Principles of Transgender Medicine and Surgery

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Author :
Publisher : Routledge
ISBN 13 : 1317514599
Total Pages : 455 pages
Book Rating : 4.3/5 (175 download)

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Book Synopsis Principles of Transgender Medicine and Surgery by : Randi Ettner

Download or read book Principles of Transgender Medicine and Surgery written by Randi Ettner and published by Routledge. This book was released on 2016-05-20 with total page 455 pages. Available in PDF, EPUB and Kindle. Book excerpt: A practical guide to state-of-the-art treatments and health care knowledge about gender diverse persons, this second edition of Principles of Transgender Medicine and Surgery presents the foremost international specialists offering their 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 for a full spectrum of clients, from childhood to advanced age. Key topics addressed include medical and surgical issues, mental health issues, fertility, the coming out process, and preventive care. This essential text is extensively referenced and illustrated, and instructs both novice and experienced practitioners on gender-affirming care.

Principles of Transgender Medicine and Surgery

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Author :
Publisher : Routledge
ISBN 13 : 9781138867512
Total Pages : pages
Book Rating : 4.8/5 (675 download)

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Book Synopsis Principles of Transgender Medicine and Surgery by :

Download or read book Principles of Transgender Medicine and Surgery written by and published by Routledge. This book was released on 2015-06-12 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: 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 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.

Gender Confirmation Surgery

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Author :
Publisher : Springer Nature
ISBN 13 : 303029093X
Total Pages : 275 pages
Book Rating : 4.0/5 (32 download)

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Book Synopsis Gender Confirmation Surgery by : Loren S. Schechter

Download or read book Gender Confirmation Surgery written by Loren S. Schechter and published by Springer Nature. This book was released on 2020-01-31 with total page 275 pages. Available in PDF, EPUB and Kindle. Book excerpt: Gender confirming surgery represents one of many therapies for individuals with gender dysphoria and can be pivotal in allowing individuals to become their true selves. An emerging field, this text represents a continuing evolution of surgical techniques, as well as a framework around which surgical therapies are based. Providing a fundamental understanding of the surgical principles while also recognizing the fast-paced nature of the advances in technique, Gender Confirmation Surgery touches upon the challenges and complexities in the surgical care of transgender individuals, featuring detailed sections for transwomen and transmen surgeries, non-surgical options, and establishing educational programs. Written as a guide primarily for surgeons in plastics, urology, and gynecology, this book can also appeal to primary care practitioners, mental health professionals, and endocrinologists. By representing an evolution of technique and advances in the field, Gender Confirmation Surgery offers a framework around which practitioners can familiarize themselves with gender surgery.

Gender Affirmation

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Author :
Publisher : Thieme
ISBN 13 : 1638534861
Total Pages : 386 pages
Book Rating : 4.6/5 (385 download)

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Book Synopsis Gender Affirmation by : Christopher J Salgado

Download or read book Gender Affirmation written by Christopher J Salgado and published by Thieme. This book was released on 2016-11-28 with total page 386 pages. Available in PDF, EPUB and Kindle. Book excerpt: Gender Affirmation: Medical and Surgical Perspectives -- This sensitively written, comprehensive book is a must-have roadmap for every physician and caregiver as they master the techniques to support the profound journey of their transgender patients. The rapid evolution of transgender medicine and surgery has inspired an ever-growing number of practitioners to care for transgender individuals. What was once a niche specialty has now sparked the interest of the international medical community. With the formation of the World Professional Association of Transgender Health (WPATH) and academic surgical centers now accepting trainees, a new generation of physicians are committed to providing the highest level of care for transgender individuals. This book delivers robust, essential content from internationally recognized innovators and veterans in the field, including cutting-edge techniques for all gender transition surgeries. These experts provide detailed coverage of the processes that help patients transition to their true gender, including: Facial Feminization Surgery Speech Modification Top and Bottom Surgeries Management of Unfavorable Outcomes Treating Transgender Adolescents and Children Hormone Therapy Mental Health Care for Transgender and Gender Nonconforming Patients Sexual Health Issues After Gender Affirmation Surgery Gender Expression and Image An e-book and video clips are also provided to allow readers to access these topics in any setting. Gender affirmation surgery is among the most challenging of all surgical procedures because of the anatomic complexities, the risk of complications, the need to preserve sensorineural, urinary, and sexual function while striving to obtain optimal aesthetic results.

Comprehensive Care of the Transgender Patient E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323512267
Total Pages : 300 pages
Book Rating : 4.3/5 (235 download)

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Book Synopsis Comprehensive Care of the Transgender Patient E-Book by : Cecile A Ferrando

Download or read book Comprehensive Care of the Transgender Patient E-Book written by Cecile A Ferrando and published by Elsevier Health Sciences. This book was released on 2019-03-06 with total page 300 pages. Available in PDF, EPUB and Kindle. Book excerpt: From a renowned specialist at the Cleveland Clinic and medical and surgical experts in this growing field comes an up-to-date, multidisciplinary resource on transgender health care and surgery. Comprehensive Care of the Transgender Patient, by Dr. Cecile Ferrando, covers all aspects of transgender health care, beginning with epidemiology and history and progressing to an in-depth review of the complex transition for patients, including mental health services, endocrine and hormone therapy treatment, and surgical options. Incorporates all of the latest guidelines for providers and patients, written by experts from a wide variety of disciplines involved in transgender patient care. Contains outstanding surgical chapters contributed by prominent surgeons who regularly perform these procedures, providing clear guidance on male-to-female and female-to-male surgical options. Features high-quality, full-color illustrations throughout. Covers key topics in every area of transgender health care, including Mental Health Care for the Adult and for the Child and Adolescent Transgender Patient; Hormone Treatment for the Adult and Adolescent Transgender Patient; Facial Surgery for Transgender Patients; Breast and Genital Surgeries for Transgender Patients; and Primary, Preventive, and Gynecologic Care.

Transgender Medicine

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Author :
Publisher : Springer
ISBN 13 : 303005683X
Total Pages : 481 pages
Book Rating : 4.0/5 (3 download)

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Book Synopsis Transgender Medicine by : Leonid Poretsky

Download or read book Transgender Medicine written by Leonid Poretsky and published by Springer. This book was released on 2019-02-22 with total page 481 pages. Available in PDF, EPUB and Kindle. Book excerpt: Although transgender persons have been present in various societies throughout human history, it is only during the last several years that they have become widely acknowledged in our society and their right to quality medical care has been established. In the United States, endocrinologists have been providing hormonal therapy for transgender individuals for decades; however, until recently, there has been only limited literature on this subject, and non-endocrine aspects of medical care for transgender individual have not been well addressed in the endocrine literature. The goal of this volume is not only to address the latest in hormonal therapy for transgender individuals (including pediatric and geriatric age groups), but also to familiarize the reader with other aspects of transgender care, including primary and surgical care, fertility preservation, and the management of HIV infection. In addition to medical issues, psychological, social, ethical and legal issues pertinent to transgender individuals add to the complexities of successful treatment of these patients. A final chapter includes extensive additional resources for both transgender patients and providers. Thus, an endocrinologist providing care to a transgender person will be able to use this single resource to address most of the patient’s needs. While Transgender Medicine is intended primarily for endocrinologists, this book will be also useful to primary care physicians, surgeons providing gender-confirming procedures, mental health professionals participating in the care of transgender persons, and medical residents and students.

Context, Principles and Practice of TransGynecology

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Author :
Publisher : Cambridge University Press
ISBN 13 : 1108901735
Total Pages : 315 pages
Book Rating : 4.1/5 (89 download)

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Book Synopsis Context, Principles and Practice of TransGynecology by : Mick van Trotsenburg

Download or read book Context, Principles and Practice of TransGynecology written by Mick van Trotsenburg and published by Cambridge University Press. This book was released on 2022-12-08 with total page 315 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive and authoritative book is written by over seventy of the foremost experts working with the care of transgender and gender expansive patients for gynecologists and those working in neighboring disciplines. Among medical specialists, understanding of the complex reality and medical needs of transgender and gender diverse individuals is still limited. This book offers the opportunity to understand transgynecology in a way that is inclusive and up-to-date, with insights into liaison with specialties such as urology, dermatology, sexuology, physiotherapy amongst others. By contextualising transgender/gender diverse medicine before covering specific issues such as imaging, benign disorders, fertility maintenance, medico-legal concerns and uterine transplantation, this book is truly unique. Aimed at gynecologists, obstetricians, general practitioners, counsellors and all those who work with transgender, non-binary, or gender diverse patients, this book prepares the reader for the prerequisites and subtleties of transgynecology.

Transgender and Gender Diverse Health Care: The Fenway Guide

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Author :
Publisher : McGraw Hill Professional
ISBN 13 : 1260459942
Total Pages : 341 pages
Book Rating : 4.2/5 (64 download)

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Book Synopsis Transgender and Gender Diverse Health Care: The Fenway Guide by : Alex Keuroghlian

Download or read book Transgender and Gender Diverse Health Care: The Fenway Guide written by Alex Keuroghlian and published by McGraw Hill Professional. This book was released on 2021-10-06 with total page 341 pages. Available in PDF, EPUB and Kindle. Book excerpt: The first case-based comprehensive textbook to address the unique health care needs of transgender and gender diverse adults A Doody's Core Title for 2023! Demand for state-of-the-art health care services for transgender and gender diverse communities is rapidly increasing. Transgender and Gender Diverse Health Care: The Fenway Guide offers a roadmap for clinicians to provide culturally responsive care that meets the primary, preventive, and specialty health needs of transgender and gender diverse adult patients. With the most up-to-date scientific and clinical information, this practical guide reviews new data on terminology, demographics, and epidemiology; highlights key aspects of gender identity emergence across the lifespan; and provides guidance on both hormonal and surgical gender affirmation. Applying a health-equity model of care, this invaluable resource offers a foundation for clinicians when addressing health needs of transgender and gender diverse communities. Transgender and Gender Diverse Health Care: The Fenway Guide features essential information that includes the following topics and more: The history and epidemiology of transgender and gender diverse health care Primary, preventive, and specialty care considerations for transgender and gender diverse patients Hormonal, surgical and non-medical gender affirmation Trauma-informed and gender-affirming care Behavior health, eating disorders and body positivity Reproductive health, obstetrical care, and family building Treatment of HIV and sexually transmitted infections Community building, advocacy and partnership

Principles of Gender-Specific Medicine

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Author :
Publisher : Academic Press
ISBN 13 : 0128035420
Total Pages : 792 pages
Book Rating : 4.1/5 (28 download)

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Book Synopsis Principles of Gender-Specific Medicine by : Marianne J. Legato

Download or read book Principles of Gender-Specific Medicine written by Marianne J. Legato and published by Academic Press. This book was released on 2017-05-15 with total page 792 pages. Available in PDF, EPUB and Kindle. Book excerpt: The announcement that we had decoded the human genome in 2000 ushered in a new and unique era in biomedical research and clinical medicine. This Third Edition of Principles of Gender-Specific Medicine focuses, as in the past two editions, on the essentials of sexual dimorphism in human physiology and pathophysiology, but emphasizes the latest information about molecular biology and genomic science in a variety of disciplines. Thus, this edition is a departure from the previous two; the editor solicited individual manuscripts from innovative scientists in a variety of fields rather than the traditional arrangement of sections devoted to the various subspecialties of medicine edited by section chiefs. Wherever it was available, these authors incorporated the latest information about the impact of the genome and the elements that modify its expression on human physiology and illness. All chapters progress translationally from basic science to the clinical applications of gender-specific therapy and suggest the most important topics for future investigation. This book is essential reading for all biomedical investigators and medical educators involved in gender-specific medicine. It will also be useful for primary care practitioners who need information about the importance of sex and gender in the prevention, diagnosis and treatment of illness. Outlines sex-specific differences in normal human function and explains the impact of age, hormones, and environment on the incidence and outcome of illness Reflects the latest information about the molecular basis of the sexual dimorphism in human physiology and the experience of disease Reviews the implications of our ever-improving ability to describe the genetic basis of vulnerability to disease and our capacity to alter the genome itself Illustrates the importance of new NIH guidelines that urge the inclusion of sex as a variable in research protocols

Transgender Care

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Author :
Publisher : Temple University Press
ISBN 13 : 9781566398527
Total Pages : 314 pages
Book Rating : 4.3/5 (985 download)

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Book Synopsis Transgender Care by : Gianna E. Israel

Download or read book Transgender Care written by Gianna E. Israel and published by Temple University Press. This book was released on 1997 with total page 314 pages. Available in PDF, EPUB and Kindle. Book excerpt: By empowering clients to be well-informed medical consumers and by delivering care providers from the straitjacket of inadequate diagnostic standards and stereotypes, this book sets out to transform the nature of transgender care. In an accessible style, the authors discuss the key mental health issues, with much attention to the vexed relationship between professionals and clients. They propose a new professional role; that of "Gender Specialist." Chapters 3, 4, and 5 provide definitive information (in the context of consulting health professionals) on hormone administration, aesthetic surgery, and genital reassignment surgery. Chapter 6 takes up the little-examined issue of HIV and AIDS among transgender people. There is also a chapter devoted to issues of transgender people of color, as well as a chapter on transgender adolescents. The book contains a wealth of practical information and accounts of people's experiences about coming out to one's employer or to one's friends or spouse. Several essays spell out the legal rights of transgender people with regard to insurance, work, marriage, and the use of rest rooms. The second part of the book consists of thirteen essays on a range of controversial topics. They include three personal stories of transgender life, one essay on the new academic field of Transgender Studies, two essays on legal rights, three essays on medical issues, and two essays on the origins and possible resolution of the conflicts between therapist and client. The authors have also provided useful listings of organizations, centers, and Web sites. The book has been reviewed by a national committee of professionals and consumers, some of whose members have contributed the essays in the second part of the book. Author note: Gianna E. Israel has been in private practice as a Gender Specialist since 1988. She has worked with over one thousand transgendered men and women, and is also a member of the transgender community. She is a founding member of the board of the American Education Gender Information Service (AEGIS). Donald E. Tarver II, M.D., is a San Francisco psychiatrist working in public mental health and a private practice. He is Medical Director of New Leaf--a multiservice agency serving the mental health, substance abuse recovery, HIV/AIDS, and social service needs of the lesbian, gay, bisexual, and transgender communitites.

Transgender Mental Health

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Author :
Publisher : American Psychiatric Pub
ISBN 13 : 1615371133
Total Pages : 342 pages
Book Rating : 4.6/5 (153 download)

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Book Synopsis Transgender Mental Health by : Eric Yarbrough, M.D.

Download or read book Transgender Mental Health written by Eric Yarbrough, M.D. and published by American Psychiatric Pub. This book was released on 2018-03-08 with total page 342 pages. Available in PDF, EPUB and Kindle. Book excerpt: Resource added for the Psychology (includes Sociology) 108091 courses.

Principles of Transgender Medicine and Surgery

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Author :
Publisher : Routledge
ISBN 13 : 1317514602
Total Pages : 416 pages
Book Rating : 4.3/5 (175 download)

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Book Synopsis Principles of Transgender Medicine and Surgery by : Randi Ettner

Download or read book Principles of Transgender Medicine and Surgery written by Randi Ettner and published by Routledge. This book was released on 2016-05-20 with total page 416 pages. Available in PDF, EPUB and Kindle. Book excerpt: A practical guide to state-of-the-art treatments and health care knowledge about gender diverse persons, this second edition of Principles of Transgender Medicine and Surgery presents the foremost international specialists offering their 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 for a full spectrum of clients, from childhood to advanced age. Key topics addressed include medical and surgical issues, mental health issues, fertility, the coming out process, and preventive care. This essential text is extensively referenced and illustrated, and instructs both novice and experienced practitioners on gender-affirming care.

Transgender Medicine, An Issue of Endocrinology and Metabolism Clinics of North America

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323681204
Total Pages : pages
Book Rating : 4.3/5 (236 download)

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Book Synopsis Transgender Medicine, An Issue of Endocrinology and Metabolism Clinics of North America by : Vin Tangpricha

Download or read book Transgender Medicine, An Issue of Endocrinology and Metabolism Clinics of North America written by Vin Tangpricha and published by Elsevier Health Sciences. This book was released on 2019-05-05 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue of Endocrinology and Metabolism Clinics, Guest Edited by Dr. Vin Tangpricha, will focus on Transgender Medicine. This issue is one of four issues selected per year by the series Consulting Editor, Adriana Ioachimescu. Topics include, but are not limited to, Epidemiology of Transgender, Etiology of Gender Expression and Identity, Hormone therapy in children and adolescents, Transfeminine Hormone Therapy, Transmasculine Hormone Therapy, Dermatologic Conditions in Transgender persons, Gender Affirming Surgery, Fertility Considerations in Transgender persons, Transgender Medicine in the Military, Transgender Medicine in the Elderly, Mental Health in Transgender Persons, Primary Care in Transgender Persons, Cancer Risk in Transgender Persons, Osteoporosis, HIV in Transgender Persons, and Education Needs of Providers of Transgender Populations.

Surgical Management of the Transgender Patient

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323484085
Total Pages : 250 pages
Book Rating : 4.3/5 (234 download)

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Book Synopsis Surgical Management of the Transgender Patient by : Loren S Schechter

Download or read book Surgical Management of the Transgender Patient written by Loren S Schechter and published by Elsevier Health Sciences. This book was released on 2016-09-22 with total page 250 pages. Available in PDF, EPUB and Kindle. Book excerpt: Comprehensive and current, the new Surgical Management of the Transgender Patient provides coverage of the preoperative, intraoperative, and postoperative care of transgender individuals. It takes a step-by-step approach to both transmale and transfemale procedures, and presents detailed descriptions of the techniques and procedures employed by today's surgeons. Featuring full-color illustrations and photos throughout, it's a must-have resource for individuals and programs with an interest in gender confirmation surgery. Takes a systematic approach to the surgical management of transgender individuals, describing preoperative, intraoperative, and postoperative care. Features atlas-style surgical chapters. Provides coverage of hot topics in surgery, including metoidioplasty, chest surgery, and phalloplasty. Full-color design with illustrations and photos enhances your visual understanding.

Trans Medicine

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Author :
Publisher : NYU Press
ISBN 13 : 1479842818
Total Pages : 235 pages
Book Rating : 4.4/5 (798 download)

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Book Synopsis Trans Medicine by : stef m. shuster

Download or read book Trans Medicine written by stef m. shuster and published by NYU Press. This book was released on 2021-06-15 with total page 235 pages. Available in PDF, EPUB and Kindle. Book excerpt: **Finalist, PROSE Award in Clinical Medicine** A rich examination of the history of trans medicine and current day practice Surfacing in the mid-twentieth century, yet shrouded in social stigma, transgender medicine is now a rapidly growing medical field. In Trans Medicine, stef shuster makes an important intervention in how we understand the development of this field and how it is being used to “treat” gender identity today. Drawing on interviews with medical providers as well as ethnographic and archival research, shuster examines how health professionals approach patients who seek gender-affirming care. From genital reconstructions to hormone injections, the practice of trans medicine charts new medical ground, compelling medical professionals to plan treatments without widescale clinical trials to back them up. Relying on cultural norms and gut instincts to inform their treatment plans, shuster shows how medical providers’ lack of clinical experience and scientific research undermines their ability to interact with patients, craft treatment plans, and make medical decisions. This situation defies how providers are trained to work with patients and creates uncertainty. As providers navigate the developing knowledge surrounding the medical care of trans folk, Trans Medicine offers a rare opportunity to understand how providers make decisions while facing challenges to their expertise and, in the process, have acquired authority not only over clinical outcomes, but over gender itself.

Comprehensive Care of the Transgender Patient

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Author :
Publisher : Elsevier
ISBN 13 : 9780323496421
Total Pages : 300 pages
Book Rating : 4.4/5 (964 download)

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Book Synopsis Comprehensive Care of the Transgender Patient by : Cecile A. Unger

Download or read book Comprehensive Care of the Transgender Patient written by Cecile A. Unger and published by Elsevier. This book was released on 2019-02 with total page 300 pages. Available in PDF, EPUB and Kindle. Book excerpt: From a renowned specialist at the Cleveland Clinic and medical and surgical experts in this growing field comes an up-to-date, multidisciplinary resource on transgender health care and surgery. Comprehensive Care of the Transgender Patient, by Dr. Cecile Unger, covers all aspects of transgender health care, beginning with epidemiology and history and progressing to an in-depth review of the complex transition for patients, including mental health services, endocrine and hormone therapy treatment, and surgical options. Incorporates all of the latest guidelines for providers and patients, written by experts from a wide variety of disciplines involved in transgender patient care. Contains outstanding surgical chapters contributed by prominent surgeons who regularly perform these procedures, providing clear guidance on male-to-female and female-to-male surgical options. Features high-quality, full-color illustrations throughout. Covers key topics in every area of transgender health care, including Mental Health Care for the Adult and for the Child and Adolescent Transgender Patient; Hormone Treatment for the Adult and Adolescent Transgender Patient; Facial Surgery for Transgender Patients; Breast and Genital Surgeries for Transgender Patients; and Primary, Preventive, and Gynecologic Care. Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, Q&As, and references from the book on a variety of devices.

Reproduction in Transgender and Nonbinary Individuals

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Author :
Publisher : Springer Nature
ISBN 13 : 3031149335
Total Pages : 209 pages
Book Rating : 4.0/5 (311 download)

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Book Synopsis Reproduction in Transgender and Nonbinary Individuals by : Molly B. Moravek

Download or read book Reproduction in Transgender and Nonbinary Individuals written by Molly B. Moravek and published by Springer Nature. This book was released on 2023-02-01 with total page 209 pages. Available in PDF, EPUB and Kindle. Book excerpt: There are approximately 1.4 million trans-identified individuals in the US alone, many of whom will undergo gender-affirming medical or surgical interventions to better align their appearance with their gender identity. Multiple major medical societies recommend fertility preservation counseling prior to starting any gender-affirming therapies, but data are limited on the reproductive effects of common gender-affirming hormone regimens. The burden of fertility counseling falls to the hormone providers and surgeons that are encountering these patients, many of whom will not have had adequate training or resources to provide evidence-based recommendations and options. Additionally, many reproductive health care providers are not trained in how to care for gender minorities. The purpose of this book is to be a reference for clinicians and researchers in the field of transgender medicine, to provide up-to-date data and resources to properly counsel transgender and nonbinary patients about the reproductive consequences of gender-affirming interventions and their options for family-building, and to educate providers about appropriate and culturally competent reproductive health care. Effects of masculinizing and feminizing hormone therapy, as well as the fertility preservation options available, are discussed in detail for both adults and youth. In addition to these medical considerations, both psychosocial, legal and ethical considerations are highlighted for a more well-rounded presentation. A final chapter describes how to create a welcome and accepting clinical environment. Such a reference does not currently exist, leading to the propagation of misinformation and encouraging patients to seek nonmedical sources, such as social media, for their information. Reproduction in Transgender and Nonbinary Individuals fills in this gap as a timely text for reproductive endocrinologists, surgeons and all clinical staff working with this population.