 months and had estradiol dose and concentration available. Estradiol concentration was measured by immunoassay. Outcomes were (1) proportion of individuals achieving target estradiol concentrations and (2) influence of estradiol dose and BMI on estradiol concentrations. Results: 259 individuals (median age 25.8(IQR 21.9,33.5) years)) had data available for analysis. Median duration of estradiol therapy was 24(15,33) months. Median estradiol concentration was 328(238,434) pmol/L (89(65,118) pg/mL) on 6(4,8) mg estradiol valerate. 172 (66%) individuals had estradiol concentrations within the target range recommended in consensus guidelines. 70 (27%) individuals had estradiol concentrations below target, and 17 (7%) above target. There was a weak positive correlation between estradiol dose and estradiol concentration (r=0.156, p=0.012). There was no correlation between BMI and estradiol concentration achieved (r=-0.063, p=0.413). Conclusions: 66% of individuals achieved estradiol concentration recommended in consensus guidelines with a relatively high oral estradiol dose. There was significant interindividual variability. Estradiol concentration should be interpreted in conjunction with clinical features of feminization and weighed against potential risks of escalating estradiol dose. References 1. Cheung AS, Wynne K, Erasmus J, Murray S, Zajac JD. Position statement on the hormonal management of adult transgender and gender diverse individuals. Med J Aust 2019; 211:127-133 2. Angus L, Leemaqz SY, Ooi O, Cundill P, Silberstein N, Locke P, Zajac JD, Cheung AS. Cyproterone acetate or spironolactone in lowering testosterone concentrations for transgender individuals receiving estradiol therapy. Endocr Connect 2019

The Psychological Society of South Africa’s guidelines for psychology professionals working with sexually and gender-diverse people: towards inclusive and affirmative practice

2019 ◽  
Vol 49 (3) ◽  
pp. 314-324 ◽  
Author(s):  
Chris/tine McLachlan ◽  
Juan A Nel ◽  
Suntosh R Pillay ◽  
Cornelius J Victor
Keyword(s):  
Professional Development ◽  
Best Practices ◽  
Practice Guidelines ◽  
Development Process ◽  
Gender Diversity ◽  
Position Statement ◽  
Affirmative Practice ◽  
Gender Diverse ◽  
And Gender

In this article, we outline the practice guidelines for psychology professionals working with sexually and gender-diverse people, ratified by the Psychological Society of South Africa’s Council in 2017. The guidelines are an augmentation of the Psychological Society of South Africa’s position statement of 2013 providing a framework for understanding the challenges that sexually and gender-diverse people face in patriarchal and hetero- and cis-normative societies. An affirmative stance towards sexual and gender diversity enables psychology practitioners to work ethically, effectively, and sensitively in this field. The guidelines – a first for Africa – are aspirational in nature and call on psychology professionals to become aware of their own biases, conscientise themselves of the best practices in the field by continued professional development, and to utilise the guidelines as a resource in their related work. Brief mention is made of the development process, before the rationale and possible applications of the 12 guidelines are explored.

scholarly journals Proper Care of Transgender and Gender Diverse Persons in the Setting of Proposed Discrimination: A Policy Perspective*

2020 ◽  
Author(s):  
Abby Walch ◽  
Caroline Davidge-Pitts ◽  
Joshua D Safer ◽  
Ximena Lopez ◽  
Vin Tangpricha ◽  
...  
Keyword(s):  
Health Care ◽  
Quality Care ◽  
Position Statement ◽  
Rapid Expansion ◽  
Optimal Care ◽  
Endocrine Society ◽  
Policy Perspective ◽  
Regulatory Policies ◽  
Gender Diverse ◽  
And Gender

Abstract Transgender and gender diverse (TGD) individuals face significant barriers to accessing health care. Recent introductions of regulatory policies at state and federal levels raise concerns over the politicization of gender-affirming health care, the risks of further restricting access to quality care, and the potential criminalization of healthcare professionals who care for TGD patients. The Endocrine Society and the Pediatric Endocrine Society have published several news articles and comments in the last couple of years supporting safe and effective gender-affirming interventions as outlined in the 2017 Endocrine Society’s Clinical Practice Guidelines. The Endocrine Society Position Statement on Transgender Health also acknowledges the rapid expansion in understanding the biological underpinning of gender identity and the need for increased funding to help close gaps in knowledge about the optimal care of TGD individuals. This Policy Perspective affirms these principles in the context of pending and future legislation attempting to discriminate against TGD patients while also stressing the need for science and health care experts to inform health policies.

The Co-Occurrence of Autism and Gender Diversity

2020 ◽  
pp. 197-211
Author(s):  
Jill C. Fodstad ◽  
Rebecca Elias ◽  
Shivali Sarawgi
Keyword(s):  
Gender Dysphoria ◽  
Gender Diversity ◽  
Gender Nonconforming ◽  
Medical Interventions ◽  
Gender Diverse ◽  
Nonbinary Gender ◽  
Psychiatric Conditions ◽  
The Common ◽  
And Gender

Gender diversity refers to gender expressions and/or gender identity experiences that vary from the common experiences of gender. Gender-diverse people may be gender nonconforming, gender nonbinary, gender fluid, gender exploring, transgender, and so forth. Some gender-diverse individuals experience gender dysphoria and/or gender incongruence and may require gender-affirming supports, including gender-affirming medical interventions. The co-occurrence of autism and gender diversity has been highlighted in a series of studies internationally as well as through rich community expressions. Studies in gender-referred individuals reveal high rates of autism traits as well as high rates of existing autism diagnoses. Studies in autistic populations reveal greater gender diversity characteristics. The long-term course of gender diversity in autistic individuals is poorly understood. Clinical guidelines have been developed for adolescents with the co-occurrence, but much work remains: No gender-related measures have been developed and tested for use in neurodiverse populations, no programs exist to support gender-diverse neurodiverse adults, and little is known about co-occurring mental health profiles, risks, or protective factors for people with the co-occurrence. The inclusion of this chapter on co-occurring autism and gender diversity within a book on “co-occurring psychiatric conditions” is problematic, because gender diversity is not a “psychiatric condition,” but instead a form of human diversity. The diagnosis of Gender Dysphoria is useful only insomuch as it allows individuals to obtain necessary gender-related supports. The authors’ choice to include this chapter in this book reflects a compromise, motivated by the need for educating both autism and gender specialists in this common co-occurrence.

An analysis of suicidal thoughts and behaviors among transgender and gender diverse adults

2021 ◽  
Author(s):  
Robert J. Cramer ◽  
Andrea R. Kaniuka ◽  
Farida N. Yada ◽  
Franck Diaz-Garelli ◽  
Ryan M. Hill ◽  
...  
Keyword(s):  
Suicidal Thoughts ◽  
Gender Diverse ◽  
And Behaviors ◽  
And Gender ◽  
Suicidal Thoughts And Behaviors

scholarly journals Transgender and gender diverse health education for future nurses: Students' knowledge and attitudes

2021 ◽  
Vol 97 ◽  
pp. 104690
Author(s):  
Athena D.F. Sherman ◽  
Alex McDowell ◽  
Kristen D. Clark ◽  
Monique Balthazar ◽  
Meredith Klepper ◽  
...  
Keyword(s):  
Health Education ◽  
Knowledge And Attitudes ◽  
Gender Diverse ◽  
And Gender

Distractions and Defractions: Using Parental Rights to Fight Against the Educational Rights of Transgender, Nonbinary, and Gender Diverse Students

2020 ◽  
pp. 089590482098303
Author(s):  
Cris Mayo
Keyword(s):  
Healthcare Access ◽  
Self Determination ◽  
Parental Rights ◽  
Diverse Students ◽  
Educational Rights ◽  
Policy Debates ◽  
Gender Diverse ◽  
Youth Rights ◽  
And Gender ◽  
Religiously Based

In recent years, conservative advocates have obscured their transphobia by framing their concerns as religiously-based parental rights claims. They have advocated for limitations on youth rights to gender identity self-determination. This article examines policy debates over transgender-inclusive practices in schools, including conservative demands for parental notification and limitations on healthcare access for transgender youth. I suggest that schools ought to be more concerned with children’s or students’ rights to help enable diverse students to flourish and become who they are in supportive schools. This shift would move schools away from the distractions of conservative parental rights claims and re-focus them instead on the needs of students.

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