满足性别确认手术使用抗肥胖药物的身体质量指数要求
John Michael Taormina1, Adam H Gilden2, Sean J Iwamoto1,3
1Division of Endocrinology, Metabolism and Diabetes, Department of Medicine, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
JCEM case reports
|June 30, 2023
概括
许多跨性别和性别多样性患者需要体重管理才能获得性别确认手术 (GAS) 的资格. 一个案例研究表明,塞马格卢提德有效降低了BMI,使得GAS符合条件.
科学领域:
- 医学科学 医学科学 医学科学
- 内分泌学 在内分泌学.
- 肯定性别的护理
背景情况:
- 肥胖是跨性别和性别多样性 (TGD) 个体进行性别肯定手术 (GAS) 的常见障碍.
- 患TGD的患者面临着独特的挑战,包括性别少数群体的压力和生活方式的差异,导致体重增加.
- 性别确认激素治疗也可能影响体重.
研究的目的:
- 报告一个TGD患者成功控制体重的病例,该患者使用西马格卢提德来满足GAS标准.
- 突出需要对寻求GAS的TGD个体肯定体重管理干预措施的需要.
主要方法:
- 一名40岁的跨性别女性,BMI为39.6公斤/平方米,接受了生活方式咨询和西马格卢提德.
- 塞马格卢提德剂量每月升级一次.
- 体重和BMI在3个月内进行了监测.
主要成果:
- 患者实现了13.9%的体重减轻.
- 她的BMI在3个月内从39.6kg/m2下降到34.1kg/m2.
- 这种减少满足了双边乳房增大<35kg/m2的要求.
结论:
- 抗肥胖药物,如西马格卢提德可以有效地帮助TGD患者实现手术前的BMI目标.
- 迫切需要为适合GAS的TGD患者提供可访问,肯定的体重管理服务.
- 对TGD患者减肥干预措施以及减肥和药物对激素治疗的影响需要进一步研究.
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