Scala Alberto, Ceolin Chiara, Miscioscia Marina, Basso Daniela, Campello Elena, Camozzi Valentina, Cattelan Annamaria, Gatta Michela, Giannini Sandro, Iafrate Massimo, Musso Giulia, Meneguzzo Paolo, Ottaviano Giancarlo, Perilli Rossella, Rosin Roberta, Ruzza Ilaria, Saccardi Carlo, Sasset Lolita, Sergi Giuseppe, Tascini Benedetta, Vezzaro Tommaso, Vianello Fabrizio, Simioni Paolo, Ferlin Alberto, Garolla Andrea
Unit of Andrology and Reproductive Medicine, Department of Medicine (DIMED), University of Padua, Padua, Italy.
Regional Reference Center for Gender Incongruence (CRRIG), University Hospital of Padua, Veneto, Italy.
J Endocrinol Invest. 2025 Jun 6. doi: 10.1007/s40618-025-02580-x.
To present a multidisciplinary care model designed to provide personalized gender-affirming care and assess general health for transgender and gender-diverse (TGD) individuals.
Drawing from our experience in a tertiary center in Padua (Italy), the Interdisciplinary Group for Gender Incongruence (GIIG) model employs a multidisciplinary approach to provide diverse gender-affirmation services. Mental health support, gender-affirming medical and surgical treatments (GAMST), screening programs, and regular follow-up ensure treatment safety and efficacy. The GIIG model promotes collaboration among specialists, primary health services, and LGBTQ + associations. Furthermore, it advocates for training healthcare professionals and raising awareness in the population.
The GIIG involves mental health professionals, endocrinologists, surgeons (plastic, urological, and gynaecological), voice specialists, internists, and associations. Associations serve as a point of reference for the community and offer psychological and legal services. Initial contact at the Center is made with MHP, who provide a safe space to explore gender identity, receive information, and support mental well-being. Endocrinologists prescribe hormone therapy and monitor its potential risks and overall health. Surgical interventions include chest, genital, and laryngeal surgery. Internists and other specialists assess osteo-muscular, hemo-coagulative, oncological, and infectious risks.
Our experience emphasizes the need for personalized care tailored to individuals' desires while ensuring the safety of gender-affirming treatments. By adhering to the Standards of Care and offering comprehensive services, our center aims to serve as a model for modern transgender care.
介绍一种多学科护理模式，旨在为跨性别者和性别多样化（TGD）个体提供个性化的性别肯定护理并评估其总体健康状况。
基于我们在意大利帕多瓦一家三级中心的经验，性别不一致跨学科小组（GIIG）模式采用多学科方法提供多样化的性别肯定服务。心理健康支持、性别肯定医疗和外科治疗（GAMST）、筛查项目以及定期随访确保了治疗的安全性和有效性。GIIG模式促进了专科医生、初级卫生服务机构和 LGBTQ + 协会之间的合作。此外，它倡导对医疗保健专业人员进行培训并提高公众意识。
GIIG涉及心理健康专业人员、内分泌学家、外科医生（整形、泌尿外科和妇科）、语音专家、内科医生和协会。协会作为社区的参考点，提供心理和法律服务。在该中心的首次接触是与心理健康专业人员进行的，他们提供一个安全的空间来探索性别认同、获取信息并支持心理健康。内分泌学家开出处方进行激素治疗并监测其潜在风险和总体健康状况。外科干预包括胸部、生殖器和喉部手术。内科医生和其他专家评估骨肌肉、血液凝固、肿瘤和感染风险。
我们的经验强调了根据个人愿望提供个性化护理的必要性，同时确保性别肯定治疗的安全性。通过遵循护理标准并提供全面服务，我们的中心旨在成为现代跨性别护理的典范。
