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Gender Confirmation Surgery for the Endocrinologist.

Sasha K Narayan1, Tessalyn Morrison1, Daniel D Dugi2

  • 1School of Medicine, Oregon Health & Science University, 3181 Southwest Sam Jackson Park Road, Mail Code: L352A, Portland, OR 97239, USA.

Endocrinology and Metabolism Clinics of North America
|April 28, 2019
PubMed
Summary

Endocrinologists play a key role in gender-affirming care by managing hormone therapy and surgical options for transgender and nonbinary patients. This guide details surgical procedures and their hormonal impacts to aid patient education.

Keywords:
Gender confirmationMastectomyMetoidioplastyPhalloplastySex-reassignmentSurgeryTransgenderVaginoplasty

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Area of Science:

  • Endocrinology
  • Surgical Oncology
  • Gender Affirming Care

Background:

  • Endocrinologists manage hormone regimens for transgender and nonbinary patients.
  • Hormone therapy is integral to gender confirmation surgery.
  • Surgical options are diverse, encompassing facial, chest, and genital reconstruction.

Purpose of the Study:

  • To provide endocrinologists with an overview of surgical options for gender confirmation surgery.
  • To discuss the interplay between hormone therapy and surgical outcomes.
  • To aid endocrinologists in patient education regarding surgical decision-making.

Main Methods:

  • Review of current surgical techniques for feminizing and masculinizing procedures.
  • Analysis of the impact of pre- and post-operative hormone therapy on surgical results.
  • Synthesis of information to guide endocrinologists in patient counseling.

Main Results:

  • Comprehensive overview of facial, chest, and genital reconstructive surgeries.
  • Detailed discussion on hormonal management strategies before and after surgery.
  • Information on factors influencing surgical decision-making for transgender and nonbinary individuals.

Conclusions:

  • Endocrinologists are essential in guiding patients through gender confirmation surgery.
  • Understanding surgical options and hormonal impacts is crucial for effective patient care.
  • This article serves as a resource for endocrinologists to enhance patient education and support.