对患者的方法:在有复杂病史的跨性别成年人中进行激素治疗
Sean J Iwamoto1,2,3, Micol S Rothman1,3, Guy T'Sjoen4
1Division of Endocrinology, Metabolism and Diabetes, Department of Medicine, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, CO 80045, USA.
The Journal of clinical endocrinology and metabolism
|September 8, 2023
概括
管理性别肯定激素治疗 (GAHT) 的内分泌学家必须考虑复杂的患者病史. 这篇文章详细介绍了在接受GAHT的成年人中管理血栓栓塞性疾病和低骨密度的方法.
科学领域:
- 内分泌学 在内分泌学.
- 肯定性别的护理.
- 激素治疗是一种激素治疗.
背景情况:
- 性别确认激素治疗 (GAHT) 越来越多地由内分泌学家为跨性别和性别多样性 (TGD) 个人发起.
- TGD患者往往具有复杂的病史,需要在GAHT管理过程中仔细考虑.
- 患者和提供者之间的共同决策对于安全有效的GAHT至关重要.
研究的目的:
- 概述TGD成年人的管理策略,这些成年人患有经历GAHT的特定复杂疾病.
- 为内分泌学家提供指导,在GAHT期间遇到患有血栓栓塞性疾病或低骨矿物质密度的患者.
主要方法:
- 这篇文章介绍了一种对患者的方法,重点关注临床考虑.
- 讨论了2名患有血栓塞栓性疾病的成年人和2名患有低骨矿物质密度的成年人的案例.
- 研究了对女性化和男性化GAHT的管理考虑.
主要成果:
- 这项研究强调了基于患者伴随性疾病的个性化GAHT管理的重要性.
- 介绍了在GAHT的背景下管理血栓塞栓性疾病的具体挑战和建议.
- 讨论了在接受GAHT的TGD患者中解决低骨矿物质密度的策略.
结论:
- 内分泌学家必须将患者特定的病史纳入GAHT决策中.
- 对于患有血栓栓塞性疾病或在GAHT上骨密度低的TGD患者,仔细监测和管理是必不可少的.
- 个性化方法确保了性别肯定激素治疗的安全性和有效性.
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