TLDR Transgender patients in critical care need better-trained medical staff and specific guidelines.
The document emphasizes the need for high-quality, inclusive care for transgender patients in critical care, highlighting the lack of specific training in medical curricula. It discusses key considerations such as anatomical changes from gender-affirming surgeries, hormone therapy management, and social factors like correct pronoun use and appropriate ward placement. The document also stresses the importance of understanding the effects of hormone therapies on cardiovascular risks and the need for vigilant monitoring of side effects. It calls for improved education and the development of national guidelines to better address the unique needs of transgender patients.
146 citations,
December 2016 in “Translational Andrology and Urology” Hormone therapy is essential for transgender individuals but requires careful management due to possible metabolic effects.
855 citations,
June 2009 in “The Journal of Clinical Endocrinology & Metabolism” The guideline recommends mental health involvement in diagnosing gender identity disorder and outlines hormone and surgical treatment protocols, emphasizing safety, informed consent, and long-term monitoring.
17 citations,
June 2018 in “Sexual Medicine Reviews” The document concludes that non-operative treatment for gender dysphoria is safe and effective, and hormone therapy does not increase cancer risk.
5 citations,
September 2021 in “Southern African Journal of Hiv Medicine” The guideline provides healthcare professionals in South Africa with instructions for comprehensive, multidisciplinary gender-affirming care, including HIV prevention and treatment for transgender and gender diverse individuals.
September 2023 in “Fides et Ratio” The safety and effectiveness of gender-affirming treatments for children are uncertain, with potential long-term risks like infertility.
17 citations,
December 2020 in “Journal of Genetic Counseling” Genetic counselors should be culturally skilled and aware of transgender patients' unique health risks and needs.
October 2022 in “Springer eBooks” The document concludes that personalized hormonal treatments are important for transgender individuals and more research is needed for non-binary treatments.
