FOCUSING ON THE UNIQUE HEALTH CARE NEEDS OF TRANSGENDER INDIVIDUALS

madman

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While social awareness and inclusion of the transgender population are on the rise, many transgender individuals continue to struggle in accessing and obtaining high-quality health care.



For example, The Report of the 2015 U.S. Transgender Survey found that 33 percent of respondents who had seen a health care provider in the previous year “had at least one negative experience related to being transgender, such as being verbally harassed or refused treatment because of their gender identity.” Such experiences often discourage transgender people from seeing a doctor, even when they have serious health issues.

“Not seeking health care due to a fear of mistreatment is a major contributor to worse health outcomes in transgender people,” said Ole-Petter Hamnvik, MB BCh BAO, an endocrinologist in the Division of Endocrinology, Diabetes and Hypertension at Brigham and Women’s Hospital.

Along with fellow endocrinologists Anna L. Goldman, MD, and Shalender Bhasin, MD, Dr. Hamnvik is a co-director of the Brigham’s transgender program. Their shared goal is to raise the level of care for transgender and gender-diverse individuals undergoing the process of gender affirmation—all in a premier academic setting.

“I want to help create a safe space where transgender patients won’t be misgendered by the front desk and can choose to go in whatever bathroom they feel is appropriate,” Dr. Goldman said. “I feel strongly about making sure these patients have access to trans-competent care in all disciplines of this amazing academic center.”
 

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Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

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The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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