Comprehensive Care of the Transgender Patient 1st Edition by Cecile Ferrando ISBN 9780323512251 0323512259
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ISBN 10: 0323512259
ISBN 13: 9780323512251
Author: Cecile Ferrando
From a renowned specialist at the Cleveland Clinic and medical and surgical experts in this growing field comes an up-to-date, multidisciplinary resource on transgender health care and surgery. Comprehensive Care of the Transgender Patient, by Dr. Cecile Unger, covers all aspects of transgender health care, beginning with epidemiology and history and progressing to an in-depth review of the complex transition for patients, including mental health services, endocrine and hormone therapy treatment, and surgical options.
Comprehensive Care of the Transgender Patient 1st Edition Table of contents:
1: An Introduction to Gender Diversity
Introduction
Legislative Changes and Trends
Terminology: Spectrum of Gender Identity and Expression
Epidemiology and Population Trends
Etiology
Guidelines: Framework for Transition and Care
2: Mental Health Care for the Adult Transgender Patient
Introduction
Evolution of the DSM and Diagnostic Criteria in DSM 5
WPATH Requirements for Mental Health Professionals
Prevalence and Management of Co-Occurring Mental Health Conditions
Role of the Mental Health Professional Before, During, and After Transition
3: Mental Health Care for the Child and Adolescent Transgender Patient
Introduction
Trends in Gender Nonconforming Behavior and Gender Variance
Role of the Mental Health Professional in the Assessment and Treatment of Adolescents with Gender Nonconforming Behavior
Diagnosis of Gender Dysphoria in the Adolescent
Special Considerations for the Adolescent
Role of the Multidisciplinary Team in Management of the Transgender Adolescent
4: Disorders of Sexual Development
Introduction
Embryologic Basis of Sexual Differentiation
Historical Overview of Sex Assignment at Birth and in Childhood: Current Guidelines
Overview of Disorders of Sexual Development
Role of Karyotyping in the Transgender Population
Conclusion
5: Hormone Treatment for the Adult Transgender Patient
Introduction
The Biologic Nature of Gender Identity
Typical Hormone Regimens for Transgender Men
Typical Hormone Regimen for Transgender Women
Treatment Safety, Risks of Hormone Therapy, and Monitoring of Adverse Effects
Adjustment of Hormone Therapy Postsurgery
Other Considerations
6: Hormone Treatment for the Adolescent Transgender Patient
Foreword
Introduction
Guidelines and Requirements for Hormone Therapy
Considerations in the Adolescent Patient Population
Pubertal Suppression
Gender-Affirming Hormone Regimens and Options
Anatomic, Physiologic, and Phenotypic Effects of Hormone Therapy
Hormone Surveillance
7: Overview of Surgery for Transgender Patients
Introduction
History of Gender Affirmation Surgery
Epidemiology
Criteria for Surgery
Surgeon Competency
Overview of Surgical Procedures for Treatment of Gender Dysphoria
Perioperative Considerations Specific to Transgender Patients
Conclusions
8: Facial Feminization Surgery and Facial Gender Confirmation Surgery
Acknowledgments
Introduction
Definition and Differences
Facial Feminization Procedures: Techniques, Goals, and Considerations
Perioperative Considerations and Postoperative Care
Management of Complications
9: Breast and Chest Surgery for Transgender Patients
Introduction
Augmentation Mammaplasty, Techniques, and Considerations
Mastectomy/Chest reconstruction, Techniques, and Considerations
Long-term Postoperative Care
Management of Complications
Conclusion
10: Genital Gender Confirmation Surgery for Patients Assigned Male at Birth
Introduction
World Professional Association for Transgender Health Standards of Care
Preoperative Planning and Care of Patients Undergoing Vaginoplasty
Vaginoplasty: Techniques and Special Considerations
Postoperative Care
Management of Complications
Outcomes of Surgery
11: Genital Gender Confirmation Surgery for Patients Assigned Female at Birth
Acknowledgments
Introduction
History and Evolution of the Procedure
Phalloplasty Surgery: Current Operative Techniques
Perioperative Considerations and Postoperative Care
Management of Complications
Revision Surgeries
Metoidioplasty: Current Operative Techniques
Conclusion
12: Primary and Preventative Care for Transgender Patients
Introduction
Barriers to Care
Removing Barriers to Care: Creating Trans-Affirming Medical Environments
Principles of Primary Care for Gender Nonconforming and Transgender Patients
Gender-Affirming Hormone Therapy: Basics for the Primary Care Clinician
Preventative Care
Conclusion
13: Gynecologic Care for Transgender Patients
Introduction: Role of the Gynecologist
Creating a Trans Friendly Practice
Gynecologic Care for Transmasculine People
Gynecological Care for Transfeminine People
Reproductive Options for Transgender Patients
14: Hysterectomy for the Transgender Man
Introduction
Preoperative Considerations
Perioperative Management
Route of Surgery, Technique
Role of Concurrent Bilateral Salpingo-Oophorectomy and Vaginectomy
Index
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