对于性别确认手术的经手术期激素治疗模式
Ya-Ching Hung, Patrick E Assi1, Benjamin C Park2
1From the Department of Plastic Surgery, Vanderbilt University Medical Center, Nashville, TN.
Annals of plastic surgery
|February 6, 2024
概括
大多数进行性别确认手术 (GAS) 的外科医生继续进行外科手术期间的激素替代疗法 (HRT),实践中存在差异. 需要进行进一步的研究,以建立基于证据的指导方针,用于GAS中HRT管理.
科学领域:
- 内分泌学 在内分泌学.
- 手术瘤学手术瘤学
- 跨性别者健康 跨性别者健康
背景情况:
- 对性别确认手术 (GAS) 的外科手术期激素替代疗法 (HRT) 缺乏明确的共识.
- 担忧包括深静脉血栓塞 (DVT) 和血液瘤风险与HRT的延续,与情绪障碍与停止治疗.
- 目前在GAS中进行外科手术期间的HRT的做法在全球范围内没有得到充分的记录.
研究的目的:
- 调查在性别确认手术 (GAS) 之前进行外科手术期间的荷尔蒙替代疗法 (HRT) 管理的全球模式.
主要方法:
- 通过世界跨性别健康专业协会,向全球150名执行GAS的外科医生分发了一份27项调查.
- 调查的主题包括激素类型,持续时间和深静脉血栓 (DVT) 预防方案.
- 在最初的调查阶段,采用了德尔菲技术.
主要成果:
- 实现了34%的响应率 (n=51),其中大多数受访者位于美国 (76%).
- 大多数外科医生在外科手术期间继续进行HRT,并在GAS后一周内提供DVT预防.
- 激素替代疗法 (HRT) 是最常见的停止为女性化底部手术 (43%),停药时间表有显著的变化.
结论:
- 术后激素替代疗法 (HRT) 在性别确认手术 (GAS) 的实践中存在显著的变化.
- 制定数据驱动的共识指南对于优化对接受GAS的跨性别和非二进制患者的护理至关重要.
- 进一步的研究是必要的,以解决目前的空白在GAS的外科手术期间的HRT管理.
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