Transgender Care Knowledge and Attitudes Amongst Puerto Rico's Gynecologists [18P

Abstract

INTRODUCTION: Transgender refers to individuals whose gender identity and/or expression of gender differs from gender assigned at birth. Countless roadblocks prevent access to medical services due to stigmas and prejudices, lack of knowledge and experience in terms of their healthcare needs, and insensitive treatment from their providers. Even though the gynecology field is involved in care of transgender individuals, there is scarce literature and guidelines focused on their care. The aim of this study is to learn about attitudes, disposition and knowledge of transgender medical care amongst gynecologists actively practicing in Puerto Rico (PR). METHODS: After Institutional Review Board approval, gynecologists were invited to complete a survey designed to determine knowledge about transgender care, disposition, and experience treating transgender patients. The administered questionnaire was previously used in a study evaluating gynecologists from the continental United States but had yet to be done in PR. Responses were catalogued using Epi Info frequency analysis. RESULTS: Fifty-nine participants were recruited. When asked if comfortable taking care of male-to-female transsexuals (MTFT), 59% agreed. In female-to-male transsexuals (FTMT), 47% agreed. Regarding if would perform pap smears on FTMT 81% agreed, whereas 80% felt comfortable performing breast exams on MTFT. Of the respondents 49% are not familiar with hormonal regimens used for gender reassignments. 70% of respondents knew there is a Practice Bulletin on the care of the transgender patient. CONCLUSION: There is a willingness to treat transsexual patients amidst PR gynecologists but the lack of knowledge regarding population specific treatments and managements represents a limitation.