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Brief ReportBrief Report

The Effects of Testosterone on Cervicovaginal Cytology in Transgender and Gender-Diverse Individuals

Derek Chen, Jeremy Erroba, Shuling Liu, Tahlia Hodes, Heather Holderness, Nathalie Huguet and Christina Milano
The Journal of the American Board of Family Medicine November 2024, 37 (6) 1009-1013; DOI: https://doi.org/10.3122/jabfm.2023.230468R1
Derek Chen
From the Oregon Health & Science University, Department of Oregon Health & Science University, Department of Family Medicine, Portland (DC, JE, SL, TH, HH, NH, CM); Icahn School of Medicine at Mount Sinai, New York, NY (DC); Transgender Health Program, Oregon Health & Science University, Portland (CM).
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Jeremy Erroba
From the Oregon Health & Science University, Department of Oregon Health & Science University, Department of Family Medicine, Portland (DC, JE, SL, TH, HH, NH, CM); Icahn School of Medicine at Mount Sinai, New York, NY (DC); Transgender Health Program, Oregon Health & Science University, Portland (CM).
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Shuling Liu
From the Oregon Health & Science University, Department of Oregon Health & Science University, Department of Family Medicine, Portland (DC, JE, SL, TH, HH, NH, CM); Icahn School of Medicine at Mount Sinai, New York, NY (DC); Transgender Health Program, Oregon Health & Science University, Portland (CM).
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Tahlia Hodes
From the Oregon Health & Science University, Department of Oregon Health & Science University, Department of Family Medicine, Portland (DC, JE, SL, TH, HH, NH, CM); Icahn School of Medicine at Mount Sinai, New York, NY (DC); Transgender Health Program, Oregon Health & Science University, Portland (CM).
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Heather Holderness
From the Oregon Health & Science University, Department of Oregon Health & Science University, Department of Family Medicine, Portland (DC, JE, SL, TH, HH, NH, CM); Icahn School of Medicine at Mount Sinai, New York, NY (DC); Transgender Health Program, Oregon Health & Science University, Portland (CM).
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Nathalie Huguet
From the Oregon Health & Science University, Department of Oregon Health & Science University, Department of Family Medicine, Portland (DC, JE, SL, TH, HH, NH, CM); Icahn School of Medicine at Mount Sinai, New York, NY (DC); Transgender Health Program, Oregon Health & Science University, Portland (CM).
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Christina Milano
From the Oregon Health & Science University, Department of Oregon Health & Science University, Department of Family Medicine, Portland (DC, JE, SL, TH, HH, NH, CM); Icahn School of Medicine at Mount Sinai, New York, NY (DC); Transgender Health Program, Oregon Health & Science University, Portland (CM).
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    Figure 1.

    Papanicolaou quality by testosterone therapy among 211 transgender and gender-diverse patients.

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    Table 1.

    Pap Results by Testosterone Therapy among 211 Transgender and Gender-Diverse Patients

    Testosterone Therapy
    Yes (n = 119)No (n = 179)P-value
    Pap result quality (n = 298 Paps)
     Adequate for diagnosis, TZ present49 (41.2%)119 (66.5%)P < .001
     Other (TZ Absent, Scant cellularity, Atrophic specimen)70 (58.8%)60 (33.5%)
    Inflammation (n = 298 Paps)
     No100 (84.0%)173 (96.6%)P < .001
     Yes19 (16.0%)6 (3.4%)
    Results* (n = 291 Paps)
     Normal102 (91.1%)163 (91.1%)n.s.
     Abnormal10 (8.9%)16 (8.9%)
    • TZ: transformation zone, n.s.: not significant at P <.05.

    • ↵*Excluded Paps with scant cellularity which had no diagnosis.

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The Journal of the American Board of Family     Medicine: 37 (6)
The Journal of the American Board of Family Medicine
Vol. 37, Issue 6
November-December 2024
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The Effects of Testosterone on Cervicovaginal Cytology in Transgender and Gender-Diverse Individuals
Derek Chen, Jeremy Erroba, Shuling Liu, Tahlia Hodes, Heather Holderness, Nathalie Huguet, Christina Milano
The Journal of the American Board of Family Medicine Nov 2024, 37 (6) 1009-1013; DOI: 10.3122/jabfm.2023.230468R1

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The Effects of Testosterone on Cervicovaginal Cytology in Transgender and Gender-Diverse Individuals
Derek Chen, Jeremy Erroba, Shuling Liu, Tahlia Hodes, Heather Holderness, Nathalie Huguet, Christina Milano
The Journal of the American Board of Family Medicine Nov 2024, 37 (6) 1009-1013; DOI: 10.3122/jabfm.2023.230468R1
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Keywords

  • Cancer Screening
  • Cervical Cancer
  • Gender Identity
  • Hormone Replacement Therapy
  • Papanicolaou Test
  • Primary Health Care
  • Retrospective Studies
  • Testosterone

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