Department of Obstetrics and Gynecology, University Hospitals Case Western Reserve University, the Department of Anthropology, Case Western Reserve University, and the Division of Female Sexual Health, Urology Institute, University Hospitals Cleveland Medical Center, Cleveland, Ohio.
Obstet Gynecol. 2022 Jul 1;140(1):115-120. doi: 10.1097/AOG.0000000000004803. Epub 2022 Jun 7.
Transgender individuals face discrimination in several contexts and spaces, which exacerbates dysphoria and disparities in mental and physical well-being. Gender-exclusionary environments in the health care system lead to limitations in access to care and unaddressed health care needs. The full spectrum of gender is often not recognized in the field of medicine, which is predicated on the binary of male and female. Obstetrics and gynecology is societally viewed as a field for cisgender women, but transgender individuals can, and do, benefit from services offered by obstetricians and gynecologists. It is imperative that all specialties consider which aspects of care can be altered to promote the safety and health care of medically marginalized groups, including transgender patients. Alternative vocabulary to gendered language commonly used in medicine is discussed in three contexts: patient counseling, medical records, and institutional language. Understanding and using gender-inclusive language is an important step to create safer, respectful, affirming spaces for transgender people to receive medical care.
跨性别者在多个背景和空间中面临歧视，这加剧了他们的不适和身心健康方面的差距。医疗保健系统中的性别排斥环境导致他们获得医疗服务的机会受限，无法满足其医疗需求。在以男性和女性二元论为前提的医学领域，通常无法全面认识到性别多样性。妇产科被社会视为顺性别女性的领域，但跨性别者可以而且确实受益于妇产科医生提供的服务。至关重要的是，所有专业都应考虑可以改变哪些护理方面，以促进包括跨性别患者在内的医疗边缘化群体的安全和医疗保健。本文在患者咨询、医疗记录和机构语言这三个方面讨论了医学中常用的性别语言的替代词汇。理解和使用包容性别语言是为跨性别者创造更安全、更尊重、更肯定的医疗空间的重要一步。
