Division of Minimally Invasive Gynecologic Surgery, Department of Obstetrics & Gynecology.
Department of Obstetrics & Gynecology.
Curr Opin Obstet Gynecol. 2019 Aug;31(4):228-234. doi: 10.1097/GCO.0000000000000553.
Over 1.4 million adults are identified as transgender in 2014. Many of these individuals have undergone, or plan to undergo, gender-affirming surgery. This review summarizes the medical and surgical options available for the transgender population and reviews screening guidelines and fertility preservation options. In addition, it highlights the role gynecologists have in caring for this population.
Gynecologists perform certain gender-affirming surgeries, such as hysterectomies and bilateral salpingooophorectomies. They also can play an important role in providing hormone therapy, anatomy specific cancer screening, and discussion of and/or referral for fertility preservation.
Gynecologists are skilled to perform certain gender-affirming surgeries and play an important role in gender-affirming care.
2014 年，超过 140 万成年人被认定为跨性别者。这些人中的许多人已经接受或计划接受性别肯定手术。本综述总结了可供跨性别者选择的医疗和手术方案，并回顾了筛查指南和生育力保存方案。此外，它还强调了妇科医生在照顾这一人群中的作用。
妇科医生可以进行某些性别肯定手术，如子宫切除术和双侧输卵管卵巢切除术。他们还可以在提供激素治疗、特定于解剖结构的癌症筛查、讨论和/或转介生育力保存方面发挥重要作用。
妇科医生具备进行某些性别肯定手术的技能，并在性别肯定护理中发挥重要作用。
