AAD
Author: Willhemenia Loremipsum Special session: Lorem ipsum dolor sit amet Category: Lorem ipsum View all results

Please login or create an account. If you do not have access to this content, you will be shown a 30 second preview and licensing options.

  • Presentation

Sex, Gender, and Genital Skin Conditions: Focusing on Transgender & Gender Diverse Persons

Description

The presentation focuses on genital skin conditions affecting transgender and gender diverse individuals, emphasizing the importance of a trauma-informed and affirming approach in healthcare interactions. It highlights the stigma, trauma prevalence, and lack of routine collection of gender identity and sexual orientation data in medical practices, which often leads to discomfort in discussing genital health among these patients. The speaker outlines strategies for creating a safe space for patients, such as collecting sensitive information during intake forms and ensuring patients are comfortable during examinations. Furthermore, the talk reviews the anatomy and possible health concerns for transgender patients post-surgery, detailing specific conditions like lichen sclerosis and condyloma in post-gender-affirming surgical scenarios. The importance of clear, patient-preferred language and avoiding potentially triggering terminology during consultations is stressed. The presentation aims to enhance understanding and proper care of transgender patients, acknowledging the unique challenges they face within healthcare systems. A call for providers to engage respectfully and empathetically with the sexual and gender minority community to foster a supportive healthcare environment is made.

View more

Conclusions

  • There is a significant stigma and trauma associated with genital skin conditions in transgender and gender diverse persons.
  • A trauma-informed and patient-centered approach is crucial for discussing genital health with patients.
  • Collecting sexual orientation and gender identity data in medical records can improve patient interactions and comfort during examinations.
  • Transgender and gender diverse patients experience a higher prevalence of discrimination and discomfort during medical appointments, leading to a reluctance to seek care.
  • It is important for healthcare providers to normalize discussions about genital anatomy and sexual health to better serve the needs of gender minority patients.
  • Conditions that were previously associated with scrotal and penile anatomy are now observed in the context of vaginoplasty and other gender-affirming procedures.
  • Proper pre-operative care, including hair removal, can prevent complications in transgender men post-phalloplasty.
  • Informed consent is a critical component of healthcare interactions, particularly for genital-related examinations and treatments.
  • Yeung H. Sex, Gender, and Genital Skin Conditions: Focusing on Transgender & Gender Diverse Persons. Emory University School of Medicine.
  • Gallup. U.S. adults identify as Lesbian, Gay, Bisexual, or Transgender (2021).
  • Potter J. Trauma-Informed Care Implementation Resource Center. Fenway Health.
  • Verghese M, Freeman JQ, Connor BW, Hazra A, Fisher AR, Rosenblatt AE. Perspectives on Full-Body Skin Examinations Among Sexual and Gender Minority Patients. JAMA Dermatol. Published online January 31, 2024. doi:10.1001/jamadermatol.2023.5821
  • Grimstad, S. Gynecologic examination after PIV. Am J Obstet Gynecol. 2021.
  • McMurray SL et al. Lichen sclerosus. JAMA Dermatol. 2020.
  • Labanca T, Mañero I. Condyloma acuminata treated with imiquimod. Gynecol Oncol Reports. 2017.
  • Matsuki et al. Treatment of condyloma caused by HPV in transgender woman. Int J STD AIDS. 2014.
  • Bang C et al. Irritant contact dermatitis due to excessive neovaginal secretion from colonic vaginoplasty. Transgender Health. [Online ahead of print].
  • Koch et al. Radial artery forearm flap hair removal for phalloplasty. Lasers Med Sci. 2013.