Gender affirmative care of transgender people: a single center’s experience in Korea
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ObjectiveTo investigate the clinical characteristics and medical management of transgender people in South Korea. MethodsThe electronic medical records of 54 transgender persons who had visited Soonchunhyang University Hospital fromJanuary 2016 to December 2017 for medical care were retrospectively reviewed. We identified patient demographicsand gender identity-related characteristics. Moreover, we compared our hospital protocol with official guidelines. ResultsAt the time of the medical record search, the average age of these 52 transgender persons was 27 years, and 46(88.5%) were Korean. Ten (19.2%) persons had a mental disorder other than gender dysphoria. Gonadotropinreleasinghormone agonist, estrogen, antiandrogen agents, and testosterone were used according to the guidelinesissued by the World Professional Association for Transgender Health and the Endocrine Society. Ten (19.2%)transgender persons, including 6 (22.2%) male-to-females (MTFs) and 4 (16.0%) female-to-males (FTMs), had a mentaldisorder other than gender dysphoria. Among persons who were administered testosterone, 3 had high triglycerideand lipoprotein cholesterol levels. Nine patients, including 6 (66.7%) MTFs and 3 (33.3%) FTMs, underwent bothgonadectomy and gender affirmative surgery. Seven (43.8%) persons, including 1 (14.3%) MTF and 6 (85.7%) FTMs,underwent only gonadectomy. There was a significant difference (P=0.040) between MTFs and FTMs. ConclusionMedical providers should have adequate knowledge of and experience in managing transgender persons and befamiliar with the relevant guidelines and literature. Long-term follow-up examinations should also be performed.
Abstract
ObjectiveTo investigate the clinical characteristics and medical management of transgender people in South Korea. MethodsThe electronic medical records of 54 transgender persons who had visited Soonchunhyang University Hospital fromJanuary 2016 to December 2017 for medical care were retrospectively reviewed. We identified patient demographicsand gender identity-related characteristics. Moreover, we compared our hospital protocol with official guidelines. ResultsAt the time of the medical record search, the average age of these 52 transgender persons was 27 years, and 46(88.5%) were Korean. Ten (19.2%) persons had a mental disorder other than gender dysphoria. Gonadotropinreleasinghormone agonist, estrogen, antiandrogen agents, and testosterone were used according to the guidelinesissued by the World Professional Association for Transgender Health and the Endocrine Society. Ten (19.2%)transgender persons, including 6 (22.2%) male-to-females (MTFs) and 4 (16.0%) female-to-males (FTMs), had a mentaldisorder other than gender dysphoria. Among persons who were administered testosterone, 3 had high triglycerideand lipoprotein cholesterol levels. Nine patients, including 6 (66.7%) MTFs and 3 (33.3%) FTMs, underwent bothgonadectomy and gender affirmative surgery. Seven (43.8%) persons, including 1 (14.3%) MTF and 6 (85.7%) FTMs,underwent only gonadectomy. There was a significant difference (P=0.040) between MTFs and FTMs. ConclusionMedical providers should have adequate knowledge of and experience in managing transgender persons and befamiliar with the relevant guidelines and literature. Long-term follow-up examinations should also be performed.
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