Abstract
Transgender medicine is an evolving field of medicine due to the rising awareness of individuals with a non-binary gender identity. Individuals with nonconforming gender identities have been on the rise in many societies and it is becoming an increasingly discussed issue. Their management is multidisciplinary, which includes mental health, endocrine therapy, and surgery. Although their general healthcare needs are similar to those of the general population, special considerations in primary and preventive care are also necessary in relation to the gender-affirming medical issues. Their quality of life is largely affected by psychological, social, and economic difficulties they face due to acceptance issues in the society and healthcare. This review explores the primary care, medical, and surgical management of transgender men with perspectives from Sri Lanka.
Highlights
This review focuses on primary care, clinical considerations, and the medical and surgical management of transgender individuals
Those individuals may not benefit from cervical cancer screening as there is no residual cervical tissue left. For those with an intact cervix, a Papanicolaou test (Pap) with or without human papilloma virus (HPV) testing for cervical cancer screening is offered at the recommended age similar to cisgender women [18]. Factors such as their sexual orientation, with most being sexually attracted to women, and the likelihood of most being vaccinated for HPV may further contribute to reduced HPV risk in transgender men in comparison to women [17]
In order to match their physical body to their gender identity, transgender men may opt for many surgical procedures
Summary
Individuals whose gender identity or gender expression differ from their assigned sex at birth are referred to as transgender [3]. Transgender individuals with gender dysphoria may choose to undergo treatment both medically and surgically to obtain a physical and social transition to the gender role of their true selves. Their healthcare needs are similar to those of the general population, the additional gender-affirming medical issues requires additional support [6]. Transgender men are people with a male gender identity but are assigned female sex at birth. Studies have shown improvements in their quality of life after some form of gender affirmation as preferred by the individual [9,10,11] These may be social, medical or even. This review focuses on primary care, clinical considerations, and the medical and surgical management of transgender individuals
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