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为跨性别患者开处方。

Prescribing for transgender patients.

作者信息

Tomlins Louise

机构信息

Taylor Square Private Clinic, Sydney.

出版信息

Aust Prescr. 2019 Feb;42(1):10-13. doi: 10.18773/austprescr.2019.003. Epub 2019 Feb 1.

DOI:10.18773/austprescr.2019.003
PMID:30765903
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6370611/
Abstract

With greater awareness and social acceptance, increasing numbers of transgender individuals are presenting for gender-affirming hormone treatment. There should be a full psychosocial assessment by an experienced clinician before hormone treatment is considered People assigned as males at birth who transition to female gender are transgender females. Their management includes an estrogen plus an anti-androgen People assigned as females at birth who transition to male gender are transgender males. Their hormone treatment is testosterone Treatment is titrated so that hormone concentrations are equivalent to the physiological concentrations of the preferred gender. This aims to minimise adverse effects

摘要

随着意识的提高和社会的接纳,越来越多的跨性别者寻求性别确认激素治疗。在考虑激素治疗之前,应由经验丰富的临床医生进行全面的心理社会评估。出生时被认定为男性但转变为女性性别的人是跨性别女性。她们的治疗包括雌激素加抗雄激素。出生时被认定为女性但转变为男性性别的人是跨性别男性。他们的激素治疗是使用睾酮。治疗需进行滴定,以使激素浓度等同于所期望性别的生理浓度。这旨在将不良反应降至最低。

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本文引用的文献

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Australian standards of care and treatment guidelines for transgender and gender diverse children and adolescents.澳大利亚为跨性别和性别多样化儿童及青少年提供的护理和治疗标准及指导原则。
Med J Aust. 2018 Aug 6;209(3):132-136. doi: 10.5694/mja17.01044. Epub 2018 Jun 18.
2
Endocrine Treatment of Gender-Dysphoric/Gender-Incongruent Persons: An Endocrine Society Clinical Practice Guideline.性别焦虑/性别不一致者的内分泌治疗:内分泌学会临床实践指南
J Clin Endocrinol Metab. 2017 Nov 1;102(11):3869-3903. doi: 10.1210/jc.2017-01658.
3
The health and well-being of transgender high school students: results from the New Zealand adolescent health survey (Youth'12). transgender 高中生的健康和幸福:来自新西兰青少年健康调查(Youth'12)的结果。
J Adolesc Health. 2014 Jul;55(1):93-9. doi: 10.1016/j.jadohealth.2013.11.008. Epub 2014 Jan 14.
4
Interpreting laboratory results in transgender patients on hormone therapy.解读接受激素治疗的跨性别患者的实验室检查结果。
Am J Med. 2014 Feb;127(2):159-62. doi: 10.1016/j.amjmed.2013.10.009. Epub 2013 Oct 19.