성전환여성 (남성에서 여성)을 위한 건강관리
Health Care for Transwoman (Male to Female)
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초록
성은 정자와 난자가 수정할 때부터 시작된다. 그러나 다른 여러 원인들에 의해서 성적인 부분이 결정된다. 성전환이라는 단어는 일반인에게 익숙한 단어지만 정확한 정의와 치료에 대해서도 산부인과 의사들뿐 아니라 의사들에게는 오히려 친숙하지 않다. 성전환여성은 성전환문제에 관하여 건강 보험 혜택을 받지 못하고, 일차적인 관리가 잘되고 있지 못하다. 이는 사회적인 건강 관리의 사각지대에 존재하고 있기 때문이다. 이에 일차적인 진료를 받기 위한 다양한 진단 기준과 또한 기본적인 호르몬 치료에 대한 적절한 지침이 실제적으로 필요한 때이다. 이에 본 저자는 산부인과 의사와 폐경을 전공하는 의사들에게 성전환여성에 대한 치료와 호르몬관리에 대해서 알리고자 한다.
Abstract
Gender is determined at fertilization. However, gender mentally decision is another issue. Transgender is a familiar word in general populations, but the definition of transgender and exact managements are not familiar to physicians including gynecologists. Transgender is not well received for health care benefits, because primary care about the transgender is not known to the physicians. Transgender is hidden in the social health care system, Transgender individuals wish to be assisted to feminize or masculinize their bodies including gestures, facial expression etc. Primary health care for transgender diversely includes psychological, medical, and surgical treatments. Basic management of transgender is hormonal therapy, thus we should guide the management for appropriate hormone therapies. Our review article provides guidelines for the gynecologist to assist and to help the transgender for primary care.
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