IDEA Group Consensus Statement on Medical Management of Adult Gender Incongruent Individuals Seeking Gender Affirmation as Male

January 2023 in “ Indian Journal of Endocrinology and Metabolism ”

Anirban Majumder, Sudip Chatterjee, Debasis Maji, Sujoy Ghosh, Chitra Selvan, Belinda George, Pramila Kalra, Shruti Chandrasekaran, G Menaka Priya, Suja Sukumar, Debmalya Sanyal, Soumyabrata RoyChaudhuri

TLDR The statement offers guidance for hormone therapy and surgery to help gender-incongruent adults affirm a male identity.

The IDEA Group Consensus Statement provided guidelines for the medical management of adult gender-incongruent individuals seeking gender affirmation as male, focusing on the Indian context. It emphasized a multidisciplinary approach involving mental health professionals and endocrinologists, using DSM-5 criteria for diagnosis, and conducting thorough baseline evaluations before initiating gender-affirming hormone therapy (GAHT). Testosterone was the primary hormone for masculinization, with various formulations available, and therapy required careful monitoring for risks such as cardiovascular changes and androgenic alopecia. The guidelines stressed informed consent, fertility preservation considerations, and the continuation of testosterone therapy post-operatively. The statement highlighted the need for improved education and training on transgender care in India and called for the inclusion of transgender healthcare in national conferences.

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