Reproductive Health in LGBTQ Populations

DeckerMed Obstetrics and Gynecology Pub Date : 2019-05-15 DOI:10.2310/obg.19015

M. Meservey, Y. Gomez-Carrion

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Abstract

The healthcare community and lay public have become more aware of transgender (TG) people in the past decade as celebrities have publicly transitioned and activists have pushed back against restrictive laws. Movies, television, nonfiction books, and novels increasingly represent the experience of people who are TG. News organizations and entertainment outlets have given attention to the lives, needs, and challenges of TG and gender-nonconforming individuals. Nonetheless, TG individuals are often fearful when seeking healthcare. Experiences of shame, judgment, and rejection with providers lead to anxiety in future encounters. The number of clinical providers who feel prepared to offer care for TG individuals is limited. Many TG individuals have been denied basic primary and preventive healthcare as a result of their TG status. Understanding the concepts of TG and gender nonconformance expands the skill set of the healthcare professional for providing culturally competent care to all patients and their family members. This review contains 26 figures, and 59 references. Key Words: cis-sexual, gender binary, gender confirmation surgery, gender dysphoria, gender nonconforming, intersex, LGBTQ, queer, transgender, WPATH

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LGBTQ人群的生殖健康

在过去的十年里，随着名人公开变性，以及活动家反对限制性法律，医疗保健界和普通公众对变性人(TG)有了更多的认识。电影、电视、非小说类书籍和小说越来越多地代表TG人群的经历。新闻机构和娱乐媒体已经开始关注TG和性别不一致个体的生活、需求和挑战。尽管如此，TG患者在寻求医疗保健时往往会感到害怕。与提供者的羞耻、评判和拒绝的经历会导致未来遇到焦虑。愿意为TG患者提供治疗的临床医生数量有限。许多TG人由于其TG身份而得不到基本的初级和预防性保健。理解TG和性别不一致的概念可以扩展医疗保健专业人员的技能，为所有患者及其家庭成员提供符合文化的护理。本综述包含26幅图，59篇参考文献。关键词:顺性，性别二元，性别确认手术，性别不安，性别不符合，双性人，LGBTQ，酷儿，变性人，WPATH

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