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1

Khanna, Purnima. "Constitutionalism and Human Rights: A Critical Analysis of the Rights of Transgender People in India." Lentera Hukum 9, no. 3 (2022): 369. http://dx.doi.org/10.19184/ejlh.v9i3.28631.

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The movement for decriminalizing homosexual relations and the human rights of the LGBT community has gained momentum in the last decade. In India, various NGOs and LGBT society have fought a long battle demanding the decriminalization of homosexuality and declaring sexual orientation as part of the fundamental right to life under Article 21 of the Indian Constitution. This paper explored the Indian legislative framework dealing with transgender people. Furthermore, it extensively covered the landmark judgments delivered by the Indian judiciary on the subject matter and highlighted that these j
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Pham, Nguyen Ha, Van Luyen Nguyen, Van Anh Pham, et al. "Hormone use and gender afirmation surgeries among transgender population in Vietnam." Journal of Health and Development Studies 04, no. 04 (2020): 18–31. http://dx.doi.org/10.38148/jhds.0404skpt20-040.

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Objective: To describe the current situation of hormone use and surgical interventions of transgender population in some provinces and cities in Vietnam. Research methodology: Cross-sectional descriptive study, combining quantitative and qualitative. Quantitative data was collected by direct interviews using questionnaires with 141 transgender people and qualitative data was collected through 12 in-depth interviews. The study was carried out in Ha Noi, Ho Chi Minh City, Nghe An and Da Nang, from June to October 2019. Results: All 141 study participants have used hormones (100%) and 32 had gend
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Asokan, Arjun, and Madhu K. Sudheendran. "Gender Affirming Body Contouring and Physical Transformation in Transgender Individuals." Indian Journal of Plastic Surgery 55, no. 02 (2022): 179–87. http://dx.doi.org/10.1055/s-0042-1749099.

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AbstractThere is a subset of transgender individuals, who after having undergone gender affirming surgeries want body contouring so that the overall body shape is congruent to the body image. Hormonal therapy can bring about a considerable change in the physical transformation. However, there is an increase in requests for specific body contouring procedures because of increased awareness in the society.There are significant differences between the skeletal as well as soft tissue characteristics of male and female body. Body contouring in transgender individuals can be achieved by altering the
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Baker, Kellan, and Arjee Restar. "Utilization and Costs of Gender-Affirming Care in a Commercially Insured Transgender Population." Journal of Law, Medicine & Ethics 50, no. 3 (2022): 456–70. http://dx.doi.org/10.1017/jme.2022.87.

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AbstractMany transgender people need specific medical services to affirm their gender. Gender-affirming health care services may include mental health support, hormone therapy, and reconstructive surgeries. Scant information is available about the utilization or costs of these services among transgender people, which hinders the ability of insurance regulators, health plans, and other health care organizations to plan and budget for the health care needs of this population and to ensure that transgender people can access medically necessary gender-affirming care. This study used almost three d
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Varghese, Jisha, M. H. Azif Khan, and Suja Sukumar. "First Childbirth after Fertility Preservation and Gender Reassigning Surgery from Indian Transgender Community." Journal of Human Reproductive Sciences 17, no. 3 (2024): 216–20. http://dx.doi.org/10.4103/jhrs.jhrs_49_24.

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Fertility preservation (FP) is critical for those members of the transgender community who desire biological offspring in the future. As gender-affirming hormone therapy and gender-affirming surgeries (GASs) negatively affect future fertility potential, awareness amongst care providers and the transgender population regarding FP and family-building options is the need of the hour. As the first case of childbirth after transgender FP and GAS in India, this will be a beacon of hope for transgender family-building options in India.
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Mazzawi, Malek, and Angela Maxwell. "Addressing the Healthcare Needs of Transgender Youth in the Emergency Department." Pediatric Emergency Care 40, no. 6 (2024): 486–91. http://dx.doi.org/10.1097/pec.0000000000003194.

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Abstract Transgender is a term that refers to individuals who identify with a gender that is different from the sex assigned to them at birth. In addition to gender dysphoria, many transgender youth experience a number of challenges including homelessness, violence, and mental health problems such as suicidality. Although transgender people represent a growing subset of the population, most providers receive very little training specific to the unique healthcare needs of transgender patients. In this CME review article, we define relevant terminology then discuss best practices for clinical en
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Monisha, M., and B. Sajeetha. "Raising against the trauma of parenting: A trans woman's existent experience in stuck in the middle with you." Indian Journal of Health Sexuality and Culture 9, no. 1 (2023): 173–78. https://doi.org/10.5281/zenodo.8251892.

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Abstract The term ‘Transgender’ is used to describe people who hold a different gender identity than their birth sex. Many transgenders are prescribed hormones and Sex Reassignment Surgeries by their doctors to change their bodies as part of the process of transition. Sometimes, not everyone in the transgender community will take these steps to live to their inner identity. A transsexual is one who wishes to transition to the sex he/she identifies. Jennifer Finney Boylan is a highly praised trans woman author and professor. She is an activist, and her involvement in social activiti
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Bocchino, Alessia Celeste, Andrea Cocci, Alessandro Zucchi, Riccardo Bartoletti, Antonello De Lisa, and Girolamo Morelli. "The Role of a Multidisciplinary Approach in Gender Affirmation Surgery: What to Expect and Where Are We Currently?" Uro 2, no. 3 (2022): 179–90. http://dx.doi.org/10.3390/uro2030022.

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Gender Affirmation Surgeries (GASs), erstwhile called Sex Reassignment Surgeries (SRSs), may be necessary for transgender individuals to change their bodily sexual characteristics and thereby affirm their gender identity. GASs encompass all medically necessary interventions to relieve gender dysphoria and should be available to patients who wish to, and who meet the surgical criteria of the World Professional Association for Transgender Health (WPATH) and Standards of Care (SOC). The comprehensive clinical assessment involves many health specialists, including general practitioners, psychologi
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Taslim, Najla, Shakil Ahmad, Shafiq Ur Rehman, Amal Turikham Alghamdi, Hussain Anwar H. Alkatheri, and Akira Jbeen. "A literature analysis of scientific research on gender incongruence in Muslim nations." Journal of Public Health Research 11, no. 4 (2022): 227990362211240. http://dx.doi.org/10.1177/22799036221124054.

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This study aims to chart and review the unexplored transgender research portfolio of Muslim countries using bibliometric method. Data retrieved from the Scopus database were analyzed using CiteSpace, VOSviewer, Biblioshiny, and ScientoPy software. It was found that barring Turkey and Iran, transgender research has been minimal in most Muslim countries. The collective productivity is gradually but surely rising. Around 84% of the publications have been collaborative efforts. The keyword analysis revealed that gender dysphoria, human immunodeficiency virus, LGBT, and vaginoplasty were the most f
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Sanchez, Uriel J., Clifford C. Sheckter, and Yvonne L. Karanas. "820 Transgender Patients with Assault by Burn." Journal of Burn Care & Research 41, Supplement_1 (2020): S249. http://dx.doi.org/10.1093/jbcr/iraa024.396.

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Abstract Introduction The transgender population is estimated at 25 million worldwide and 1 million in the United States. Transgender individuals or those experiencing gender dysphoria are at a higher risk of intimate partner violence and assault (60%) as well as suicide (40%), with reports of 18 transgender individuals killed this year alone in the United States. Trauma and burn care providers need to be aware of this population’s unique medical and surgical needs. To our knowledge, we describe the first reports of burn injuries in transgender patients. Methods We performed a retrospective re
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Aquino, Nelson J., Elizabeth R. Boskey, Steven J. Staffa, et al. "A Single Center Case Series of Gender-Affirming Surgeries and the Evolution of a Specialty Anesthesia Team." Journal of Clinical Medicine 11, no. 7 (2022): 1943. http://dx.doi.org/10.3390/jcm11071943.

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Most minors and young transgender persons wishing to undergo gender-affirming surgery need to seek specialists affiliated with gender affirmation programs in adult hospitals. Research suggests gender affirmation surgery has been established as an effective and medically indicated treatment for gender dysphoria. Although most data on gender-affirming surgeries are from adult populations, there is growing literature establishing their effectiveness in adolescents and young adults. Therefore, it is critical to evaluate the perioperative outcomes for gender-diverse youth to deliver safe and affirm
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Hanley, Kevin, Heidi Wittenberg, Dev Gurjala, Michael H. Safir, and Esther H. Chen. "Caring for Transgender Patients: Complications of Gender-Affirming Genital Surgeries." Annals of Emergency Medicine 78, no. 3 (2021): 409–15. http://dx.doi.org/10.1016/j.annemergmed.2021.04.008.

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Alpert, Ash, Suanna S. Bruinooge, Don S. Dizon, et al. "Identification of transgender people with cancer in electronic health records (EHR): Recommendations based on CancerLinQ observations." Journal of Clinical Oncology 38, no. 15_suppl (2020): e19046-e19046. http://dx.doi.org/10.1200/jco.2020.38.15_suppl.e19046.

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e19046 Background: Data regarding people who are gender minorities are not well-captured in oncology practices or large cohorts. Given this, collection of cancer prevalence and outcomes data, which are necessary to understand disparities in this population, are significantly hampered. Real-world data may be the most readily available source to explore outcomes in transgender populations. A database of EHR data on people with cancer, CancerLinQ is housed by the American Society of Clinical Oncology and collected from nation-wide practices and multiple EHRs. Methods: In order to identify people
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Almeida, Beatriz, Melissa Mariana, Margarida Lorigo, Nelson Oliveira, and Elisa Cairrao. "Impact of Hormone Therapy on Serum Lipids in Transgender People." Journal of Vascular Diseases 3, no. 4 (2024): 342–59. http://dx.doi.org/10.3390/jvd3040027.

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The term “Transgender” is used to describe individuals whose gender identity is different from their external sexual anatomy at birth. The number of people identifying as transgender has increased in recent years, and consequently, the number of gender affirmation surgeries and the use of hormonal therapies has also increased. A wide range of hormonal therapies has emerged considering the target population, age, and final outcomes, and as such these are becoming increasingly developed and complex in order to be the most appropriate for each individual. However, the side effects of these therap
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Mabel Gomes Fonseca, Kevla. "Fisioterapia pelvica nas disfuncoes pos transgenizacao em mulheres trans: revisao." Revista Brasileira de Fisioterapia Pelvica 2, no. 3 (2022): 58–67. http://dx.doi.org/10.62115/rbfp.2022.2(3)58-67.

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Background: Transgender people are those whose gender identities differ from those intended for the sex they were assigned at birth. A transgender woman is every person who claims recognition as a woman. Among transgender people, some choose to undergo gender reassignment surgery. Aims: To gather and analyze works focused on the performance of physiotherapy in the postoperative period of reassignment surgery. Method: Integrative review on the main dysfunctions presented in the postoperative period of reassignment surgery; search in the Scielo, PubMed, PEDro databases for the descriptors: “tran
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Lal, B. Suresh. "Transgenders Community in India Socioeconomic Health and Psychological Conditions." Journal of Research in Social Science and Humanities 2, no. 11 (2023): 1–8. http://dx.doi.org/10.56397/jrssh.2023.11.01.

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The transgender community in India has historically been marginalised and discriminated against socially, economically, and politically. Many people view trans people as abnormal or deviant, and they frequently experience abuse and violence on both a physical and emotional level, including sexual assault. Many incidents go unreported due to fear of retribution or a lack of legal recognition. Education is often the primary barrier for transgender individuals, with many dropping out of school due to bullying and a lack of support. Employment is often tricky, with many forced into low-paying jobs
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Antwi‐Amoabeng, Daniel, Rajkumar Doshi, Devina Adalja, et al. "Burden of arrythmias in transgender patients hospitalized for gender‐affirming surgeries." Journal of Arrhythmia 36, no. 4 (2020): 797–800. http://dx.doi.org/10.1002/joa3.12360.

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Labanca, Trinidad, Ivan Mañero, and Marcelo Pannunzio. "Transgender patients: considerations for routine gynecologic care and cancer screening." International Journal of Gynecologic Cancer 30, no. 12 (2020): 1990–96. http://dx.doi.org/10.1136/ijgc-2020-001860.

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In the last several years, demand for transgender care from gynecologists has increased significantly. Transgender people comprise a diverse group who do not identify with the sex they were assigned at birth. Worldwide, it is estimated that 25 million people identify as transgender. Some undergo hormonal and/or surgical treatment aiming to feminize or masculinize their bodies. Cross-sex hormone treatment for transgender women—individuals assigned as male at birth who identify themselves as women—includes exogenous estrogen and/or progestin administration in combination with anti-androgens, whe
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Shihabuddin, Courtney DuBois, Gabriel Lee, and Kelly Casler. "Evidence-based sexual healthcare for the LGBTQIA2+ patient across the lifespan." Nurse Practitioner 48, no. 9 (2023): 22–30. http://dx.doi.org/10.1097/01.npr.0000000000000089.

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Abstract: People who identify as lesbian, gay, bisexual, transgender, queer/questioning, intersex, asexual, two-spirit, or other minority sexual and gender identities (LGBTQIA2+) often avoid seeking healthcare due to social discrimination and stigma. Clinical education in LGBTQIA2+-affirming care is essential but often lacking across disciplines. Provider acceptance, awareness of personal biases, and understanding of microaggressions affecting LGBTQIA2+ people can improve access, outcomes, and survival for this population. Expertise in caring for LGBTQIA2+ people in rural and suburban communit
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Albanese, John, and Jaime A. S. Nemett. "Skeletal Manifestations of Gender-Affirming Medical Interventions for Aiding in the Preliminary Identification of Trans Individuals." Humans 4, no. 2 (2024): 192–99. http://dx.doi.org/10.3390/humans4020011.

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Because of systemic discrimination, transgender individuals are at greater risk of being the victims of violence and of homicide. Accurate post-mortem identification from skeletonized remains of transgender individuals must be incorporated into a new standard for forensic anthropological analyses. A critical component of any investigation is the assessment of skeletal remains for evidence of gender-affirming care. A systematic review of the current medical literature was conducted to compile in one document descriptions of changes that could be used by forensic anthropologists to recognize ske
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Kennedy, Adrienne, Andre Alcon, and Esther Kim. "3527 Quantifying the psychosocial benefits of masculinizing chest reconstruction in transgender men with patient reported outcomes: The GENDER-Q." Journal of Clinical and Translational Science 3, s1 (2019): 125. http://dx.doi.org/10.1017/cts.2019.284.

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OBJECTIVES/SPECIFIC AIMS: 1. To evaluate the effects of masculinizing chest reconstruction on the quality of life of female-to-male transgender individuals. 2. To develop and validate a quality of life survey for female-to-male transgender individuals undergoing masculinizing chest reconstruction gender-affirming surgery. METHODS/STUDY POPULATION:. We developed and refined the GENDER-Q using focus groups and exploratory interviews with FTM individuals that were recorded, transcribed, and coded. All consenting FTM patients undergoing chest reconstruction at UCSF Parnassus Medical center between
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Vidic, Jelena, Biljana Stankovic, and Tamara Dzamonja-Ignjatovic. "Experiences of medical transition in transgender people in Serbia: From affirmation of identity to institutionalized violence." Sociologija 64, no. 3 (2022): 401–27. http://dx.doi.org/10.2298/soc2203401v.

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Transgender people are one of the most stigmatized social groups. They are experiencing institutional stigma and stigma on individual psychological level through different medical and legal procedures specific to their group. Though gender confirmation surgeries have been performed in Serbia for more than three decades, research on experiences and ways in which transgender people give meaning to the process is lacking. This topic became even more prominent due to significant changes in the area of depychopathologization of gender diversity and individualization of the medical gender confirmati
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D’Amato, Antonio, Eliano Cascardi, Andrea Etrusco, et al. "“Lights and Shades” of Fertility Preservation in Transgender Men Patients: A Clinical and Pathological Review." Life 13, no. 6 (2023): 1312. http://dx.doi.org/10.3390/life13061312.

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Fertility preservation (FP) is becoming a critical issue in transgender men who desire biological offspring in the future. The prevalence of transgender individuals in the United States is increasing, and as a result, the demand for gender-affirming surgeries (GAS) and associated FP techniques is rising. Despite the growing demand, there is currently no personalized approach to FP for transgender men, and the available techniques have limitations that require further investigation. In the present review we carefully examine the existing literature on this topic to highlight the shortcomings of
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Sahoo, Manoj K., Chandrima Naskar, Vinita Singh, and Akash Panigrahi. "Setting up a transgender-friendly service in a tertiary care hospital: The challenges and solutions." Indian Journal of Psychiatry 66, no. 12 (2024): 1169–73. https://doi.org/10.4103/indianjpsychiatry.indianjpsychiatry_971_24.

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Transgender and gender diverse (TGD) individuals face significant barriers to healthcare, necessitating the development of TGD-friendly medical services. In India, healthcare systems have only recently begun addressing the unique needs of TGD individuals, particularly with the advent of the Transgender Persons Act 2019. This article outlines the establishment of a comprehensive TGD clinic within a multidisciplinary framework. Services span psychiatric support, endocrinology, and surgical interventions, including gender-affirming medical and surgical treatments (GAMSTs). Adherence to WPATH Stan
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Aristizábal, Alejandra, Joseph M. Escandón, Pedro Ciudad, and Oscar J. Manrique. "The Limited Coverage of Facial Feminization Surgery in the United States: A Literature Review of Policy Constraints and Implications." Journal of Clinical Medicine 12, no. 16 (2023): 5308. http://dx.doi.org/10.3390/jcm12165308.

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There is a literature gap regarding facial feminization surgery (FFS) access and coverage. Our goal is to compile information from previous studies and assess the current policy landscape for these surgeries in the US. We also explored why some policies do not cover them, identify states with better coverage, and determine the most covered procedures. PubMed, Medline, Embase, and Scopus were searched for studies that reviewed policies on FFS coverage. Studies on surgical techniques or other gender-affirming surgeries (GASs) that did not involve FFS were excluded. Seven studies were included fo
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Kondapalli, Saraswathi, Ushadevi Gopalan, and Karthika. "Gender identity disorder: role of the gynecologist." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 12, no. 4 (2023): 1140–42. http://dx.doi.org/10.18203/2320-1770.ijrcog20230828.

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Gender dysphoria refers to distress that is caused by a sense of incongruity between an individual's self-identified gender and natal sex. Over 1.4 million adults are identified as transgender. Transpatients face many barriers when it comes to basic health needs including education, housing, and health care. Because of these barriers, many patients do not receive proper health care that they need. Additionally, because of certain high-risk behaviours as well as long-term hormonal therapy, transpatients have different routine health care needs that should be addressed in the primary care settin
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Choudhury, Nina Roy, and C. Harini. "Aravani as Citizen: The Forging of a Sexual Identity." Advanced Journal of Social Science 12, no. 1 (2023): 30–38. http://dx.doi.org/10.21467/ajss.12.1.30-38.

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Aravani is one of the transgender communities (male to female) in the state of Tamil Nadu who considers themselves as females trapped in male bodies. They are not mere cross dressers. Some of them undergo surgeries to realize their dream of becoming a complete female. They worship Aravana or Iravan, the son of Pandava prince Arjuna and Naga princess Ulupi. The Aravanis of Tamil Nadu identify themselves as the third gender like Eunuch, Hijra, Kinnar, Kothi, Shiv Shakthi and Jogappa communities in other parts of India. The Hijra population is the most visible transgender population in India. Muc
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Hajek, André, Hans-Helmut König, Elzbieta Buczak-Stec, Marco Blessmann, and Katharina Grupp. "Prevalence and Determinants of Depressive and Anxiety Symptoms among Transgender People: Results of a Survey." Healthcare 11, no. 5 (2023): 705. http://dx.doi.org/10.3390/healthcare11050705.

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Objectives: The aim was to investigate the prevalence of probable depression and probable anxiety and to investigate the determinants of depressive symptoms and anxiety symptoms among transgender people. Methods: In this “Transgender Survey” (n = 104) we included transgender people who had joined self-help groups to obtain and share information about the gender-affirming surgeries performed at the Division of Plastic, Reconstructive and Aesthetic Surgery at the University Medical Center Hamburg-Eppendorf. Data collection took place between April and October 2022. To measure probable depression
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Quinn, Virginia P., Rebecca Nash, Enid Hunkeler, et al. "Cohort profile: Study of Transition, Outcomes and Gender (STRONG) to assess health status of transgender people." BMJ Open 7, no. 12 (2017): e018121. http://dx.doi.org/10.1136/bmjopen-2017-018121.

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PurposeThe Study of Transition, Outcomes and Gender (STRONG) was initiated to assess the health status of transgender people in general and following gender-affirming treatments at Kaiser Permanente health plans in Georgia, Northern California and Southern California. The objectives of this communication are to describe methods of cohort ascertainment and data collection and to characterise the study population.ParticipantsA stepwise methodology involving computerised searches of electronic medical records and free-text validation of eligibility and gender identity was used to identify a cohor
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Sragi, Zara, Brittani Farrell, Vikram Vasan, and Mark S. Courey. "Inclusive Healthcare Settings: Promoting Post-operative Follow-up in Transgender Voice Care through Awareness and Education." JSM Women’s Health 4, no. 1 (2023): 1–6. http://dx.doi.org/10.47739/2578-3696.womenshealth.1013.

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Objectives: Gender-affirming laryngeal surgeries are becoming more common. Surgical outcomes for benign laryngeal disease are often affected by post-operative care. Documented barriers to medical care faced by transgender persons may affect their ability to participate in post-operative care visits and may affect their overall outcome. This study was initiated to compare the post-operative follow-up rates between patients who underwent gender-affirming laryngeal surgery and those who underwent voice surgery for non-neoplastic vocal fold lesions.
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Ashley, Florence, and Carolyn Ells. "In Favor of Covering Ethically Important Cosmetic Surgeries: Facial Feminization Surgery for Transgender People." American Journal of Bioethics 18, no. 12 (2018): 23–25. http://dx.doi.org/10.1080/15265161.2018.1531162.

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Walsh, Reubs, and Gillian Einstein. "Transgender embodiment: a feminist, situated neuroscience perspective." Positive non-binary and / or genderqueer sexual ethics and politics, Special Issue 2020 (September 2, 2020): 56–70. http://dx.doi.org/10.3224/insep.si2020.04.

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The policing of boundaries of acceptable sexual identities and behaviour is a recurring theme in numerous marginalities. Gender (especially womanhood) is often instantiated socially through the harms to which members of that gender are subjected. For transgender people, the assumption that genitals define gender translates the ubiquitous misapprehension that genitals and sex are binary into an assumption that gender must also be binary. This circumscribes the potentiality of cultural intelligibility for trans gender identities, and may interfere with the ability of transgender people to select
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Ghalib, Naseer, Bhatti Tahaam, Mazhar Sarah, and ur Rehman Saqib Ebaad. "Combating Discrimination, Violence and Harmful Practices Against Intersex Persons." TILS Law Review 3, no. 1 (2025): 76–81. https://doi.org/10.5281/zenodo.15467220.

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This paper investigates the structural and systemic injustices faced by intersex persons in Pakistan, exposing a deep disconnect between the constitutional, statutory, and international human rights frameworks and the lived realities of intersex individuals. By tracing the genealogy of the Khawaja Sira community and unpacking the Transgender Persons (Protection of Rights) Act 2018, the paper critiques the legislative conflation of transgender and intersex identities. It highlights how the collapse of legal categories not only erases intersex subjectivity but facilitates institutional exclusion
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Yanes, Daniel A., Payton Smith, and Mathew M. Avram. "A Review of Best Practices for Gender-Affirming Laser Hair Removal." Dermatologic Surgery 50, no. 12S (2024): S201—S204. http://dx.doi.org/10.1097/dss.0000000000004441.

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BACKGROUND Permanent hair reduction is an integral part of gender-affirming medical care, especially for transgender patients undergoing surgeries such as phalloplasty and vaginoplasty. Hair removal helps reduce complications and alleviate gender dysphoria associated with unwanted facial and body hair. OBJECTIVE To examine the methods, efficacy, and access issues of hair removal in transgender patients, with a focus on its role in surgical preparation and gender dysphoria reduction. MATERIALS AND METHODS A literature review was conducted to analyze the effectiveness of laser hair removal (LHR)
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Moreira Ramos, André Luís Belmiro, Luan Araújo Freitas Melo, Héryka Wanessa do Nascimento Rolim, Ana Silvia Suassuna Carneiro Lúcio, Denise Mota Araripe Pereira Fernandes, and Layza de Souza Chaves Deininger. "Gender-affirming surgical procedures and their psychosocial impacts: an integrative review." Concilium 24, no. 6 (2024): 423–42. http://dx.doi.org/10.53660/clm-3188-24f40.

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Objective: Identify the main gender affirmation surgery techniques related to the construction of a neovagina and a neopenis and the consequent impact of these procedures on the mental issues of transgender people. Methods: This is an integrative literature review with an electronic survey of articles selected between August and September 2023, using MEDLINE (International Literature in Health Sciences) and LILACS (Latin American and Caribbean Literature in Health Sciences) via the Virtual Health Library (VHL) portal and PubMed (U.S. National Library of Medicine), portraying the main surgical
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Ashley, Florence. "Reply to ‘Hormone replacement therapy: informed consent without assessment?’." Journal of Medical Ethics 45, no. 12 (2019): 826–27. http://dx.doi.org/10.1136/medethics-2019-105628.

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In a previous article, I argued that assessment requirements for transgender hormone replacement therapy (HRT) are unethical and dehumanising. A recent response published by the Journal of Medical Ethics criticises this proposal. In this reply, I advance that their response misunderstood core parts of my argument and fails to provide independent support for assessment requirements. Though transition-related care may have similarities with cosmetic surgeries, this does not suffice to establish a need for assessments, and nor do the high rates of depression and anxiety justify assessments, espec
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Dinesh, K. R., R. Shankar Anand, K. Soundarya Priyadharsini, and T. Krishna Prasad. "Effects of erector spinae block on the postoperative quality of recovery after gender reassignment chest surgeries: A prospective randomized double-blinded study." Journal of Dr. YSR University of Health Sciences 13, no. 4 (2024): 385–91. https://doi.org/10.4103/jdrysruhs.jdrysruhs_38_24.

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ABSTRACT Background: Erector spinae plane block (ESPB) improves postoperative analgesia and significantly enhances the quality of recovery (QoR) after thoracic and breast surgeries. However, it is not known whether this block is beneficial in chest reassignment surgery in transgender patients. Regarding sexual reassignment surgeries, there is no data on appropriate and safe postoperative analgesia, especially in chest surgeries. ESPB may be an important part of postoperative analgesia application in such surgeries. Objectives: The objective is to determine whether ESPB could provide effective
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Song, Tara Elena, and Nancy Jiang. "Transgender Phonosurgery: A Systematic Review and Meta-analysis." Otolaryngology–Head and Neck Surgery 156, no. 5 (2017): 803–8. http://dx.doi.org/10.1177/0194599817697050.

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Objectives Different surgical techniques have been described in the literature to increase vocal pitch. The purpose of this study is to systematically review these surgeries and perform a meta-analysis to determine which technique increases pitch the most. Data Sources CINAHL, Cochrane, Embase, Medline, PubMed, and Science Direct. Review Methods A systematic review and meta-analysis of the literature was performed using the CINAHL, Cochrane, Embase, Medline, PubMed, and Science Direct databases. Studies were eligible for inclusion if they evaluated pitch-elevating phonosurgical techniques in l
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Fonseca Vieira, Victor, Marcelo Lamy, and Pedro Henrique Santos Vitoriano. "Dos consultórios aos tribunais: a judicialização como ferramenta de acesso ao processo transexualizador no Brasil." Cadernos Ibero-Americanos de Direito Sanitário 14, no. 2 (2025): 64–76. https://doi.org/10.17566/ciads.v14i2.1312.

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Objective: To analyze the decisions of Brazilian courts of justice regarding the right to health of the transgender population. Methods: A total of 49 collegiate decisions issued by Brazilian courts of justice were analyzed, all of which concerned access to healthcare for transgender individuals. This study included collegiate decisions that had their full text published between 2013 and 2024. Results: The number of judicializations has grown exponentially in the last decade. Most of the cases deal with sex reassignment surgeries. The decisions have the profile of recognizing the right to heal
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Uyaniklar, Ozlem Ozgun, Hikmet Altun, and Yesim Uncu. "Knowledge and Attitudes of Obstetrics and Gynecology and Family Medicine Residents Regarding Transgender and Gender-Diverse Health: A Multicenter Cross-Sectional Study." Healthcare 13, no. 13 (2025): 1596. https://doi.org/10.3390/healthcare13131596.

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Objectives: Health disparities among transgender and gender-diverse individuals are partly attributed to the limited knowledge and preparedness of healthcare providers. This study aims to assess the level of knowledge of transgender health among residents in obstetrics and gynecology and family medicine. Methods: A multicenter, cross-sectional study was conducted with obstetrics and gynecology (OBGYN) and family medicine (FM) residents from two different centers. Data were collected using a 21-item questionnaire. The questionnaire assessed participants’ demographic information, knowledge of se
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Delgado-Ruiz, Rafael, Patricia Swanson, and Georgios Romanos. "Systematic Review of the Long-Term Effects of Transgender Hormone Therapy on Bone Markers and Bone Mineral Density and Their Potential Effects in Implant Therapy." Journal of Clinical Medicine 8, no. 6 (2019): 784. http://dx.doi.org/10.3390/jcm8060784.

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This study seeks to evaluate the long-term effects of pharmacologic therapy on the bone markers and bone mineral density of transgender patients and to provide a basis for understanding its potential implications on therapies involving implant procedures. Following the referred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and well-defined PICOT (Problem/Patient/Population, Intervention, Comparison, Outcome, Time) questionnaires, a literature search was completed for articles in English language, with more than a 3 year follow-up reporting the long-term effects o
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Ngaage, Ledibabari M., Katie L. McGlone, Shan Xue, et al. "Gender Surgery Beyond Chest and Genitals: Current Insurance Landscape." Aesthetic Surgery Journal 40, no. 4 (2019): NP202—NP210. http://dx.doi.org/10.1093/asj/sjz262.

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Abstract Background Plastic surgery plays an essential role in the treatment of gender dysphoria. International standards of care currently consider genital and chest surgeries to be medically necessary. Ancillary procedures such as facial surgery, chondrolaryngoplasty, hair restoration/removal, and body contouring are considered cosmetic surgeries except in individual circumstances. Objective The authors sought to assess the frequency of coverage provision for ancillary transition-related surgeries through a cross-sectional analysis of US insurance policies. Methods The authors selected insur
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Wan, Eric L., Stephanie Shin, and Paula Neira. "U.S. Department of Veterans Affairs and Gender Affirmation Surgery." Georgetown Medical Review 9, no. 1 (2025). https://doi.org/10.52504/001c.131819.

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Medical students are likely to encounter transgender patients during rotations at Veterans Affairs hospitals. There are at least 134 000 transgender veterans who are eligible to receive health care benefits from the Veterans Health Administration (VHA). While the VHA issued its first directive calling for dignified and respectful treatment of transgender veterans in 2013, the agency continues to deny transgender veterans access to medically necessary gender-affirming surgeries, which are effective in enabling self-fulfillment and reducing psychological distress such as anxiety, depression, and
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Sharp, Gemma. "Genital Self-Image and Aesthetic Genital Surgeries: Novel Perspectives Across the Cisgender and Transgender Spectrum." Aesthetic Surgery Journal, July 5, 2021. http://dx.doi.org/10.1093/asj/sjab272.

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Abstract Genital-focused body image concerns or negative genital self-image are a common experience across the gender spectrum, including among cisgender and transgender populations. Such concerns can result in lower psychological and sexual well-being. In this article, it is proposed that the development of genital self-image concerns may be partly explained by the theoretical framework of cisgenderism. This theory proposes that there are only 2 genders—men and women—and these are dictated solely by the appearance of the genitals. Any deviation from these 2 categories can result in discrimina
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Singh, Shalendra, Roj T. Ninan, George C. Ambooken, and Mayank Dhiman. "Challenges in provision of anesthesia to transgender patients in India: A scoping review." Journal of Anaesthesiology Clinical Pharmacology, May 8, 2024. http://dx.doi.org/10.4103/joacp.joacp_493_23.

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Abstract The care of transgender individuals has gained increasing attention in health-care settings, encompassing a wide range of medical specialties. Anesthesia is vital in perioperative care for them despite challenges like health-care access disparities, stigma, and discrimination. As they undergo routine surgeries or specific gender-affirming surgeries, anesthesia providers must be cognizant of anatomical, physiological, and psychosocial considerations that may impact the perioperative experience. Anesthesia for transgender individuals requires gender identity assessment, understanding of
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Boskey, Elizabeth R., and Jessica D. Kant. "Surgical Treatment of Transgender and Gender‐Diverse Individuals and Health Outcomes." Behavioral Sciences & the Law, January 2025. https://doi.org/10.1002/bsl.2712.

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ABSTRACTGender affirming surgeries are procedures that are used by transgender and gender diverse individuals to align their bodies to their gender identities. These have been shown to improve the mental health and wellbeing of those individuals who choose to access them. Rates of regret associated with gender affirming surgeries are low, and in addition to improving mental health and quality of life, these procedures have the potential to make it safer for transgender and gender diverse people to move through the world. This article provides a narrative review that places gender affirming sur
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Swonke, Megan, Jeremy Barr, Ella Brissett, Adriana Ordonez, Tariq Syed, and Apurva Thekdi. "Perceptions and Understanding of Transgender Patient Care: A Survey of Practicing Laryngologists." Laryngoscope, February 26, 2024. http://dx.doi.org/10.1002/lary.31346.

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ObjectivesTransgender individuals face significant health disparities including deficiencies in physician education, knowledge, and comfort with transgender health care. As the prevalence of the transgender population increases more individuals may seek gender‐affirming surgery. Herein, we present a survey study which presents data on (1) the current practice patterns, (2) the familiarity with, (3) the perception of, and (4) the future educational goals of transgender health care among laryngologists in the United States.MethodsA cross‐sectional survey study of practicing laryngologists in the
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Tan, Kyle K. H., Jack L. Byrne, Gareth J. Treharne, and Jaimie F. Veale. "Unmet need for gender-affirming care as a social determinant of mental health inequities for transgender youth in Aotearoa/New Zealand." Journal of Public Health, December 3, 2022. http://dx.doi.org/10.1093/pubmed/fdac131.

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Abstract Background Past studies have demonstrated better mental health and well-being among transgender youth who had accessed gender-affirming care. However, few existing studies have assessed unmet need for gender-affirming care as a social determinant of mental health inequities. Methods Data on unmet need for gender-affirming care, distress and suicidality were analysed from the 2018 Counting Ourselves nationwide community-based survey of transgender people in Aotearoa/New Zealand. Associations between unmet need for gender-affirming care and mental health indicators were tested for trans
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Andrews, Alicia R., Archan Kakadekar, Robert L. Schmidt, Paari Murugan, and Dina N. Greene. "Histologic Findings in Surgical Pathology Specimens From Individuals Taking Feminizing Hormone Therapy for the Purpose of Gender Transition: A Systematic Scoping Review." Archives of Pathology & Laboratory Medicine, May 13, 2021. http://dx.doi.org/10.5858/arpa.2020-0704-ra.

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Context.— Transgender women experience health disparities in all areas of medicine. Within surgical pathology, knowledge gaps relating to the concepts of transgender care exist. Medical transition for transgender women and transfeminine persons may involve hormone therapy and/or surgery to feminize the body. Understanding the common histologic changes in specimens from feminizing surgeries, as well as other specimens from patients on feminizing hormone therapy, will aid surgical pathologists in providing better care to this unique patient population. Objective.— To summarize histologic finding
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Iftikhar, Hamza, and Muhammad Saqib Iqbal. "Easing transgender travel and tourism: An eventual outreach to artificial intelligence-based medical tourism." Artificial Intelligence in Health, February 21, 2025, 3384. https://doi.org/10.36922/aih.3384.

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Improvements in the artificial intelligence (AI) health system have been effective in reducing the risks associated with transgender medical tourism and travel. The ability to track medical travel from the place of origin to the final treatment destination is dependent on the development of AI. This project aims to improve the AI health system to promote travel and medical tourism, utilizing quantitative research methodologies, including survey-based research and partial least squares structural equation modeling. The participants included 381 people from medical professionals, tourism experts
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