Mirjam Saarinen, Kaisu Ojala, M. Kolehmainen, Sinikka Suominen
{"title":"Quality of Chest Masculinization in Trans Men: A Retrospective Study Evaluating Surgical Technique, Complications, Secondary Corrections, and Trends","authors":"Mirjam Saarinen, Kaisu Ojala, M. Kolehmainen, Sinikka Suominen","doi":"10.1089/trgh.2023.0034","DOIUrl":"https://doi.org/10.1089/trgh.2023.0034","url":null,"abstract":"","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":"29 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139231045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Frances W. Grimstad, Steven J. Staffa, til kus, Elizabeth R. Boskey
{"title":"Gender-Affirming Hysterectomy and Oophorectomy Counseling Practices for Transmasculine Adolescents","authors":"Frances W. Grimstad, Steven J. Staffa, til kus, Elizabeth R. Boskey","doi":"10.1089/trgh.2022.0090","DOIUrl":"https://doi.org/10.1089/trgh.2022.0090","url":null,"abstract":"","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":"7 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139258419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Théo Duflot, N. Morel-Journel, Lucie Jurek, Xavier Plainard, Gauthier Delporte, D. Carnicelli, François Marcelli, P. Neuville
{"title":"Function, Satisfaction, and Sexual Activity of Trans Women After Vulvovaginoplasty: Results of a Multicenter Study","authors":"Théo Duflot, N. Morel-Journel, Lucie Jurek, Xavier Plainard, Gauthier Delporte, D. Carnicelli, François Marcelli, P. Neuville","doi":"10.1089/trgh.2023.0047","DOIUrl":"https://doi.org/10.1089/trgh.2023.0047","url":null,"abstract":"","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":"36 10","pages":""},"PeriodicalIF":2.0,"publicationDate":"2023-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139266487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mental Health Status and Its Psychosocial Correlates Among Help-Seeking Transgender Individuals: Experiences from a Clinic in South India","authors":"S. Srinivasan, Sruti Chandrasekaran","doi":"10.1089/trgh.2022.0150","DOIUrl":"https://doi.org/10.1089/trgh.2022.0150","url":null,"abstract":"","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":"4 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139274207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Anderson, Angela D. Alston, Barbara J. Warren, Ethan Morgan, Jeff A. Bridge, Jodi L. Ford
{"title":"Minority Stress Across Proximal Contexts and Suicide in Transgender Young Adults: A Critical Scoping Review","authors":"A. Anderson, Angela D. Alston, Barbara J. Warren, Ethan Morgan, Jeff A. Bridge, Jodi L. Ford","doi":"10.1089/trgh.2022.0188","DOIUrl":"https://doi.org/10.1089/trgh.2022.0188","url":null,"abstract":"","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":"48 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139274458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jada M. English, Rebecca Butcher, Linda M. Kinney, Lee K. Brown, Oakland C. Walters, Gaines Blasdel, John H. Turco, Rachel A. Moses
Purpose: The purpose of this study was to compare the Gender Congruence and Life Satisfaction (GCLS) Scale scores between transgender men and nonbinary individuals assigned female at birth who have had metoidioplasty and phalloplasty gender-affirming surgery (MaPGAS) versus those who have not. Methods: We conducted a national cross-sectional survey of individuals considering or post-MaPGAS recruited through social media and a community health center. Data collected included demographics, medical health history, and GCLS scale scores. GCLS scale items evaluate gender congruence across psychological, physical, quality of life, genital, chest, and social domains on a 1–5 Likert scale, with higher values indicating greater gender congruence. The mean GCLS total and subscale scores were compared between groups, and open-ended comments related to gender, mental well-being, and life satisfaction were thematically analyzed. Results: A total of 326 participants, mean age 29.9 years (standard deviation 8.8), identifying primarily as transgender male (n=208, 64%) and White (n=273, 74%) completed the survey. Respondents post-phalloplasty scored the highest on the GCLS scale overall, with a mean score of 3.97/5.00 (p<0.001), and had the highest ratings in three subdomains: genitalia at 3.32 (p<0.001), life satisfaction at 3.81 (p<0.004), and psychological functioning at 4.22 (p=0.002). Respondents who had not undergone MaPGAS had the lowest ratings of gender congruence on the genitalia subscale (mean score=2.82). The open-ended comments frequently cited the COVID-19 pandemic as an exacerbating issue with gender congruence. Conclusion: In this cohort of individuals considering MaPGAS, individuals post-MaPGAS demonstrated higher GCLS scale scores. Individuals post-phalloplasty reported the highest overall GCLS score and majority subscale scores.
{"title":"Metoidioplasty and Phalloplasty Gender-Affirming Surgery and Association with Gender Congruence and Life Satisfaction: A Cross-Sectional Study","authors":"Jada M. English, Rebecca Butcher, Linda M. Kinney, Lee K. Brown, Oakland C. Walters, Gaines Blasdel, John H. Turco, Rachel A. Moses","doi":"10.1089/trgh.2023.0060","DOIUrl":"https://doi.org/10.1089/trgh.2023.0060","url":null,"abstract":"Purpose: The purpose of this study was to compare the Gender Congruence and Life Satisfaction (GCLS) Scale scores between transgender men and nonbinary individuals assigned female at birth who have had metoidioplasty and phalloplasty gender-affirming surgery (MaPGAS) versus those who have not. Methods: We conducted a national cross-sectional survey of individuals considering or post-MaPGAS recruited through social media and a community health center. Data collected included demographics, medical health history, and GCLS scale scores. GCLS scale items evaluate gender congruence across psychological, physical, quality of life, genital, chest, and social domains on a 1–5 Likert scale, with higher values indicating greater gender congruence. The mean GCLS total and subscale scores were compared between groups, and open-ended comments related to gender, mental well-being, and life satisfaction were thematically analyzed. Results: A total of 326 participants, mean age 29.9 years (standard deviation 8.8), identifying primarily as transgender male (n=208, 64%) and White (n=273, 74%) completed the survey. Respondents post-phalloplasty scored the highest on the GCLS scale overall, with a mean score of 3.97/5.00 (p<0.001), and had the highest ratings in three subdomains: genitalia at 3.32 (p<0.001), life satisfaction at 3.81 (p<0.004), and psychological functioning at 4.22 (p=0.002). Respondents who had not undergone MaPGAS had the lowest ratings of gender congruence on the genitalia subscale (mean score=2.82). The open-ended comments frequently cited the COVID-19 pandemic as an exacerbating issue with gender congruence. Conclusion: In this cohort of individuals considering MaPGAS, individuals post-MaPGAS demonstrated higher GCLS scale scores. Individuals post-phalloplasty reported the highest overall GCLS score and majority subscale scores.","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":"32 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135093122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Purpose: Transgender medicine has become rapidly recognized and evolving in health care system. The consequences of hormone therapy are among the most concerned health issues in transgender population. This study aims to compare bone turnover markers before and after testosterone administration in hormone-naive transgender men. Methods: This prospective study included 20 hormone-naive transgender men. Comparisons of serum C-terminal cross-linking telopeptide of type I collagen (CTX) at baseline with 12 weeks and 24 weeks were analyzed using Wilcoxon signed-rank test. Serum procollagen type I N-propeptide (P1NP) and osteocalcin levels at 24 weeks compared to baseline were also assessed. Pearson's correlation coefficient analysis was used to compare the correlation between serum bone turnover markers and sex hormone levels. Results: At 12 weeks after testosterone administration, significant higher serum CTX level compared to baseline (p-value 0.035) was demonstrated. At 24 weeks after testosterone administration, there were significant differences in serum CTX, P1NP, and osteocalcin levels compared to baseline (p-value 0.019, <0.001, and 0.003, respectively). Serum CTX, P1NP, and osteocalcin levels significantly increased 28.30%, 44.26%, and 21.89%, respectively, at 24 weeks after testosterone treatment. There was a moderate negative correlation between serum CTX and estradiol level. Conclusion: Testosterone administration in transgender men significantly increased the levels of bone turnover markers. Further, well-controlled studies of bone health in transgender men are required to prove and assess the other aspects of bone status over a long-term follow-up period. Thai Clinical Trial Registry identification number TCTR20220817002.
{"title":"The Effects of Testosterone on Bone Turnover Markers Among Hormone-Naive Transgender Men","authors":"Suchanant Chavaengkiat, Ammarin Suwan, Krasean Panyakhamlerd, Lalita Wattanachanya, Thanapob Bumphenkiatikul","doi":"10.1089/trgh.2023.0056","DOIUrl":"https://doi.org/10.1089/trgh.2023.0056","url":null,"abstract":"Purpose: Transgender medicine has become rapidly recognized and evolving in health care system. The consequences of hormone therapy are among the most concerned health issues in transgender population. This study aims to compare bone turnover markers before and after testosterone administration in hormone-naive transgender men. Methods: This prospective study included 20 hormone-naive transgender men. Comparisons of serum C-terminal cross-linking telopeptide of type I collagen (CTX) at baseline with 12 weeks and 24 weeks were analyzed using Wilcoxon signed-rank test. Serum procollagen type I N-propeptide (P1NP) and osteocalcin levels at 24 weeks compared to baseline were also assessed. Pearson's correlation coefficient analysis was used to compare the correlation between serum bone turnover markers and sex hormone levels. Results: At 12 weeks after testosterone administration, significant higher serum CTX level compared to baseline (p-value 0.035) was demonstrated. At 24 weeks after testosterone administration, there were significant differences in serum CTX, P1NP, and osteocalcin levels compared to baseline (p-value 0.019, <0.001, and 0.003, respectively). Serum CTX, P1NP, and osteocalcin levels significantly increased 28.30%, 44.26%, and 21.89%, respectively, at 24 weeks after testosterone treatment. There was a moderate negative correlation between serum CTX and estradiol level. Conclusion: Testosterone administration in transgender men significantly increased the levels of bone turnover markers. Further, well-controlled studies of bone health in transgender men are required to prove and assess the other aspects of bone status over a long-term follow-up period. Thai Clinical Trial Registry identification number TCTR20220817002.","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":"352 18","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135393267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Esther Calvete, Aitor Jiménez-Granado, Maite Larrucea-Iruretagoyena, Sara Rodriguez-Gonzalez, Liria Fernández-González
Purpose: The purpose of this study was to explore the association of self-compassion with nonsuicidal self-injury (NSSI) behavior in transgender and non-binary adolescents and young adults. Secondary aims were to examine (1) whether self-compassion buffered the association between victimization experiences and NSSI and (2) whether anxiety and depression symptoms explained the association between self-compassion and NSSI. Method: The participants were 236 Spanish-speaking transgender and non-binary adolescents and young adults (mean age=20.86, standard deviation [SD]=2.92), who were assessed through an online questionnaire consisting of several self-report measures. Path analysis was used to test the moderation hypothesis and the indirect associations between variables. Results: Victimization was associated with anxiety and depression symptoms and NSSI, whereas self-compassion was negatively associated with them. Self-compassion buffered the association between victimization and NSSI such that victimization was significantly associated with a higher frequency of NSSI only in participants with low levels of self-compassion. Anxiety and depression explained part of the association between self-compassion and NSSI. Conclusion: These results are important for future interventions aimed at reducing the negative consequences of victimization in transgender and non-binary people, focusing on developing their self-compassion.
{"title":"Nonsuicidal Self-Injury in Transgender and Non-Binary Adolescents and Young Adults: The Protective Role of Self-Compassion","authors":"Esther Calvete, Aitor Jiménez-Granado, Maite Larrucea-Iruretagoyena, Sara Rodriguez-Gonzalez, Liria Fernández-González","doi":"10.1089/trgh.2023.0070","DOIUrl":"https://doi.org/10.1089/trgh.2023.0070","url":null,"abstract":"Purpose: The purpose of this study was to explore the association of self-compassion with nonsuicidal self-injury (NSSI) behavior in transgender and non-binary adolescents and young adults. Secondary aims were to examine (1) whether self-compassion buffered the association between victimization experiences and NSSI and (2) whether anxiety and depression symptoms explained the association between self-compassion and NSSI. Method: The participants were 236 Spanish-speaking transgender and non-binary adolescents and young adults (mean age=20.86, standard deviation [SD]=2.92), who were assessed through an online questionnaire consisting of several self-report measures. Path analysis was used to test the moderation hypothesis and the indirect associations between variables. Results: Victimization was associated with anxiety and depression symptoms and NSSI, whereas self-compassion was negatively associated with them. Self-compassion buffered the association between victimization and NSSI such that victimization was significantly associated with a higher frequency of NSSI only in participants with low levels of self-compassion. Anxiety and depression explained part of the association between self-compassion and NSSI. Conclusion: These results are important for future interventions aimed at reducing the negative consequences of victimization in transgender and non-binary people, focusing on developing their self-compassion.","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":"358 9","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135391904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Purpose: This online study examined minority stress and general psychological processes as determinants of physical health in transgender and nonbinary adults. Methods: A sample of 266 transgender and nonbinary participants completed self-report measures of depression, physical health, and minority stressors. Results: Indirect association between distal stress and physical health through proximal stress and depression was statistically significant. Individuals who experienced greater distal stress reported greater proximal stress, which was associated with greater depression symptoms, which was associated with worse physical health. Conclusion: Findings suggest that both group-specific stress responses and general psychological processes are germane to understanding physical health disparities.
{"title":"Physical Health in Transgender and Nonbinary Adults: The Roles of Minority Stress and General Psychological Processes","authors":"Laura C. Wilson","doi":"10.1089/trgh.2023.0079","DOIUrl":"https://doi.org/10.1089/trgh.2023.0079","url":null,"abstract":"Purpose: This online study examined minority stress and general psychological processes as determinants of physical health in transgender and nonbinary adults. Methods: A sample of 266 transgender and nonbinary participants completed self-report measures of depression, physical health, and minority stressors. Results: Indirect association between distal stress and physical health through proximal stress and depression was statistically significant. Individuals who experienced greater distal stress reported greater proximal stress, which was associated with greater depression symptoms, which was associated with worse physical health. Conclusion: Findings suggest that both group-specific stress responses and general psychological processes are germane to understanding physical health disparities.","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135933405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abby Walch, Janet Y. Lee, Jenise C. Wong, Madeline Deutsch, Diane Ehrensaft, Megumi Okumura, Stephen M. Rosenthal
Purpose: The purpose of this study was to determine whether clinician comfort differs in the provision of gender-affirming medical care to transgender and gender diverse (TGD) youth with binary versus nonbinary gender identities. Methods: A cross-sectional survey was distributed to three international health professional electronic mailing lists. Comfort providing gonadotropin-releasing hormone agonist (GnRHa) and gender-affirming hormone therapy (GAHT) to nonbinary and binary TGD youth was assessed using 5-point Likert scales and analyzed with Wilcoxon signed-rank tests. Logistic regression modeling comfort providing GnRHa and GAHT to nonbinary compared to binary TGD youth was performed to identify relevant predictors. Results: Fifty-five respondents completed the survey. Respondents reported more comfort providing both GnRHa therapy and GAHT to binary compared to nonbinary TGD youth. In univariate analyses, being in a pediatric endocrinology specialty and work within a multidisciplinary clinic setting were associated with less comfort providing GAHT to nonbinary compared to binary TGD youth. Non-straight/non-heterosexual sexual orientation, being in a general pediatrics specialty, and higher estimated percentage of nonbinary TGD youth cared for in clinical practice were associated with more comfort. Only nonstraight/nonheterosexual sexual orientation maintained significance after adjusting for potential confounders in multivariate analyses. Conclusions: Clinicians are less comfortable providing gender-affirming medical care to nonbinary versus binary TGD youth. Efforts to decrease barriers and to inform development of clinical practice guidelines inclusive of nonbinary TGD youth are needed.
{"title":"Clinicians Report Less Comfort in Provision of Medical Care to Nonbinary Transgender Youth","authors":"Abby Walch, Janet Y. Lee, Jenise C. Wong, Madeline Deutsch, Diane Ehrensaft, Megumi Okumura, Stephen M. Rosenthal","doi":"10.1089/trgh.2023.0029","DOIUrl":"https://doi.org/10.1089/trgh.2023.0029","url":null,"abstract":"Purpose: The purpose of this study was to determine whether clinician comfort differs in the provision of gender-affirming medical care to transgender and gender diverse (TGD) youth with binary versus nonbinary gender identities. Methods: A cross-sectional survey was distributed to three international health professional electronic mailing lists. Comfort providing gonadotropin-releasing hormone agonist (GnRHa) and gender-affirming hormone therapy (GAHT) to nonbinary and binary TGD youth was assessed using 5-point Likert scales and analyzed with Wilcoxon signed-rank tests. Logistic regression modeling comfort providing GnRHa and GAHT to nonbinary compared to binary TGD youth was performed to identify relevant predictors. Results: Fifty-five respondents completed the survey. Respondents reported more comfort providing both GnRHa therapy and GAHT to binary compared to nonbinary TGD youth. In univariate analyses, being in a pediatric endocrinology specialty and work within a multidisciplinary clinic setting were associated with less comfort providing GAHT to nonbinary compared to binary TGD youth. Non-straight/non-heterosexual sexual orientation, being in a general pediatrics specialty, and higher estimated percentage of nonbinary TGD youth cared for in clinical practice were associated with more comfort. Only nonstraight/nonheterosexual sexual orientation maintained significance after adjusting for potential confounders in multivariate analyses. Conclusions: Clinicians are less comfortable providing gender-affirming medical care to nonbinary versus binary TGD youth. Efforts to decrease barriers and to inform development of clinical practice guidelines inclusive of nonbinary TGD youth are needed.","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":"113 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136022708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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