A Gynecology-Led Transgender Clinic: Retrospective Review of Referral Patterns and Quality Indicators

Background The Transgender Clinic at the Kingston Health Sciences Centre (KTC) was created in 2017 to meet the needs of transgender patients. Methods A retrospective review of all KTC patient charts was completed. The primary outcomes were the referral pattern to, and services provided by KTC. The secondary outcomes were the quality indicators i) rates of cervical screening and ii) offers of fertility preservation. Results 108 patients were referred and 92 were seen; the median age was 20 years old. 77.2% of all patients sought, and 72.8% ultimately received, hormone therapy. Cervical cancer screening was documented as up to date for 69.8% of eligible people. 81.7% of eligible patients had documented fertility preservation offers. Conclusion Accessible local transgender care is a standard that can and should be met in Canada and internationally. 77.2% of patients sought hormone therapy, which is in the scope of providers from many specialties Accessible local transgender care is a standard than can and should be met in Canada and internationally Gynecologists, pediatricians, and primary care providers are well-suited to provide transgender care