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Care of the transgender patient: What is the gynecologist's role?

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Dr. Cecile Unger answers, "What clinical aspects may be slightly different, and what should not be at all different, from treating any other patient?"



Although precise data are unavailable, it was estimated in 2011 that there were nearly 700,000 transgendered persons in the United States.1 This means that gynecologists in certain locales regularly encounter transgender patients in clinical practice.

At the 2015 Annual Clinical Meeting of the American College of Obstetricians and Gynecologists (ACOG), held May 2-6 in San Francisco, California, Dr. Cecile A. Unger discussed the role of the gynecologist in the care of transgender patients.

In this interview with OBG Management, Dr. Unger discusses:

  • pertinent terminology, including gender dysphoria, and important clinical aspects of examining and treating a transgender patient
  • what a clinician be screening for in general, as well as specifically, in the transgender population, including considerations for when a patient is undergoing hormone therapy
  • the importance of developing trust and how that can be accomplished.

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