Vardi Yoram, Wylie Kevan R, Moser Charles, Assalian Pierre, Dean John, Asscheman Henk
Department of Neuro-Urology, Rambam Medical Center, Haifa, Israel.
J Sex Med. 2008 Jan;5(1):21-6. doi: 10.1111/j.1743-6109.2007.00681.x.
A genital examination can have psychologic effects on a patient, particularly when the source of their sexual medicine complaint is a body part. How necessary is a physical exam before prescribing hormones in cases of gender dsyphoria?
Five people with expertise and/or interest in the area of gender dysphoria and endocrinology were asked to contribute their opinions.
To provide food for thought, discussion, and possible further research in a poorly discussed area of sexual medicine.
Of the five experts writing on the topic, one believes that a physical examination should always be performed before prescribing hormones for gender dysphoria, one believes it is not a prerequisite, and three believe a physical examination is recommended, but is not necessary in cases where the patient objects despite an explanation of the purpose of the exam. As long as this was documented, it would not present a medicolegal problem.
It is not clear whether or not a physical examination must be performed on all gender dsyphoric patients before prescribing hormones; however, an examination would be helpful in revealing a significant health management issue.
生殖器检查可能会对患者产生心理影响，尤其是当他们性医学问题的根源在于身体某个部位时。在性别焦虑症患者中，开激素药之前进行体格检查有多必要？
邀请了五位在性别焦虑症和内分泌学领域有专业知识和/或兴趣的人发表意见。
为性医学中一个讨论较少的领域提供思考、讨论及可能进一步研究的素材。
在撰写该主题的五位专家中，一位认为在为性别焦虑症患者开激素药之前应始终进行体格检查，一位认为这不是先决条件，三位认为建议进行体格检查，但如果患者在被告知检查目的后仍拒绝，那么检查并非必要。只要有记录，就不会出现法医学问题。
在为所有性别焦虑症患者开激素药之前是否必须进行体格检查尚不清楚；然而，检查有助于发现重大的健康管理问题。
