Moravek Molly B
Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, University of Michigan, Ann Arbor, Michigan.
Clin Obstet Gynecol. 2018 Dec;61(4):687-704. doi: 10.1097/GRF.0000000000000398.
There are an estimated 1.4 million transgender adults in the United States, and lack of providers knowledgeable in transgender care is a barrier to health care. Obstetricians and Gynecologists can help increase access in part by becoming competent in gender-affirming hormone therapy. For transgender men, testosterone protocols can be extrapolated from those used for hypogonadal cisgender men. Unfortunately, there are not any high-quality, long-term prospective studies on the effectiveness and safety of different testosterone regimens specifically in transgender men, but the available data suggest that gender-affirming testosterone therapy is safe and effective with proper screening and monitoring.
据估计，美国有140万成年跨性别者，而缺乏了解跨性别者护理的医疗服务提供者是获得医疗保健的一个障碍。妇产科医生可以通过掌握性别肯定激素疗法来帮助增加医疗服务的可及性。对于跨性别男性来说，睾酮治疗方案可以从用于性腺功能减退的顺性别男性的方案中推断出来。不幸的是，目前还没有关于不同睾酮治疗方案在跨性别男性中的有效性和安全性的高质量、长期前瞻性研究，但现有数据表明，在进行适当的筛查和监测的情况下，性别肯定睾酮疗法是安全有效的。
