A comprehensive and important text for health care professionals Gender variance is widely misunderstood, and few medical texts examine the social, legal, emotional, historical, biological, and economic issues involved. Principles of Transgender Medicine and Surgery provides medical and health care guidelines and comprehensive information on all aspects of treatment of gender diverse individuals. This one-of-a-kind resource examines a full range of relevant data important to health care professionals. Each chapter addresses a different aspect of care, written by an authority on that sub-specialty. This practical guide instructs both novices and experienced practitioners on the state-of-the-art treatments and knowledge. Principles of Transgender Medicine and Surgery presents the foremost international specialists on the issues, offering their expert knowledge on the wide spectrum of issues encountered by gender diverse individuals. In this handy text, professionals of all types can get important information about various aspects of transgender health care.
This essential text is extensively referenced, and includes numerous photos, tables, and figures to clearly illustrate information. Topics in Principles of Transgender Medicine and Surgery include: * etiology * primary medical care * evidence-based preventive care * hormone treatment of adults and juvenile transsexual patients * general principles of surgical therapy * reassignment surgery * mental health issues * developmental stages of the coming out process * reproduction issues * fertility issues * karyotyping and genetics * intersex individuals * gender identity disorders * aging and the care of elderly transgender patients Principles of Transgender Medicine and Surgery is an essential guide for health care professionals, educators, students, patients, and patients' families.
* About the Editors * Contributors * Foreword (Frederic M. Ettner) * Introduction (Randi Ettner) * Chapter 1. The Etiology of Transsexualism (Randi Ettner) * Introduction * Early Theories of the Etiology of Transsexualism * Recent Theories of the Etiology of Transsexualism * The Current Status of the Attempt to Identify the Etiology of Gender Variation * Chapter 2. Primary Medical Care of the Gender-Variant Patient (A. Evan Eyler) * Introduction * The Spectrum of Gender Identity and Expression * Transgender Health Care * Ten Principles of Transgender Medical Care * Conclusion * Chapter 3. Preventive Care of the Transgendered Patient: An Evidence-Based Approach (Jamie Feldman) * Introduction * Challenges in Providing Preventive Care to the Transgendered Population * Evidence-Based Transgender Health Care * Preventive Care Recommendations * Conclusion * Chapter 4. Hormone Treatment of the Adult and Juvenile Transsexual Patient (Louis J. Gooren and Helene A. Delemarre-van de Waal) * Introduction * General Principles of Treatment * Hormonal Sex Reassignment * Side Effects of Hormonal Sex Reassignment * Sexual Function After Sex Reassignment * Regrets After Sex Reassignment * Juvenile Gender Dysphoria * Chapter 5. Surgery: General Principles (Stan Monstrey, Griet De Cuypere, and Randi Ettner) * Introduction * Controversies Surrounding Surgery * Ethical and Legal Challenges * Financial Aspects * Surgeries for Gender Reassignment * Conditions for Surgical Interventions * Standards of Care of the Harry Benjamin International Gender Dysphoria Association * Chapter 6. Surgery: Male-to-Female Patient (Stan Monstrey, Gennaro Selvaggi, and Peter Ceulemans) * History of Male-to-Female Surgery * Male-to-Female Gender Reassignment Surgery: An Overview * Chapter 7. Surgery: Female-to-Male Patient (Stan Monstrey, Peter Ceulemans, and Peter Hoebeke) * History of Male-to-Female Surgery * Subcutaneous Mastectomy * Phalloplasty * The Importance of a Multidisciplinary Approach * Chapter 8. Mental Health Issues (Friedemann Pfafflin) * Mental Health Issues in the History of Sex Reassignment * Practical Aspects of Clinical Care * Writing Recommendations and Reports * Chapter 9. Developmental Stages of the Transgender Coming-Out Process: Toward an Integrated Identity (Walter Bockting and Eli Coleman) * Introduction * Coming Out As a Developmental Process * Conclusion * Chapter 10. Reproductive and Fertility Issues for Transpeople (Petra De Sutter) * Introduction * Transpeople and Their Children * Ethical Arguments in Favor of Fertility Preservation * Cryopreservation of Sperm in Transwomen * Donor Inseminations in Partners of Transmen * Cryopreservation of Oocytes, Embryos, or Ovarian Tissue in Transmen * Future Possibilities * Chapter 11. Karyotyping and Genetics in the Transgender Population (Gale Bearman) * Introduction * What Is a Karyotype? * What Is a Variant Karyotype? * Chromosomal Variance, Phenotypic Variance, and Gender Identity * Variant Karyotypes or Forms of Intersex in the Transgender Population * Is Gender Identity Genetic? * Intersexed or Transgendered? * Recommendations * Conclusion * Chapter 12. Intersex: Definition, Examples, Gender Stability, and the Case Against Merging with Transsexualism (Tom Mazur, Melissa Colsman, and David E. Sandberg) * Introduction * Intersexuality Defined * Typical Sexual Differentiation Process * Intersex Syndromes and Related Conditions * Appendix A * Chapter 13. Gender Identity Disorders in Children and Adolescents (Peggy T. Cohen-Kettenis) * Introduction * Classification * Epidemiology * Clinical Picture * Appendix A: DSM-IV Criteria for Gender Identity Disorder in Children and Adolescents * Chapter 14. Transgender Aging and the C