Principles of Transgender Medicine and Surgery
A comprehensive and important text for health care professionals\ Gender variance is widely misunderstood, and few medical texts examine the social, legal, emotional, historical, biological, and economic issues involved. Principles of Transgender Medicine and Surgery provides medical and health care guidelines and comprehensive information on all aspects of treatment of gender diverse individuals. This one-of-a-kind resource examines a full range of relevant data important to health care...
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A comprehensive and important text for health care professionalsGender variance is widely misunderstood, and few medical texts examine the social, legal, emotional, historical, biological, and economic issues involved. Principles of Transgender Medicine and Surgery provides medical and health care guidelines and comprehensive information on all aspects of treatment of gender diverse individuals. This one-of-a-kind resource examines a full range of relevant data important to health care professionals. Each chapter addresses a different aspect of care, written by an authority on that sub-specialty. This practical guide instructs both novices and experienced practitioners on the state-of-the-art treatments and knowledge. Principles of Transgender Medicine and Surgery presents the foremost international specialists on the issues, offering their expert knowledge on the wide spectrum of issues encountered by gender diverse individuals. In this handy text, professionals of all types can get important information about various aspects of transgender health care. This essential text is extensively referenced, and includes numerous photos, tables, and figures to clearly illustrate information.Topics in Principles of Transgender Medicine and Surgery include: etiology primary medical care evidence-based preventive care hormone treatment of adults and juvenile transsexual patients general principles of surgical therapy reassignment surgery mental health issues developmental stages of the coming out process reproduction issues fertility issues karyotyping and genetics intersex individuals gender identity disorders aging and the care of elderly transgender patients Principles of Transgender Medicine and Surgery is an essential guide for health care professionals, educators, students, patients, and patients' families. Doody Review Services Reviewer:Jeffrey S. Rosenthal, MD(Bridgeport Hospital)Description:Long a taboo topic, transgender reassignment has emerged from the shadows of intolerance to be better understood and discussed in the open. This book is a compassionate, thoughtful, and informative book dealing with the issues surrounding reassignment of gender. It affords readers the opportunity to learn about the many facets involved in this alteration, including the psychological and physical.Purpose:The population that wishes gender reassignment has been poorly understood and perhaps under treated. This book explores the various exigencies necessary for gender conversions. Through their work, the authors have made it possible for individuals to obtain proper counseling and medical and surgical intervention.Audience:The authors represent a select group of practitioners who have experience with gender reassignment. Those interested in this unique topic, including those dealing with psychological profiles and physical manifestations needed for these changes as well as plastic surgeons, would benefit from a careful perusal of this book.Features:The etiology of transsexualism is considered in the first chapter. The book then proceeds to cover primary medical and preventive care, hormonal and surgical manipulation, switching from one gender to another, and mental health issues. This is followed by a discussion of "coming out of the closet" and chapters dealing with reproduction, genetics, intersex topics, and transgender issues in the young and elderly. Extensive references conclude each of the 14 chapters. Where appropriate, black-and-white and color plates enhance the text. Assessment:Those interested in gender alteration and those treating these patients are obliged to get this book.
About the Editors xiiiContributors xvForeword Frederic M. Ettner xxiIntroduction Randi Ettner xxiiiThe Etiology of Transsexualism Randi Ettner 1Introduction 1Early Theories of the Etiology of Transsexualism 3Recent Theories of the Etiology of Transsexualism 5The Current Status of the Attempt to Identify the Etiology of Gender Variation 9Primary Medical Care of the Gender-Variant Patient A. Evan Eyler 5Introduction 15The Spectrum of Gender Identity and Expression 15Transgender Health Care 17Ten Principles of Transgender Medical Care 21Conclusion 30Preventive Care of the Transgendered Patient: An Evidence-Based Approach Jamie Feldman 33Introduction 33Challenges in Providing Preventive Care to the Transgendered Population 33Evidence-Based Transgender Health Care 34Preventive Care Recommendations 39Conclusion 62Hormone Treatment of Adult and Juvenile Transsexual Patients Louis J. Gooren Henriette A. Delemarre-van de Waal 73Introduction 73General Principles of Treatment 73Hormonal Sex Reassignment 75Side Effects of Hormonal Sex Reassignment 80Sexual Function After Sex Reassignment 83Regrets After Sex Reassignment 84Juvenile Gender Dysphoria 84Surgery: General Principles Stan Monstrey Griet De Cuypere Randi Ettner 89Introduction 89Controversies Surrounding Surgery 90Ethical and Legal Challenges 92Financial Aspects 93Surgeries for Gender Reassignment 94Conditions for Surgical Interventions 95Standards of Care of the Harry Benjamin International Gender Dysphoria Association 98Surgery: Male-to-Female Patient Stan Monstrey Gennaro Selvaggi Peter Ceulemans 105History of Male-to-Female Surgery 105Male-to-Female Gender Reassignment Surgery: An Overview 110Surgery: Female-to-Male Patient Stan Monstrey Peter Ceulemans Peter Hoebeke 135History of Female-to-Male Surgery 135Subcutaneous Mastectomy 137Phalloplasty 149The Importance of a Multidisciplinary Approach 164Mental Health Issues Friedemann Pfafflin 169Mental Health Issues in the History of Sex Reassignment 170Practical Aspects of Clinical Care 176Writing Recommendations and Reports 182Developmental Stages of the Transgender Coming-Out Process: Toward an Integrated Identity Walter Bockting Eli Coleman 185Introduction 185Coming Out As a Developmental Process 186Conclusion 205Reproduction and Fertility Issues for Transpeople Petra De Sutter 209Introduction 209Transpeople and Their Children 210Ethical Arguments in Favor of Fertility Preservation 211Cryopreservation of Sperm in Transwomen 213Donor Inseminations in Partners of Transmen 214Cryopreservation of Oocytes, Embryos, or Ovarian Tissue in Transmen 214Future Possibilities 217Karyotyping and Genetics in the Transgendered Population Gale Bearman 223Introduction 223What Is a Karyotype? 223What Is a Variant Karyotype? 224Chromosomal Variance, Phenotypic Variance, and Gender Identity 225Variant Karyotypes or Forms of Intersex in the Transgender Population 226Is Gender Identity Genetic? 227Intersexed or Transgendered? 229Recommendations 231Conclusion 232Intersex: Definition, Examples, Gender Stability, and the Case Against Merging with Transsexualism Tom Mazur Melissa Colsman David E. Sandberg 235Introduction 235Intersexuality Defined 236Typical Sexual Differentiation Process 237Intersex Syndromes and Related Conditions 240Appendix A 254Gender Identity Disorders in Children and Adolescents Peggy T. Cohen-Kettenis 261Introduction 261Classification 261Epidemiology 262Clinical Picture 264DSM-IV Criteria for Gender Identity Disorder in Children and Adolescents 280Transgender Aging and the Care of the Elderly Transgendered Patient Tarynn M. Witten A. Evan Eyler 285Introduction 285Successful Aging and its Predictors: The Concept of "Aging Well" 286Transgender Aging and Health Care 287Transgender Aging and Social Adjustment 301Graceful Exits: Living and Dying Well 303Conclusion 304Afterword Eli Coleman 311The Standards of Care for Gender Identity Disorders, Sixth Version$dWorld Professional Association for Transgender Health 315Index 345
\ Reviewer: Jeffrey S. Rosenthal, MD(Bridgeport Hospital)\ Description: Long a taboo topic, transgender reassignment has emerged from the shadows of intolerance to be better understood and discussed in the open. This book is a compassionate, thoughtful, and informative book dealing with the issues surrounding reassignment of gender. It affords readers the opportunity to learn about the many facets involved in this alteration, including the psychological and physical.\ Purpose: The population that wishes gender reassignment has been poorly understood and perhaps under treated. This book explores the various exigencies necessary for gender conversions. Through their work, the authors have made it possible for individuals to obtain proper counseling and medical and surgical intervention.\ Audience: The authors represent a select group of practitioners who have experience with gender reassignment. Those interested in this unique topic, including those dealing with psychological profiles and physical manifestations needed for these changes as well as plastic surgeons, would benefit from a careful perusal of this book.\ Features: The etiology of transsexualism is considered in the first chapter. The book then proceeds to cover primary medical and preventive care, hormonal and surgical manipulation, switching from one gender to another, and mental health issues. This is followed by a discussion of "coming out of the closet" and chapters dealing with reproduction, genetics, intersex topics, and transgender issues in the young and elderly. Extensive references conclude each of the 14 chapters. Where appropriate, black-and-white and color plates enhance the text. \ Assessment: Those interested in gender alteration and those treating these patients are obliged to get this book.\ \
