{"id":12307,"date":"2020-02-10T14:03:14","date_gmt":"2020-02-10T19:03:14","guid":{"rendered":"https:\/\/www.bumc.bu.edu\/medicine\/?p=12307"},"modified":"2020-02-10T14:04:31","modified_gmt":"2020-02-10T19:04:31","slug":"caring-for-the-transgender-patient","status":"publish","type":"post","link":"https:\/\/www.bumc.bu.edu\/medicine\/2020\/02\/10\/caring-for-the-transgender-patient\/","title":{"rendered":"Caring for the Transgender Patient"},"content":{"rendered":"<h3 class=\"heading-browse\"><a href=\"https:\/\/annals-org.ezproxy.bu.edu\/aim\/fullarticle\/2760541\/caring-transgender-patient-grand-rounds-discussion-from-beth-israel-deaconess\">Caring for the Transgender Patient<span class=\"titleSeparator\">:<span>\u00a0<\/span><\/span><span class=\"subTitle\">Grand Rounds Discussion From Beth Israel Deaconess Medical Center<\/span><\/a><\/h3>\n<p id=\"articleAuthors\" class=\"authors js-article-authors\">By Howard Libman, MD; Joshua D. Safer, MD; Jennifer R. Siegel, MD; Eileen E. Reynolds, MD<\/p>\n<p><img loading=\"lazy\" src=\"\/medicine\/files\/2020\/02\/Screen-Shot-2020-02-10-at-11.01.22-AM.png\" alt=\"\" width=\"455\" height=\"228\" class=\"size-full wp-image-12308 alignleft\" \/>In a recent Medical Grand Rounds at Beth Israel Deaconess Medical Center, Boston area leaders in care for transgender patients, including <strong>Jenny Siegel, MD,<\/strong> Assistant Professor of Medicine at Boston University School of Medicine, and Medical Director of the <span>Center for Transgender Medicine and Surgery at Boston Medical Center, discuss critical components of the clinical guidelines for\u00a0gender affirming hormones and surgery.\u00a0<\/span><\/p>\n<h4>Clinical Guidelines<\/h4>\n<p>In the article, the following questions are posed to the panel of experts to discuss care guidelines in general and as they relate to the story of a particular patient considering gender-affirming care.<\/p>\n<div class=\"content-section clearfix \">\n<div class=\"typed para\">1. What type of psychological evaluation is warranted for a patient requesting gender-affirming hormones or surgery, and who should perform it?<\/div>\n<\/div>\n<div class=\"content-section clearfix \">\n<div class=\"typed para\">2. What are the potential risks and benefits of estrogen therapy in a transgender woman with comorbid conditions that predispose to cardiovascular or thromboembolic disease?<\/div>\n<\/div>\n<div class=\"content-section clearfix \">\n<div class=\"typed para\">3. What is the role of the primary care practitioner in the care of this patient, and when should transgender patients be referred to a specialist?<\/div>\n<div><\/div>\n<h4 class=\"typed para\">Conclusions<\/h4>\n<div><\/div>\n<\/div>\n<div>Panelists agree that knowledgable primary care physicians and mental health professionals play vital roles in the care for transgender adults. In addition to supporting patient&#8217;s mental health, clinical guidelines should ensure that practitioners are trained to &#8220;<span>be knowledgeable about diagnostic criteria for gender dysphoria and gender incongruence, [in] the use of medical and surgical gender-affirming interventions, and appropriate monitoring for reproductive organ cancer risk&#8221;.<\/span><\/div>\n<div><\/div>\n<div>\n<table style=\"background-color: #066b69;\" width=\"144\" height=\"33\">\n<tbody>\n<tr>\n<td style=\"text-align: center;\"><span style=\"color: #ffffff;\"><a href=\"https:\/\/annals-org.ezproxy.bu.edu\/aim\/fullarticle\/2760541\/caring-transgender-patient-grand-rounds-discussion-from-beth-israel-deaconess\" style=\"color: #ffffff;\"><strong>Read More<\/strong><\/a><\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Caring for the Transgender Patient:\u00a0Grand Rounds Discussion From Beth Israel Deaconess Medical Center By Howard Libman, MD; Joshua D. Safer, MD; Jennifer R. Siegel, MD; Eileen E. Reynolds, MD In a recent Medical Grand Rounds at Beth Israel Deaconess Medical Center, Boston area leaders in care for transgender patients, including Jenny Siegel, MD, Assistant Professor [&hellip;]<\/p>\n","protected":false},"author":14042,"featured_media":12308,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[3150,3149],"tags":[],"_links":{"self":[{"href":"https:\/\/www.bumc.bu.edu\/medicine\/wp-json\/wp\/v2\/posts\/12307"}],"collection":[{"href":"https:\/\/www.bumc.bu.edu\/medicine\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.bumc.bu.edu\/medicine\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/medicine\/wp-json\/wp\/v2\/users\/14042"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/medicine\/wp-json\/wp\/v2\/comments?post=12307"}],"version-history":[{"count":5,"href":"https:\/\/www.bumc.bu.edu\/medicine\/wp-json\/wp\/v2\/posts\/12307\/revisions"}],"predecessor-version":[{"id":12313,"href":"https:\/\/www.bumc.bu.edu\/medicine\/wp-json\/wp\/v2\/posts\/12307\/revisions\/12313"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/medicine\/wp-json\/wp\/v2\/media\/12308"}],"wp:attachment":[{"href":"https:\/\/www.bumc.bu.edu\/medicine\/wp-json\/wp\/v2\/media?parent=12307"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/medicine\/wp-json\/wp\/v2\/categories?post=12307"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/medicine\/wp-json\/wp\/v2\/tags?post=12307"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}