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Fertility and Sterility Oct 2021Transgender men experience a disharmony between their birth sex and their intimate sense of gender belonging. Gender-affirming hormone therapy and gender-affirming... (Review)
Review
Transgender men experience a disharmony between their birth sex and their intimate sense of gender belonging. Gender-affirming hormone therapy and gender-affirming surgery (GAS) are often inherently part of the gender-affirming process. In this context, we should ask whether it is better to keep or remove the uterus. Keeping the uterus and ovaries avoids a surgical procedure and a pubic scar. Furthermore, it preserves fertility and the possibility of carrying a baby. On the other hand, keeping the uterus is often psychologically unbearable for transgender men and the long-term effects of androgens on the uterus and ovaries remain uncertain. Conversely, hysterectomy and oophorectomy are part of the GAS process. New mini-invasive surgery procedures for hysterectomies decrease the risks and limit the likelihood of scars to a minimum. In practice, the data suggest that very few transgender men carry a pregnancy and/or use their oocytes after gender-reaffirming treatment. Clinicians should counsel their transgender men patients about the definitive infertility consequences of hysterectomy and oophorectomy and discuss all fertility preservation options before undertaking GAS. Individualized approaches must be preferred to systematic procedures regarding the personal decision to keep or not keep the uterus and ovaries.
Topics: Androgens; Counseling; Female; Fertility; Fertility Preservation; Gender Dysphoria; Gender Identity; Health Services for Transgender Persons; Humans; Hysterectomy; Male; Ovariectomy; Reproductive Medicine; Sex Reassignment Procedures; Testosterone; Transgender Persons; Transsexualism; Treatment Outcome
PubMed: 34364678
DOI: 10.1016/j.fertnstert.2021.07.005 -
Tidsskrift For Den Norske Laegeforening... Jun 2018
Topics: Gender Identity; Humans; International Classification of Diseases; Transgender Persons
PubMed: 29947196
DOI: 10.4045/tidsskr.18.0438 -
Best Practice & Research. Clinical... Feb 2023Everyone has sexual rights and is entitled to enjoy sex, regardless of gender identity or expression. It is therefore encouraging to witness a recent growth in research... (Review)
Review
Everyone has sexual rights and is entitled to enjoy sex, regardless of gender identity or expression. It is therefore encouraging to witness a recent growth in research on sexuality in transgender individuals. We provide a short overview of extant research on sex and relationships in this population and argue that current research has mostly been conducted from a medical and functional approach; there is a strong focus on negative experiences and prevention; and there is a lack of data regarding psychological and socio-relational variables. Furthermore, many studies have been conducted in a cis- and hetero-normative setting and have methodological shortcomings such as applying questionnaires that have not been validated in a transgender population. We encourage researchers to expand their focus to positive variables such as sexual pleasure and (in accordance with the biopsychosocial model) investigate subjective experiences and relationship variables when studying sexuality in transgender individuals.
Topics: Humans; Male; Female; Gender Identity; Transsexualism; Sexual Behavior; Transgender Persons
PubMed: 36635133
DOI: 10.1016/j.bpobgyn.2022.102294 -
Annual Review of Clinical Psychology May 2022Defined as congenital conditions in which development of chromosomal, gonadal, or anatomic sex is atypical, differences or disorders of sex development (DSDs) comprise... (Review)
Review
Defined as congenital conditions in which development of chromosomal, gonadal, or anatomic sex is atypical, differences or disorders of sex development (DSDs) comprise many discrete diagnoses ranging from those associated with few phenotypic differences between affected and unaffected individuals to those where questions arise regarding gender of rearing, gonadal tumor risk, genital surgery, and fertility. Controversies exist in numerous areas including how DSDs are conceptualized, how to refer to the set of conditions and those affected by them, and aspects of clinical management that extend from social media to legislative bodies, courts of law, medicine, clinical practice, and scholarly research in psychology and sociology. In addition to these aspects, this review covers biological and social influences on psychosocial development and adjustment, the psychosocial and psychosexual adaptation of people born with DSDs, and roles for clinical psychologists in the clinical management of DSDs.
Topics: Disorders of Sex Development; Female; Gender Identity; Humans; Male; Sexual Development
PubMed: 35216524
DOI: 10.1146/annurev-clinpsy-081219-101412 -
The Lancet. Public Health Apr 2020
Topics: Gender Identity; Government; Humans; Respect; Transgender Persons
PubMed: 32243848
DOI: 10.1016/S2468-2667(20)30059-1 -
Srpski Arhiv Za Celokupno Lekarstvo 2012Gender identity disorder is a sexual disorder characterized by strong identification with the opposite gender, followed by unpleasant feeling dueto the birth given... (Review)
Review
Gender identity disorder is a sexual disorder characterized by strong identification with the opposite gender, followed by unpleasant feeling dueto the birth given gender. Longstanding clinical experience with transgender population has brought new knowledge and better understanding of gender identity and gender identity disorders. Initial knowledge referred to sexual orientation of gender dysphoric persons such as homosexual, heterosexual, bisexual and asexual.The contemporary literature dealing with transgenderism and transsexualism brings out the concept of autogynephilia (from Greek "love oneself as a woman") which is the subject of numerous controversies among the experts in this field as well as in the transgender community. The concept of autogynephilia gained importance in Blanchard's work and his attempts to improve diagnostic categories of gender identity disorders and implement efficient strategies in the management of adult male patients. The main topic of this paper refers to the evolution of the autogynephilia concept, which most prominent authors within the field elaborate as a type of male paraphillic tendency of a person to be sexually by the idea of a phantasy or an image of oneself as a woman, naming these persons "nonhomosexual transsexuals" or "autogynephilic transsexuals".
Topics: Female; Gender Identity; Humans; Male; Transsexualism
PubMed: 22826997
DOI: 10.2298/sarh1206385b -
AMA Journal of Ethics Nov 2023This essay connects loneliness with health problems and argues that both are comorbid with authoritarian politics. Although an old idea from Plato and Aristotle, this...
This essay connects loneliness with health problems and argues that both are comorbid with authoritarian politics. Although an old idea from Plato and Aristotle, this problem takes an acute shape in the contemporary world, as argued by Hegel, Hannah Arendt, and Kate Manne, and has a gendered dimension, as men are lonelier than women. This article also attends, briefly, to empirical material about loneliness in the contemporary world.
Topics: Male; Humans; Female; Loneliness; Gender Identity; Politics
PubMed: 38085591
DOI: 10.1001/amajethics.2023.850 -
Annual Review of Public Health Apr 2022Gender is an important determinant of health, but explicit attention to gender is often missing in health promotion. We build on Pederson and colleagues'... (Review)
Review
Gender is an important determinant of health, but explicit attention to gender is often missing in health promotion. We build on Pederson and colleagues' gender-transformative framework for health promotion to propose four guiding principles for gender-transformative health promotion. First, health promotion must address gender norms directly if it is to improve health outcomes. Second, it should move beyond individual change to engage explicitly with structural and social determinants of health. Third, it should address underlying gender-related determinants in order to influence health outcomes. And fourth, it requires complexity-informed design, implementation, and evaluation. We provide background on key concepts that are essential for designing, implementing, and evaluating gender-transformative health promotion: gender norms, socioecological approaches, and the gender system. We give examples of the four principles in practice, using the case of postnatal mental health promotion in Australia and sexuality education in Mexico. These four principles can be applied to health promotion efforts across contexts and outcomes to address the harmful gender norms that contribute to poor health as a part of broader efforts to improve health and well-being.
Topics: Australia; Gender Identity; Health Promotion; Humans
PubMed: 35380067
DOI: 10.1146/annurev-publhealth-121019-053834 -
Proceedings of the Royal Society of... Sep 1973
Topics: Adolescent; Anorexia Nervosa; Body Image; Child; Female; Humans; Male; Masturbation; Psychosexual Development; Puberty; Substance-Related Disorders
PubMed: 4805077
DOI: No ID Found -
Cell Host & Microbe Mar 2020
Topics: Editorial Policies; Gender Identity; Human Rights; Humans; Periodicals as Topic
PubMed: 32164837
DOI: 10.1016/j.chom.2020.02.014