Approach to the Patient: Navigating Body Mass Index Requirements for Gender-Affirming Surgery.

IF 5 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Journal of Clinical Endocrinology & Metabolism Pub Date : 2024-08-13 DOI:10.1210/clinem/dgae193
John Michael Taormina, Michelle Cordoba Kissee, Lisa M Brownstone, Frances Grimstad, Shane D Morrison, Avery Hendrixson, Sean J Iwamoto
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Abstract

Body mass index (BMI) requirements for gender-affirming surgeries (GAS) present an obstacle to gender transition for many transgender and gender diverse (TGD) people. Furthermore, TGD people have unique barriers and preferences in managing their weight that must be considered. TGD patients frequently present to their endocrinologists for individualized, gender-affirming support to meet BMI cutoffs for GAS. This Approach to the Patient article combines expertise from several disciplines, including gender-affirming hormone management, weight management, mental health, gynecology, and plastic surgery. Multidisciplinary management considerations are offered for clinicians to assist TGD patients with obesity navigate BMI requirements to access GAS.

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帮助患者了解性别确认手术对身体质量指数的要求。
性别确认手术(GAS)对身体质量指数(BMI)的要求阻碍了许多变性者和性别多元化者(TGD)的性别转换。此外,变性人在控制体重方面有其独特的障碍和偏好,这一点必须予以考虑。TGD 患者经常向他们的内分泌科医生寻求个性化的性别支持,以达到 GAS 的 BMI 临界值。这篇文章结合了多个学科的专业知识,包括性别确认激素管理、体重管理、心理健康、妇科和整形外科。文章为临床医生提供了多学科管理方面的注意事项,以帮助患有肥胖症的 TGD 患者达到 BMI 要求,从而获得 GAS。
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来源期刊
Journal of Clinical Endocrinology & Metabolism
Journal of Clinical Endocrinology & Metabolism 医学-内分泌学与代谢
CiteScore
11.40
自引率
5.20%
发文量
673
审稿时长
1 months
期刊介绍: The Journal of Clinical Endocrinology & Metabolism is the world"s leading peer-reviewed journal for endocrine clinical research and cutting edge clinical practice reviews. Each issue provides the latest in-depth coverage of new developments enhancing our understanding, diagnosis and treatment of endocrine and metabolic disorders. Regular features of special interest to endocrine consultants include clinical trials, clinical reviews, clinical practice guidelines, case seminars, and controversies in clinical endocrinology, as well as original reports of the most important advances in patient-oriented endocrine and metabolic research. According to the latest Thomson Reuters Journal Citation Report, JCE&M articles were cited 64,185 times in 2008.
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