Harvard Medical School, Boston, Massachusetts, USA.
Department of Dermatology, Brigham and Women's Hospital, Boston, Massachusetts, USA.
LGBT Health. 2023 May;10(4):259-262. doi: 10.1089/lgbt.2022.0308. Epub 2023 Feb 16.
Few studies have considered the diverse mental and physical health impacts of scarring among transgender and gender diverse (TGD) patients after medically necessary gender-affirming surgery (GAS). For some TGD patients, post-GAS scarring may exacerbate gender dysphoria. For others, it is a physical representation of authenticity. The dearth of research or validated instruments capturing the diversity of priorities and concerns pre- and post-GAS hinders providers' ability to deliver optimal clinical care throughout the gender-affirmation process and impedes progress for evidence-based policy change regarding post-GAS scar treatment. This article provides suggestions for future research directions to address post-GAS scar-related health needs.
很少有研究考虑到在接受医学上必要的性别肯定手术(GAS)后,跨性别和性别多样化(TGD)患者的疤痕对其心理健康和身体健康的不同影响。对于一些 TGD 患者来说,术后疤痕可能会加剧性别焦虑。而对另一些患者来说,疤痕是真实性的一种身体表现。缺乏研究或经过验证的工具来捕捉 GAS 前后优先事项和关注点的多样性,这阻碍了提供者在整个性别肯定过程中提供最佳临床护理的能力,并阻碍了关于 GAS 后疤痕治疗的循证政策变化的进展。本文为解决与 GAS 后疤痕相关的健康需求提供了未来研究方向的建议。