Folaron Irene, Lovasz Monica
Department of Endocrinology, San Antonio Military Medical Center, MCH-ZDM-E, 3551 Roger Brooke Drive, JBSA Fort Sam Houston, TX 78234.
559 MDG/SGH, 1760 Nellis Street, Building 5200, Joint Base San Antonio-Lackland, TX 78236.
Mil Med. 2016 Oct;181(10):1182-1186. doi: 10.7205/MILMED-D-15-00559.
Retention standards and policies applied to active duty members in the U.S. military who identify as transgender have recently been in evolution. The Secretary of Defense recently released a new directive allowing transgender members to serve openly with the option to transition gender while in active duty, abrogating the old policy disqualifying transgender members from continued service. There is a reasonable expectation that some may pursue medical and surgical options toward gender transition. The clinical pathway for gender transition relies heavily on Mental Health and Endocrinology services. This article highlights the medical aspects of gender transition and how they can affect readiness and the delivery of military health care.
适用于美国军队中自我认定为跨性别者的现役军人的留用标准和政策最近一直在演变。国防部长最近发布了一项新指令，允许跨性别军人公开服役，并可选择在现役期间转变性别，废除了旧政策中取消跨性别军人继续服役资格的规定。可以合理预期，有些人可能会寻求医疗和手术方式来进行性别转变。性别转变的临床路径严重依赖心理健康和内分泌科服务。本文重点介绍性别转变的医学方面及其如何影响军人的战备状态和军事医疗保健的提供。
