This comprehensive and authoritative book is written by over seventy of the foremost experts working with the care of transgender and gender expansive patients for gynecologists and those working in neighboring disciplines. Among medical specialists, understanding of the complex reality and medical needs of transgender and gender diverse individuals is still limited. This book offers the opportunity to understand transgynecology in a way that is inclusive and up-to-date, with insights into liaison with specialties such as urology, dermatology, sexuology, physiotherapy amongst others. By contextualising transgender/gender diverse medicine before covering specific issues such as imaging, benign disorders, fertility maintenance, medico-legal concerns and uterine transplantation, this book is truly unique. Aimed at gynecologists, obstetricians, general practitioners, counsellors and all those who work with transgender, non-binary, or gender diverse patients, this book prepares the reader for the prerequisites and subtleties of transgynecology.
Section A. Contextual Transgynecology:: 1. Terminology in transgender medicine; 2. Optimizing clinical ob/gyn services through improved communication with trans persons; 3. What do trans people expect from transition and what do they encounter physically?; 4. A pondering transfemale gynaecologist; 5. The ever-changing role of the mental health care professional in transgender healthcare; 6. Impact of stigma and resilience on the health of transgender and nonbinary people; 7. Dealing with the physical complaints of nonbinary clients; 8. Impulses for a gender-variant gynecological expertise from a queer-theoretical perspective; Section B. Practicing Transgynecology:: 9. Gynecological office medicine for trans and gender-diverse people; 10. Features of imaging in transgender persons; 11. Benign Gynecological conditions in transgender and gender diverse people; 12. Urogynaecological disorders; 13. Painful and frequent micturation; 14. Differential diagnosis and evaluation of pelvic pain in transgender patients; 15. Gynecological attention to the prostate; 16. Vaginal dilators and dilating after vaginoplasty; 17. TransSenology; Section C. Gynecological Surgery for Transgender Males:: 18. What is different in performing hysterectomy on trans men?; 19. Opportunistic salpingectomy; 20. Colpectomy; Section D. Sexuality and Contraception:: 21. Transition-related sexual health care; 22. Contraceptive advice for trans male persons; 23. Sexual abuse and trauma-informed care for transgender and gender diverse people in ob/gyn practice; Section E. Fertility and Reproduction:: 24. Fertility counseling for transgender and nonbinary people; 25. Management of fertility for the trans masculine individual; 26. Fertility maintenance for trans women; 27. Fertility prospects related to puberty blocking therapy; 28. Medico-legal entanglements of assisted reproduction; 29. Obstetrical care for trans persons; 30. Uterine transplantation for trans women:: Prerequisites and limitations; Section F. Impact of Gender Affirming Hormonal Therapy on Genital Organs:: 31. Changes to the uterus from supraphysiologic androgens; 32. The ovaries under supraphysiological androgen exposure.; 33. The vaginal and neovaginal microbiome under androgen or estrogen exposure respectively; Section G. Screening and Prophylaxis:: 34. Prevention and management of neovaginal stenosis and other related complications of vaginoplasty; 35. Pelvic physical therapy for gender-affirming genital vaginoplasty; 36. HPV associated dysplasia of skin and mucosa and vaccination options in trans people; 37. Extent, burden and characteristics of STDs and HIV in trans people; 38. Screening policies for cervical, (neo-)vaginal, and vulvar dysplasia and cancer.
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