Gorton Ryan Nicholas, Erickson-Schroth Laura
Lyon-Martin Health Services, 1748 Market Street, #201, San Francisco, CA 94102, USA; Touro University California, 1310 Club Drive, Mare Island, Vallejo, CA 94592, USA.
Comprehensive Psychiatric Emergency Program, Mount Sinai Beth Israel, 10 Nathan D Perlman Place, New York, NY 10003, USA; Hetrick-Martin Institute, 2 Astor Place, New York, NY 10003, USA.
Psychiatr Clin North Am. 2017 Mar;40(1):79-97. doi: 10.1016/j.psc.2016.10.005. Epub 2016 Dec 12.
Untreated transgender men face serious negative health care outcomes. Effective medical, surgical, and mental health treatment ameliorates these risks. Although the research is not as robust as would be ideal, hormone treatment is effective and generally well tolerated with few serious medical risks. Surgeries carry serious risks; but for most transgender men, the benefits outweigh the risks. This review describes current evidence-based medical treatments for transgender men and provides an overview of surgical therapy to enable practitioners to discuss these options with their transgender male patients.
未经治疗的跨性别男性面临严重的负面医疗保健后果。有效的医学、外科和心理健康治疗可减轻这些风险。尽管相关研究不如理想中那么充分,但激素治疗是有效的,且通常耐受性良好,严重医疗风险较少。手术存在严重风险;但对大多数跨性别男性而言,益处大于风险。本综述描述了目前针对跨性别男性的循证医学治疗方法,并概述了手术治疗,以使从业者能够与他们的跨性别男性患者讨论这些选择。