Addressing Needs of Transgender Patients: The Role of Family Physicians

Article Figures & Data

Table 1.

Collection of Gender Identity on a Patient Registration Form¹⁵

1. What is your current gender identity? (Check and/or circle ALL that apply)

☐ Male

☐ Female

☐ Transgender male/Trans man

☐ Transgender female/Trans woman

☐ Genderqueer/Gender nonconforming

☐ Additional identity (fill in) ______________________

☐ Decline to answer

2. What sex were you assigned at birth? (Check one)

☐ Male

☐ Female

☐ Decline to state

Table 2.

Transgender Medicine Clinical Guidelines

World Professional Association for Transgender Health (WPATH) www.wpath.org

University of California at San Francisco Center of Excellence for Transgender Health www.transhealth.ucsf.edu

Endocrine Treatment of Gender-Dysphoric/Gender-Incongruent Persons: An Endocrine Society Clinical Practice Guideline: https://academic.oup.com/jcem/article/102/11/3869/4157558

Table 3.

Gender Affirming Surgeries

Masculinizing SURGERIES	Feminizing SURGERIES
Bilateral mastectomy: removal of both breasts, usually with nipple grafts	Breast augmentation: surgery usually requires insertion of silicone or saline breast implants
Masculinization laryngoplasty: vocal cord surgery that augments the vocal fold contours to deepen the voice	Feminization laryngoplasty: vocal cord surgery that reduces the larynx and shortens the length of the vibratory vocal fold resulting in higher pitch
Facial masculinization surgery: this may include forehead lengthening, jaw augmentation and genioplasty (chin reshaping)	Facial feminization surgery: can include rhinoplasty, jaw reduction, cheek augmentation and brow lift
Thyroid cartilage enhancement: surgical augmentation of the size of the laryngeal prominence using rib cartilage or an implant	Chondrolaryngoplasty: tracheal shave, reduces the size of the laryngeal prominence
Hysterectomy/oophorectomy: removal of uterus and ovaries	Orchiectomy: removal of the testicles
Vaginectomy: removal of the vaginal epithelium and obliteration of the vaginal canal. This is done after hysterectomy.	Vaginoplasty: creation of a vagina using penile and scrotal skin or intestinal graft
Metoidioplasty: creation of a neophallus from the clitoris
Phalloplasty: use of a free flap to create a neophallus
Scrotoplasty: creation of a scrotum using the labia majora with placement of testicular implants