对最小侵入性妇科外科医生进行性别肯定护理
Sarah Simko1, Otilia Popa, Mallory Stuparich
1University of California Riverside School of Medicine, Riverside, California, USA.
妇科医生对于跨性别和性别多样性 (TGD) 患者护理至关重要. 本次审查强调了TGD人口的增加,护理差距和外科手术的最佳实践,强调了对诸如子宫切除术等手术的共同决策.
科学领域:
- 生殖医学 生殖医学
- 内分泌学 在内分泌学.
- 手术创新 在外科创新.
背景情况:
- 越来越多的跨性别和性别多样性 (TGD) 个人寻求医疗护理.
- 世界跨性别健康专业协会 (WPATH) 的最新指南要求对当前做法进行审查.
- 在更广泛的医疗保健领域,更多地关注性别肯定护理.
研究的目的:
- 审查对跨性别和性别多样性 (TGD) 患者妇科护理的最新进展.
- 确定TGD医疗保健领域的知识差距和未来研究领域.
- 为妇科医生提供有关管理TGD患者的最佳实践的信息.
主要方法:
- 对最近的研究和指导方针进行全面的文献综述.
- 对性别肯定护理当前趋势的分析.
- 综合有关手术结果和患者经验的证据.
主要成果:
- 越来越多的TGD个体正在寻求性别肯定护理.
- 对于TGD患者的避孕需求和骨盆疼痛/出血的管理需要进一步关注.
- 性别确认手术的遗憾率很低,对性别障碍症有显著的益处;建议采用最少的侵入性方法.
结论:
- 妇科医生是TGD患者护理的重要组成部分.
- 关于预防癌症,激素对良性疾病的影响以及特定手术的长期结果,仍然存在重大知识差距.
- 在双边卵管切除术等手术中,共享决策至关重要.
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