Transgender medical care involves addressing general medical conditions and those related specifically to transgender issues. This article summarizes existing research in transgender medicine and provides guidance for family physicians and nurses in adapting standard primary care protocols relating to health maintenance, acute illness, and chronic disease management to address trans-specific clinical concerns. Trans-specific issues in physical examination, health history, interpretation of laboratory tests, vaccination, screening, and treatment are explored, and the role of the primary care provider in caring for patients undergoing hormonal or surgical change is discussed. doi:10.1300/J485v09n03_02
Bibliographical noteFunding Information:
This article was adapted from a manuscript created for the Trans Care Project, a joint initiative of Transcend Transgender Support & Education Society and Vancouver Coastal Health’s Transgender Health Program, with funding from the Canadian Rainbow Health Coalition. The authors thank Trevor Corneil, Stacy Elliott, Jael Emberley, Eva Hersh, Lori Kohler, Todd Sakakibara, Lukas Walther, and Kathy Wrath for their comments on an earlier draft, and Donna Lindenberg, Olivia Ashbee, A. J. Simpson, and Rodney Hunt for research assistance.
Copyright 2008 Elsevier B.V., All rights reserved.
- Primary care
- Primary medical care
- Sex reassignment