Frances Grimstad MD, MS , Gylynthia Trotman MD, MPH , Chance Krempasky FNP-BC, WHNP-BC , Uri Belkind MD , Jason Jarin MD , Stephanie Cizek MD , NASPAG Education Committee
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引用次数: 0
摘要
变性和性别非二元性（TGNB）青少年和年轻成人（AYA）可能会向临床医生求助，他们需要生殖健康方面的专业知识，以获得妇科、性和生殖方面的护理。因此，临床医生应了解性别确认护理的方方面面。本临床意见回顾了与性别多样性和性别肯定护理相关的语言；TGNB AYA 目前所面临的临床、社会和政治障碍；以及为 TGNB AYA 创造欢迎和包容的临床空间。它讨论了社会、医疗和手术平权过程，并重点关注在护理 TGNB AYA（包括接受医疗或手术治疗的 TGNB AYA）过程中可能出现的妇科护理主题。这包括月经抑制、睾丸激素突破性出血、性健康、生育以及性别平权外阴阴道成形术后的盆腔护理。
NASPAG Clinical Opinion: The Care of Transgender and Gender Nonbinary Adolescents and Young Adults
Transgender and gender nonbinary (TGNB) adolescents and young adults (AYA) may present to clinicians with reproductive health expertise for the spectrum of gynecologic, sexual, and reproductive care. As such, clinicians should be knowledgeable in the many facets of gender-affirming care. This clinical opinion reviews language associated with gender diversity and gender-affirming care; current clinical, social, and political barriers faced by TGNB AYA; and the creation of welcoming and inclusive clinical spaces for TGNB AYA. It discusses social, medical, and surgical affirmation processes, and focuses on gynecologic care topics which may arise in the care of TGNB AYA, including those who undergo medical or surgical therapies. This includes menstrual suppression, breakthrough bleeding on testosterone, sexual health, fertility, and the pelvic care of individuals following gender affirming vulvovaginoplasty.
期刊介绍：
Journal of Pediatric and Adolescent Gynecology includes all aspects of clinical and basic science research in pediatric and adolescent gynecology. The Journal draws on expertise from a variety of disciplines including pediatrics, obstetrics and gynecology, reproduction and gynecology, reproductive and pediatric endocrinology, genetics, and molecular biology.
The Journal of Pediatric and Adolescent Gynecology features original studies, review articles, book and literature reviews, letters to the editor, and communications in brief. It is an essential resource for the libraries of OB/GYN specialists, as well as pediatricians and primary care physicians.
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