Benign Gynecological Conditions in Transgender and Gender Diverse People

In: Context, Principles and Practice of TransGynecology · 2022 · pp. 82–88 · doi:10.1017/9781108899987.015 · W4312064471
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Benign gynecological conditions can cause physical and emotional distress for transgender and gender diverse individuals, in addition to the general patient population.

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This chapter in Transgynecology addresses common benign gynecological conditions and treatment modalities in transgender and gender diverse people (particularly trans masculine and gender diverse individuals), framing evaluation and management in the context of gender-affirmative goals and transition stage. It emphasizes that while diagnostics and treatments are not fundamentally different across gender identities, clinicians should account for transition-related circumstances and collaborate with other healthcare professionals, including mental healthcare professionals. A key caveat is that attention to chronic medical conditions may be insufficient in practice because clinicians may focus more on gender incongruence and dysphoria, especially in younger patients. Relevance to endometriosis: the chapter does not present primary endometriosis study results, but it explicitly notes that complaints related to endometriosis can be a heavy burden and an added source of distress for transgender and gender diverse people, though the chapter’s main focus is benign gynecological conditions in trans and gender diverse populations.

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Abstract

Complaints related to endometriosis, irregular vaginal bleeding, fibroids, chronic recurrent colpitis, urinary tract infections or other benign gynecological conditions can be a heavy burden for patients regardless of one’s gender identity or gender role, but may evolve into an additional source of distress, physically and emotionally, for transgender and gender diverse people.
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Context, Principles and Practice of TransGynecology Buy print or eBook [Opens in a new window] Managing Transgender Patients in ObGyn Practice - Context, Principles, and Practice of Transgynecology - Context, Principles, and Practice of Transgynecology - Copyright page - Dedication - Contents - Foreword - Preface - Contributors - Abbreviations - Section A Contextual Transgynecology - Section B Practicing Transgynecology - Chapter 9 Gynecological Office Medicine for Trans and Gender Diverse People - Chapter 10 Features of Imaging in Transgender Persons - Chapter 11 Benign Gynecological Conditions in Transgender and Gender Diverse People - Chapter 12 Urogynecological Disorders - Chapter 13 Painful and Frequent Micturition - Chapter 14 Diagnostics and Treatment of Gynecological and Nongynecological Causes of Pelvic Pain - Chapter 15 Gynecological Attention to the Prostate - Chapter 16 Vaginal Dilators and Dilating after Vaginoplasty - Chapter 17 Transenology - Section C Gynecological Surgery for Transgender Males - Section D Sexuality and Contraception - Section E Fertility and Reproduction - Section F Impact of Gender-affirming Hormonal Therapy on Genital Organs - Section G Screening and Prophylaxis - Transgynecology Index - References from Section B - Practicing Transgynecology Published online by Cambridge University Press: 22 December 2022 Book contents - Context, Principles, and Practice of Transgynecology - Context, Principles, and Practice of Transgynecology - Copyright page - Dedication - Contents - Foreword - Preface - Contributors - Abbreviations - Section A Contextual Transgynecology - Section B Practicing Transgynecology - Chapter 9 Gynecological Office Medicine for Trans and Gender Diverse People - Chapter 10 Features of Imaging in Transgender Persons - Chapter 11 Benign Gynecological Conditions in Transgender and Gender Diverse People - Chapter 12 Urogynecological Disorders - Chapter 13 Painful and Frequent Micturition - Chapter 14 Diagnostics and Treatment of Gynecological and Nongynecological Causes of Pelvic Pain - Chapter 15 Gynecological Attention to the Prostate - Chapter 16 Vaginal Dilators and Dilating after Vaginoplasty - Chapter 17 Transenology - Section C Gynecological Surgery for Transgender Males - Section D Sexuality and Contraception - Section E Fertility and Reproduction - Section F Impact of Gender-affirming Hormonal Therapy on Genital Organs - Section G Screening and Prophylaxis - Transgynecology Index - References Complaints related to endometriosis, irregular vaginal bleeding, fibroids, chronic recurrent colpitis, urinary tract infections or other benign gynecological conditions can be a heavy burden for patients regardless of one’s gender identity or gender role, but may evolve into an additional source of distress, physically and emotionally, for transgender and gender diverse people. Healthcare professionals tend to focus on gender incongruence and mitigating symptoms of gender dysphoria, and therefor do not always pay attention to chronic medical conditions to the extent necessary, especially in younger patients. Diagnostics and treatment of these conditions are not fundamentally different in transgender and gender diverse people, but the stage of transition and the goals of the process towards a satisfactory life, congruent with one’s gender identity, have to be taken into account. Treatment of chronic disorders in general and gynecological complaints in particular should be put into context (of gender-affirmative treatment) and collaboration with other healthcare professionals, including mental healthcare professionals (MHPs), should be sought out to ensure best possible care. 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