Works Cited

Clinical Care of the Transgender Patient

Course #61923-

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    • Review your Transcript to view and print your Certificate of Completion. Your date of completion will be the date (Pacific Time) the course was electronically submitted for credit, with no exceptions. Partial credit is not available.

1. U.S. Department of Health and Human Services. Healthy People 2030: LGBT. Available at https://health.gov/healthypeople/objectives-and-data/browse-objectives/lgbt. Last accessed July 17, 2024.

2. Koh J. The history of the concept of gender identity disorder.Seishin Shinkeigaku Zasshi. 2012;114(6):673-680.

3. Meyerowitz J. How Sex Changed: A History of Transsexuality in the United States. Cambridge, MA: Harvard University Press; 2002.

4. Benjamin H. The Transsexual Phenomenon. New York, NY: The Julian Press; 1966.

5. Lombardi E. Transgender health: a review and guidance for future research—proceedings from the Summer Institute at the Center for Research on Health and Sexual Orientation, University of Pittsburgh. Int J Transgend. 2010;12(4):211-229.

6. McHugh P. Surgical Sex: Why We Stopped Doing Sex Change Operations. Available at https://www.firstthings.com/article/2004/11/surgical-sex. Last accessed July 17, 2024.

7. Fraser L. Depth psychotherapy with transgender people. Sex Relationship Ther. 2009;24(2)126-142.

8. Fox M. Stanley H. Biber, 82, Surgeon Among First to Do Sex Changes, Dies. Available at https://www.nytimes.com/2006/01/21/us/stanley-h-biber-82-surgeon-among-first-to-do-sex-changes-dies.html. Last accessed July 19, 2024.

9. World Health Organization. International Classification of Diseases and Related Health Problems. 11th ed. Geneva: World Health Organization; 2018.

10. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Text Revision. Washington, DC: American Psychiatric Association; 1994.

11. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Washington, DC: American Psychiatric Association; 2013.

12. Bockting WO. Transforming the paradigm of transgender health: a field in transition. Sex Relationship Ther. 2009;24(2):103-107.

13. McCaslin S. Healthcare and LGBTQ Debates Collide in Trans Medical Tourism. Available at https://seattleglobalist.com/2012/08/29/healthcare-and-lgbtq-debates-collide-in-trans-medical-tourism-globalist-launches-new-project/6464. Last accessed July 19, 2024.

14. Human Rights Campaign. Get Insured – Affordable Care Act Resources for the LGBTQ Community. Available at https://www.hrc.org/resources/get-insured-affordable-care-act-resources-for-the-lgbt-community. Last accessed July 19, 2024.

15. Alegría CA. Relationship challenges and relationship maintenance activities following disclosure of transsexualism. J Psychiatr Ment Health Nurs. 2010;17(10):909-916.

16. Alegría CA. Transgender identity and health care: implications for psychosocial and physical evaluation. J Am Acad Nurse Pract. 2011;23(4):175-182.

17. Hembree WC, Cohen-Kettenis PT, Gooren L, et al. Endocrine treatment of gender-dysphoric/gender-incongruent persons: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metabol. 2017;102(11):3869-3903.

18. Gooren LJ. Care of transsexual persons. N Engl J Med. 2011;364:1251-1257.

19. Luders E, Sánchez FJ, Gaser C, et al. Regional gray matter variation in male-to-female transsexualism. Neuroimage. 2009;46(4): 904-907.

20. Spack NP. Management of transgenderism. JAMA. 2013;309(5):478-484.

21. Cohen-Kettenis PT, Delemarre-van de Wall HA, Gooren LJ. The treatment of adolescent transsexuals: changing insights. J Sex Med. 2008;5(8):1892-1897.

22. Kruijver FP, Zhou J, Pool CW, Hofman MA, Gooren LJ, Swaab DF. Male-to-female transsexuals have female neuron numbers in a limbic nucleus. J Clin Endocrinol Metab. 2000;85(5):2034-2041.

23. Nawata H, Ohomori K, Tanaka M, et al. Regional cerebral blood flow changes in female to male gender identity disorder. Psychiatry Clin Neurosci. 2010;64(2):157-161.

24. Wallien MS, Zucker KJ, Steensma TD, Cohen-Kettenis PT. 2D:4D finger-length ratios in children and adults with gender identity disorder. Horm Behav. 2008;54(3):450-454.

25. Kraemer B, Noll T, Delsignore A, Milos G, Schnyder U, Hepp U. Finger length ratio (2D:4D) in adults with gender identity disorder. Arch Sex Behav. 2009;38(3):359-363.

26. Schneider HJ, Pickel J, Stalla GK. Typical female 2nd-4th finger length (2D:4D) ratios in male-to-female transsexuals: possible implications for prenatal androgen exposure. Psychoneuroendocrinology. 2006;31(2):265-269.

27. Voracek M, Kaden A, Kossmeier M, Pietschnig J, Tran US. Meta-analysis shows associations of digit ratio (2D:4D) and transgender identity are small at best. Endocr Pract. 2018;24(4):386-390.

28. Olson J, Forbes C, Belzer M. Management of the transgender adolescent. Arch Pediatr Med. 2011;165(2):171-176.

29. Memon MA. Gender Dysphoria. Available at https://emedicine.medscape.com/article/2200534-overview. Last accessed July 19, 2024.

30. Berreth ME. Nursing care of transgendered older adults: implications from the literature. J Gerontol Nurs. 2003;29(7):44-49.

31. Jarolím L. Surgical conversion of genitalia in transsexual patients. BJU Int. 2000;85(7):851-856.

32. Veale JF. Prevalence of transsexualism in New Zealand. Aust N Z J Psychiatry. 2008;42(10):887-889.

33. Flores AR, Herman JL, Gates GJ, Brown TNT. How Many Adults Identify as Transgender in the United States? Available athttps://williamsinstitute.law.ucla.edu/publications/trans-adults-united-states/. Last accessed July 18, 2024.

34. Downing JM, Przedworski JM. Health of transgender adults in the U.S., 2014–2016. Am J Prev Med. 2018;55(3):336-344.

35. Olsson SE, Möller AR. On the incidence and sex ratio of transsexualism in Sweden, 1972–2002. Arch Sex Behav. 2003;32(4): 381-386.

36. Institute of Medicine. The Health of Lesbian, Gay, Bisexual, and Transgender People: Building a Foundation for Better Understanding. Washington, DC: The National Academies Press; 2011.

37. Jenner CO. Transsexual primary care. J Am Acad Nurse Pract. 2010;22(8):403-408.

38. Herbst JH, Jacobs ED, Finlayson TJ, et al. Estimating HIV prevalence and risk behaviors of transgender persons in the United States: a systematic review. AIDS Behav. 2008;12(1):1-17.

39. Grant JM, Mottet LA, Tanis J, Harrison J, Herman JL, Keisling M. Injustice at Every Turn: A Report of the National Transgender Discrimination Survey. Available at https://www.thetaskforce.org/injustice-every-turn-report-national-transgender-discrimination-survey/. Last accessed July 18, 2024.

40. Edwards JW, Fisher DG, Reynolds GL. Male-to-female transgender and transsexual clients of HIV service programs in Los Angeles County, California. Am J Public Health. 2007;97(6):1030-1033.

41. Centers for Disease Control and Prevention. Fast Facts: HIV and Transgender People. Available at https://www.cdc.gov/hiv/data-research/facts-stats/transgender-people.html. Last accessed July 18, 2024.

42. Nuttbrock L, Hwahng S, Bockting W, et al. Psychiatric impact of gender-related abuse across the life course of male-to-female transgender persons. J Sex Res. 2010;47(1):12-23.

43. Transrespect Versus Transphobia. TMM Resources. Available at https://transrespect.org/en/trans-murder-monitoring/tmm-resources. Last accessed July 18, 2024.

44. Carmel TC, Erickson-Schroth L. Transgender Mental Health. Paper presented at: Philadelphia Trans Health Conference; May 30–June 2, 2012; Philadelphia, PA.

45. Ehrbar RD. Introduction to Substance Misuse and Trans People. Paper presented at: Philadelphia Trans Health Conference; May 30–June 2, 2012; Philadelphia, PA.

46. Smith EA, Thomson K, Offen N, Malone RE. "If you know you exist, it's just marketing poison:" meanings of tobacco industry targeting in the lesbian, gay, bisexual, and transgender community. Am J Public Health. 2008;98(6):996-1003.

47. Mukerjee R, Wesp L. Cultural Competency for the Trans and Gender Non-Conforming Patient. Paper presented at: Philadelphia Trans Health Conference; May 30–June 2, 2012; Philadelphia, PA.

48. youth.gov. Homelessness and Housing. Available at https://youth.gov/youth-topics/lgbtq-youth/homelessness. Last accessed July 19, 2024.

49. DC Trans Coalition. DC Trans Needs Assessment Summary Findings: Phase One. Available at https://dctranscoalition.files.wordpress.com/2010/11/dctc-needs-assessment-phase-one-summary.pdf. Last accessed July 19, 2024.

50. Newfield E, Hart S, Dibble S, Kohler L. Female-to-male transgender quality of life. Qual Life Res. 2006;15(9):1447-1457.

51. Human Rights Campaign. Corporate Equality Index 2024. Available at https://www.hrc.org/resources/corporate-equality-index. Last accessed July 19, 2024.

52. Wang T, Cahill S. Antitransgender political backlash threatens health and access to care. Am J Public Health. 2018;108(5):609-610.

53. Zaliznyak M, Jung EE, Bresee C, Garcia MM. Which U.S. States' Medicaid programs provide coverage for gender-affirming hormone therapy and gender-affirming genital surgery for transgender patients?: a state-by-state review, and a study detailing the patient experience to confirm coverage of services. J Sex Med. 2021;18(2):410-422.

54. Movement Advancement Project. Healthcare Laws and Policies: Medicaid. Available at https://www.lgbtmap.org/equality-maps/healthcare_laws_and_policies. Last accessed July 19, 2024.

55. Feldman J, Bockting W. Transgender health. Minn Med. 2003;86(7):25-32.

56. Sanchez NF, Janchez JP, Danoff A. Health care utilization, barriers to care, and hormone usage among male-to-female transgender persons in New York City. Am J Public Health. 2009;99(4):713-719.

57. Committee on Health Care for Underserved Women. Committee Opinion #512: health care for transgender individuals. Obstet Gynecol. 2011;118(6):1454-1458.

58. U.S. Department of Health and Human Services. Medicare Coverage Issues Manual, November 2000. Available at https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/downloads/R131CIM.pdf. Last accessed July 19, 2024.

59. Stroumsa D. The state of transgender health care: policy, law, and medical frameworks. Am J Public Health. 2014;104(3):e31-e38.

60. U.S. Department of Veterans Affairs, Veterans Health Administration. Transgender Vets, the VA, and Respect. Available athttps://www.va.gov/HEALTH/NewsFeatures/2017/January/Transgender-Vets-the-VA-and-Respect.asp. Last accessed July 19, 2024.

61. KFF. Disparities Policy. The Affordable Care Act and Insurance Coverage Changes by Sexual Orientation. Available at https://www.kff.org/disparities-policy/issue-brief/the-affordable-care-act-and-insurance-coverage-changes-by-sexual-orientation. Last accessed July 19, 2024.

62. Levi J. Testimony Opposing Proposed HB 5193: An Act Concerning Health Insurance Coverage for Gender Reassignment Surgery. Available at https://www.cga.ct.gov/2015/insdata/tmy/2015HB-05193-R000224-Jennifer%20Levi,%20GLAD%20Director%20of%20the%20Transgender%20Rights%20Project-TMY.PDF. Last accessed July 19, 2024.

63. Feinberg L. Trans health crisis: for us it's life or death. Am J Public Health. 2001;91(6):897-900.

65. Samuel L, Zaritsky E. Communicating effectively with transgender patients. Am Fam Physician. 2008;78(5):649-650.

66. National LGBT Health Education Center. Cultural Adaptation of Measures and Tools for Sexual Orientation and Gender Identity (SOGI) Data Collection. Available at https://www.lgbtqiahealtheducation.org/publication/cultural-adaptation-of-measures-and-tools-for-sexual-orientation-and-gender-identity-sogi-data-collection/download. Last accessed July 19, 2024.

67. Keepnews DM. Lesbian, gay, bisexual and transgender health issues and nursing: moving toward an agenda. ANS Adv Nurs Sci. 2011;34(2):163-170.

68. National Student Nurses Association. Resolutions by Year: 2024 - New. Available at https://www.nsna.org/resolutions-by-year.html. Last accessed July 19, 2024.

69. National Student Nurses Association. In Support of Implementing Practices Suggested in The Joint Commission Report, "Advancing Effective Communication, Cultural Competence, and Patient and Family Centered Care for the Lesbian, Gay, Bisexual, and Transgender (LGBT) Community: A Field Guide." Available at https://www.dropbox.com/s/ee4pg6lrc3vt3ls/NSNA%20Resolutions%202012.pdf?dl=0. Last accessed July 19, 2024.

70. Deutsch MB, Green J, Keatley J, Mayer G, Hastings J, Hall AM. Electronic medical records and the transgender patient: recommendations from the World Professional Association for Transgender Health EMR Working Group. J Am Med Inform Assoc. 2013;20(4):700-703.

71. Coleman E, Radix AE, Bouman WP, et al. Standards of Care for the Health of Transgender and Gender Diverse People: Version 8. Int J Transgenderism. 2022;23(Suppl 1):S1-S259.

72. Angello M. Transition-Related Mental Health Concerns. Paper presented at: Philadelphia Trans Health Conference; May 30– June 2, 2012; Philadelphia, PA.

73. Eyler AE. Depression, Suicide, and Transgender/Gender Variance. Paper presented at: Philadelphia Trans Health Conference; May 30–June 2, 2012; Philadelphia, PA.

74. De Vries AL, Noens IL, Cohen-Kettenis PT, van Berckelaer-Onnes IA, Doreleijers TA. Autism spectrum disorders in gender dysphoric children and adolescents. J Autism Dev Disord. 2010;40(8):930-936.

75. Rotondi NK. Depression in trans people: a review of the risk factors. Int J Transgend. 2011;13(3):104-116.

76. Fenway Health. Preventing Transgender Suicide: An Introduction for Providers. Available at https://fenwayhealth.org/documents/medical/transgender-resources/Blue.pdf. Last accessed July 19, 2024.

77. Hoshiai M, Matsumoto Y, Sato T, et al. Psychiatric comorbidity among patients with gender identity disorder. Psychiatry Clin Neurosci. 2010;64(5):514-519.

78. Madeddu F, Prumas A, Hartmann D. Prevalence of Axis II disorders in a sample of clients undertaking psychiatric evaluation for sex reassignment surgery. Psychiatr Q. 2009;80(4):261-267.

79. Khoosal D, Langham C, Palmer B, Terry T, Minajagi, M. Features of eating disorder among male-to-female transsexuals. Sex Relationship Ther. 2009;24(2):217-229.

80. White T, Ettner R. Adaptation and adjustment in children of transsexual parents. Eur Child Adolesc Psychiatry. 2007;16(4):215-221.

81. Sobralske M. Primary care needs of patients who have undergone gender reassignment. J Am Acad Nurse Pract. 2005;17(4):133-138.

82. Davidson A, Franicevich J, Freeman M, et al. Tom Waddell Health Center Protocols for Hormonal Reassignment of Gender. Available at https://www.sfdph.org/dph/comupg/oservices/medSvs/hlthCtrs/TransGendprotocols122006.pdf. Last accessed July 19, 2024.

83. Center of Excellence for Transgender Health. Guidelines for the Primary and Gender-Affirming Care of Transgender and Nonbinary People. Available at https://transcare.ucsf.edu/guidelines. Last accessed July 19, 2024.

84. Fenway Community Health Transgender Health Program. Protocol for Hormone Therapy. Available at https://fenwayhealth.org/documents/medical/transgender-resources/Fenway_Protocols.pdf. Last accessed July 19, 2024.

85. Fenway Community Health Transgender Health Program. Informed Consent for Reproductive Rights. Available at https://fenwayhealth.org/documents/medical/transgender-resources/Informed_Consent_-_Reproductive_Rights.pdf. Last accessed July 19, 2024.

86. de Blok CJM, Klaver M, Wiepjes CM, et al. Breast development in transwomen after 1 year of cross-sex hormone therapy: results of a prospective multicenter study. J Clin Endocrinol Metab. 2018;103(2):532-538.

87. Barrett J. The clinical risks associated with the diagnosis and management of disorders of gender identity. Clin Risk. 2009;15(4): 131-134.

88. Asscheman H, Giltay EJ, Megens JA, de Ronde WP, van Trotsenburg MA, Gooren LJ. A long-term follow-up study of mortality in transsexuals receiving treatment with cross-sex hormones. Eur J Endocrinol. 2011;164(4):635-642.

89. Getahun D, Nash R, Flanders WD, et al. Cross-sex hormones and acute cardiovascular events in transgender persons: a cohort study. Ann Intern Med. 2018;169(4):205-213.

90. Kohler L. Primary Care for Transgender Patients. Available at https://www.slideshare.net/FNian/primary-care-for-transgender-patients-presentation. Last accessed July 19, 2024.

91. Van Hunsel F, Van Puijenbroek E. Analysis of spontaneous reports of thromboembolic adverse drug reactions associated with cyproterone/ethinylestradiol. Drug Safety. 2013;36(9):817.

92. Elamin MB, Garcia MZ, Murad MH, Erwin PJ, Montori VM. Effects of sex steroid use on cardiovascular risk in transsexual individuals: a systematic review and meta-analysis. Clin Endocrinol. 2010;72(1):1-10.

93. Maraka S, Singh Ospina N, Rodriguez-Gutierrez R, et al. Sex steroids and cardiovascular outcomes in transgender individuals: a systematic review and meta-analysis. J Clin Endocrinol Metab. 2017;102(11):3914-3923.

94. Giltay EJ, Bunck MC, Gooren LJ, Zitman FG, Diamant M, Teerlink T. Effects of sex steroids on the neurotransmitter-specific aromatic amino acids phenylalanine, tyrosine, and tryptophan in transsexual subjects. Neuroendocrinology. 2008;88(2):103-110.

95. Tongson K, Konovalova V, Dhawan N, Sharma S, Bahl J, Masri M. Breast cancer suspicion in a transgender male-to-female patient on hormone replacement therapy presenting with right breast mass: breast cancer risk assessment and presentation of a rare lesion. Case Rep Oncological Med. 2017;5172072.

96. Sonnenblick EB, Shah AD, Goldstein Z, Reisman T. Breast imaging of transgender individuals: a review. Curr Radiol Rep. 2018;6(1):1.

97. Gooren LJ. Hormone treatment of the adult transsexual patient. Horm Res. 2005;64(Suppl 2):31-36.

98. Goldstein Z, Khan M, Reisman T, Safer JD. Managing the risk of venous thromboembolism in transgender adults undergoing hormone therapy. J Blood Med. 2019;10:209-216.

99. Gooren LJ, Gitay EJ, Bunck MC. Long-term treatment of transsexuals with cross sex hormones: extensive personal experience. J Clin Endocrinol Metab. 2008;93(1):19-25.

100. Owen K, Hancock AB. The role of self- and listener perceptions of femininity in voice therapy. Int J Transgend. 2010;12(4):272-284.

101. American Speech-Language-Hearing Association. Voice and Communication Change for Transgender People. Available athttps://www.asha.org/public/speech/disorders/voice-and-communication-change-for-transgender-people. Last accessed July 19, 2024.

102. King RS, Brown GR, McCrea CR. Voice parameters that result in identification or misidentification of biological gender in male-to-female transgender veterans. Int J Transgend. 2011;13(3):117-130.

103. Hancock AB, Garabedian LM. Transgender voice and communication treatment: a retrospective chart review of 25 cases. Int J Lang Commun Disord. 2013;48(1):54-65.

104. Banotai A. Feminization of voice and communication therapy for transgender clients. Adv Healthcare Network Speech Hear. 2005;15(24):22.

105. Pickering J, Kayaijan D. Voice program assists transgender community. ASHA Lead. 2009;14:18-20.

106. Wesp L. Hormone Management for FTM Spectrum Patients. Paper presented at: Philadelphia Trans Health Conference; May 30–June 2, 2012; Philadelphia, PA.

107. Lexicomp Online. Available at https://online.lexi.com. Last accessed July 19, 2024.

108. Wesp L. Pelvic Care for FTM Spectrum Patients. Paper presented at: Philadelphia Trans Health Conference; May 30–June 2, 2012; Philadelphia, PA.

109. Deutsch MB. Pelvic Cancer Screening in Transgender Persons. Paper presented at: Philadelphia Trans Health Conference; May 30–June 2, 2012; Philadelphia, PA.

110. Peitzmeier SM, Khullar K, Reisner SL, Potter J. Pap test use is lower among female-to-male patients than non-transgender women.Am J Prev Med. 2014;47(6):808-812.

111. Light AD, Obedin-Maliver JO, Sevelius JM, Kerns JL. Transgender men who experienced pregnancy after female-to-male gender transitioning. Obstet Gynecol. 2014;124(6):1120-1127.

112. Van Borsel J, De Cuypere G, Rubens R, Destaerke B. Voice problems in female-to-male transsexuals. Int J Lang Commun Disord. 2000;35(3):427-442.

113. Cosyns M, Van Borsel J, Wierckx K, et al. Voice in female-to-male transsexual persons after long-term androgen therapy. Laryngoscope. 2014;124(6):1409-1414.

114. Tollinche LE, Walters CB, Radix A, et al. The perioperative care of the transgender patient. Anesth Analg. 2018;127(2):359-366.

115. American Society of Plastic Surgeons. 2018 Plastic Surgery Statistics Report. Available at https://www.plasticsurgery.org/documents/News/Statistics/2018/plastic-surgery-statistics-full-report-2018.pdf. Last accessed July 19, 2024.

116. Gibson B, Catlin AJ. Care of the child with the desire to change genders: part III, male-to-female transition. Pediatr Nurs. 2010;36(5):268-272.

117. Fischer BA. Pre- and Post-Op Care of the Transgender Surgery Patient: A Guide for the Primary Care Physician. Paper presented at: Philadelphia Trans Health Conference; May 30–June 2, 2012; Philadelphia, PA.

118. Ainsworth TA, Spiegel JH. Quality of life of individuals with and without facial feminization surgery or gender reassignment surgery. Qual Life Res. 2010;19(7):1019-1024.

119. Spiegel J. Trachea Shave Boston. Available at https://www.drspiegel.com/facial-feminization-surgery-boston/ffs-procedures/trachea-shave. Last accessed July 19, 2024.

120. MTF surgery.net. MTF Surgery Guide. Available at https://www.mtfsurgery.net. Last accessed July 19, 2024.

121. Lane M, Ives GC, Sluiter EC, et al. Trends in gender-affirming surgery in insured patients in the United States. Plast Reconstr Surg Glob Open. 2018;6(4):e1738.

122. Thomas JP. Cricothyroid Approximation. Available at https://www.voicedoctor.net/surgery/pitch/cricothyroid-approximation. Last accessed July 19, 2024.

123. Mastronikolis NS, Remacle M, Biagini M, Kiagiadaki D, Lawson G. Wendler glottoplasty: an effective pitch raising surgery in male-to-female transsexuals. J Voice. 2013;27(4):516-522.

124. Bowman C, Goldberg JM. Care of the patient undergoing sex reassignment surgery. Int J Transgend. 2006;9(3/4):135-165.

125. Sutcliffe PA, Dixon S, Akehurst RL, et al. Evaluation of surgical procedures for sex reassignment: a systematic review. J Plast Reconstr Aesthet Surg. 2009;62(3):294-306.

126. Manrique OJ, Sabbagh MD, Ciudad P, et al. Gender-confirmation surgery using the pedicle transverse colon flap for vaginal reconstruction: a clinical outcome and sexual function evaluation study. Plast Reconstr Surg. 2018;141(3):767-771.

127. Salgado CJ, Nugent A, Kuhn J, Janette M, Bahna H. Primary sigmoid vaginoplasty in transwomen: technique and outcomes. BioMed Research International. 2018;2018:4907208.

128. McGinn C. Vaginoplasty Requirements. Available at https://www.drchristinemcginn.com/services/srs/vaginoplasty.php. Last accessed July 19, 2024.

129. Spehr C. Male-to-female sex reassignment surgery in transsexuals. Int J Transgend. 2007;10(1):25-37.

130. Mukerjee R. Pelvic Care for MTF Patients. Paper presented at: Philadelphia Trans Health Conference; May 30–June 2, 2012; Philadelphia, PA.

131. Massie JP, Morrison SD, Van Maasdam J, Satterwhite T. Predictors of patient satisfaction and postoperative complications in penile inversion vaginoplasty. Plast Reconstr Surg. 2018;141(6):911e-921e.

132. Rossi Neto R, Hintz F, Krege S, Rübben H, Vom Dorp F. Gender reassignment surgery: a 13 year review of surgical outcomes. Int Braz J Urol. 2012;38(1):97-107.

133. Beddoe AE, Schub T. Evidence-based care sheet: transsexualism. CINAHL Inf Syst. 2012.

134. Lobato MI, Koff WJ, Maneti C, et al. Follow-up of sex reassignment surgery in transsexuals: a Brazilian cohort. Arch Sex Behav. 2006;35(6):711-715.

135. Dutton L, Koenig K, Fennie K. Gynecologic care of the female-to-male transgender man. J Midwifery Women's Health. 2008;53(4):331-337.

136. Gibson B. Care of the child with the desire to change genders: part II, female-to-male transition. Pediatr Nurs. 2010;36(2):112-117.

137. O'Hanlan KA, Dibble S, Young-Spint M. Total laparoscopic hysterectomy for female-to-male transsexuals. Obstet Gynecol. 2007;110(5):1096-1101.

138. Bettocchi C, Ralph DJ, Pryor JP. Pedicled pubic phalloplasty in females with gender dysphoria. BJU Int. 2005;95(1):120-124.

139. Garaffa G, Ralph DJ, Christopher N. Total urethral construction with the radial artery-based forearm free flap in the transsexual. BJU Int. 2010;106(8):1206-1210.

140. Rashid M, Tamimy MS. Phalloplasty: the dream and the reality. Indian J Plast Surg. 2013;46(2):283-293.

141. van der Sluis WB, Smit JM, Pigot GLS, et al. Double flap phalloplasty in transgender men: surgical technique and outcome of pedicled anterolateral thigh flap phalloplasty combined with radial forearm free flap urethral reconstruction. Microsurgery. 2017;37(8):917-923.

142. Le B, Burnett AL. Evolution of penile prosthetic devices. Korean J Urol. 2015;56(3):179-186.

143. van de Grift TC, Elaut E, Cerwenka SC, Cohen-Kettenis PT, Kreukels BPC. Surgical satisfaction, quality of life, and their association after gender-affirming surgery: a follow-up study. J Sex Marital Ther. 2018;44(2):138-148.

144. Bizic MR, Jeftovic M, Pusica S, et al. Gender dysphoria: bioethical aspects of medical treatment. BioMed Research International. 2018;2018:9652305.

145. Garcia MM, Christopher NA, De Luca F, Spilotros M, Ralph DJ. Overall satisfaction, sexual function, and the durability of neophallus dimensions following staged female to male genital gender confirming surgery: the Institute of Urology, London U.K. experience. Transl Androl Urol. 2014;3(2):156-162.

146. Gatos KC. A literature review of cervical cancer screening in transgender men. Nurs Womens Health. 2018;22(1):52-62.

147. Casella R, Bubendorf L, Schaefer DJ, Bachmann A, Gasser TC, Sulser T. Does the prostate really need androgens to grow? Transurethral resection of the prostate in a male-to-female transsexual 25 years after sex-changing operation. Urol Int. 2005;75(3):288-290.

148. Weyers S, Decaestecker K, Verstraelen H, et al. Clinical and transvaginal sonographic evaluation of the prostate in transsexual women. Urology. 2009;74(1):191-196.

149. Weyers S, Lambein K, Sturtewagen Y, Verstraelen H, Gerris J, Praet M. Cytology of the "penile" neovagina in transsexual women. Cytopathology. 2010;21(2):111-115.

150. Weyers S, Verstraelen H, Gerris J, et al. Microflora of the penile skin-lined neovagina of transsexual women. BMC Microbiol. 2009;9(102):1-6.

151. Stone JP, Hartley RL, Temple-Oberle C. Breast cancer in transgender patients: a systematic review. Part 2: female to male. Eur J Surg Oncol. 2018;44(10):1463-1468.

152. Gooren LJ, van Trotsenburg MAA, Giltay EJ, van Diest PJ. Breast cancer development in transsexual subjects receiving cross-sex hormone treatment. J Sex Med. 2013;10(12):3129-3134.

153. Peitzmeier SM, Reisner SL, Harigopal P, Potter J. Female-to-male patients have high prevalence of unsatisfactory Paps compared to non-transgender females: implications for cervical cancer screening. J Gen Intern Med. 2014;29(5):778-784.

154. Potter J, Peitzmeier SM, Bernstein I, et al. Cervical cancer screening for patients on the female-to-male spectrum: a narrative review and guide for clinicians. J Gen Intern Med. 2015;30(12):1857-1864.

155. Van Caenegem E, Wierckx K, Taes Y, et al. Bone mass, bone geometry, and body composition in female-to-male transsexual persons after long-term cross-sex hormonal therapy. J Clin Endocrinol Metab. 2012;97(7):2503-2511.

156. Wesp L. Primary Care for FTM Patients. Paper presented at: Philadelphia Trans Health Conference; May 30–June 2, 2012; Philadelphia, PA.

157. Devor H. Sexual orientation identities, attractions, and practices of female-to-male transsexuals. J Sex Res. 1993;30(4):303-315.

158. Kins E, Hoebeke P, Heylens G, Rubens R, De Cuypere G. The female-to-male transsexual and his female partner versus the traditional couple: a comparison. J Sex Marital Ther. 2008;34(5):429-438.

159. Gibson B, Catlin AJ. Care of the child with the desire to change gender: part I. Pediatr Nurs. 2010;36(1):53-59.

160. De Vries AL, McGuire JK, Steensma TD, Wagenaar EC, Doreleijers TA, Cohen-Kettenis PT. Young adult psychological outcome after puberty suppression and gender reassignment. Pediatrics. 2014;134(4):696-704.

161. Dreger A. Gender identity disorder in childhood: inconclusive advice to parents. Hastings Cent Rep. 2009;39(1):26-29.

162. American Psychological Association. Resolution on Appropriate Affirmative Responses to Sexual Orientation Distress and Change Efforts. Available at https://www.apa.org/about/policy/sexual-orientation. Last accessed July 19, 2024.

163. Morgan SW, Stevens PE. Transgender identity development as represented by a group of female-to-male transgendered adults. Issues Ment Health Nurs. 2008;29(6):585-599.

164. Mallon GP, DeCrescenzo T. Transgender children and youth: a child welfare practice perspective. Child Welfare. 2006;85(2):215-241.

165. Rosenthal SM. Approach to the patient: transgender youth: endocrine considerations. J Clin Endocrinol Metab. 2014;99(12):4379-4389.

166. Obedin-Maliver J, Goldsmith ES, Stewart L, et al. Lesbian, gay, bisexual, and transgender-related content in undergraduate medical education. JAMA. 2011;306(9):971-977.

167. Corliss HL, Shankle MD, Moyer MB. Research, curricula and resources related to lesbian, gay, bisexual, and transgender health in U.S. schools of public health. Am J Public Health. 2007;97(6):1023-1027.

168. Dubin SN, Nolan IT, Streed CG Jr, Greene RE, Radix AE, Morrison SD. Transgender health care: improving medical students' and residents' training and awareness. Adv Med Educ Pract. 2018;9:377-391.

169. Eliason MJ, Dibble S, Dejoseph J. Nursing's silence on lesbian, gay, bisexual, and transgender issues: the need for emancipatory efforts. ANS Adv Nurs Sci. 2010;33(3):206-218.

170. American Association of Colleges of Nursing. The Essentials of Baccalaureate Education for Professional Nursing Practice. Washington, DC: American Association of Colleges of Nursing; 2008.

171. American Association of Colleges of Nursing. QSEN Learning Module Series. Available at https://www.aacnnursing.org/Faculty/Teaching-Resources/QSEN/QSEN-Learning-Module-Series. Last accessed July 19, 2024.

172. Zuzelo PR. Improving nursing care for lesbian, bisexual, and transgender women. J Obstet Gynecol Neonatal Nurs. 2014;43(4):520-530.

173. American College of Nurse-Midwives. ACNM Library. Transgender/Transsexual/Gender Variant Health Care: Position Statements. Available at https://www.midwife.org/acnm/files/acnmlibrarydata/uploadfilename/000000000326/ACNM--PS--Care for TGNB People-Final_1.pdf. Last accessed July 19, 2024.

174. Human Rights Campaign. Map: Attacks on Gender Affirming Care by State. Available at https://www.hrc.org/resources/attacks-on-gender-affirming-care-by-state-map. Last accessed July 19, 2024.

175. Williams TJ, Pepitone ME, Christensen SE, et al. Finger-length ratios and sexual orientation. Nature. 2000;404(6777):455-456.

176. Korpaisarn S, Safer JD. Etiology of gender identity. Endocrinol Metab Clin North Am. 2019;48(2):323-329.

177. Foreman M, Hare L, York K, et al. Genetic link between gender dysphoria and sex hormone signaling. J Clin Endocrinol Metab. 2019;104(2):390-396.

178. Peitzmeier SM, Malik M, Kattari SK, et al. Intimate partner violence in transgender populations: systematic review and meta-analysis of prevalence and correlates. Am J Public Health. 2020;110(9):e1-e14.

179. Shires DA, Stroumsa D, Jaffee KD, Woodford MR. Primary care clinicians' willingness to care for transgender patients. Ann Fam Med. 2018;16(6):555-558.

180. Snow A, Cerel J, Loeffler DN, Flaherty C. Barriers to mental health care for transgender and gender-nonconforming adults: a systematic literature review. Health Soc Work. 2019;44(3):149-155.

181. Nabbijohn AN, van der Miesen AIR, Santarossa A, et al. Gender variance and the autism spectrum: an examination of children ages 6-12 years. J Autism Dev Disord. 2019;49(4):1570-1585.

182. Li K, Rodriguez D, Gabrielsen JS, Centola GM, Tanrikut C. Sperm cryopreservation of transgender individuals: trends and findings in the past decade. Andrology. 2018;6(6):860-864.

183. Safer JD, Tangpricha V. Care of the transgender patient. Ann Intern Med. 2019;171(1):ITC1-ITC16.

184. Jain J, Kwan D, Forcier M. Medroxyprogesterone acetate in gender-affirming therapy for transwomen: results from a retrospective study. J Clin Endocrinol Metab. 2019;104(11):5148-5156.

185. Boudreau D, Mukerjee R. Contraception Care for Transmasculine Individuals on Testosterone Therapy. J Midwifery Womens Health. 2019;64(4):395-402.

186. Thoma BC, Salk RH, Choukas-Bradley S, Goldstein TR, Levine MD, Marshal MP. Suicidality disparities between transgender and cisgender adolescents. Pediatrics. 2019;144(5):e20191183.

187. Ferrando CA. Adverse events associated with gender affirming vaginoplasty surgery. Am J Obstet Gynecol. 2020;223(2):267.e1-267.e6.

188. Winston McPherson G, Long T, Salipante SJ, et al. The vaginal microbiome of transgender men. Clin Chem. 2019;65(1):199-207.

189. Fenway Health. Protocol for the Gender Affirming Care of Transgender, Non-Binary, and Gender Diverse Children and Adolescents, Spring 2019. Available at https://fenwayhealth.org/wp-content/uploads/Medical-Care-of-Gender-Diverse-Children-Fenway-Health-Spring-2019-1.pdf. Last accessed July 22, 2024.

190. Bungener SL, de Vries ALC, Popma A, Steensma TD. Sexual experiences of young transgender persons during and after gender-affirmative treatment. Pediatrics. 2020;146(6):e20191411.

191. Nahata L, Chen D, Moravek MB, et al. Understudied and under-reported: fertility issues in transgender youth: a narrative review.J Pediatr. 2019;205:265-271.

192. van der Sluis WB, Pavan N, Liguori G, et al. Ileal vaginoplasty as vaginal reconstruction in transgender women and patients with disorders of sex development: an international, multicentre, retrospective study on surgical characteristics and outcomes. BJU Int. 2018;121(6):952-958.

193. Mishra K, Wallace SL. Surgical options for patients seeking gender-affirming surgery. Curr Obstet Gynecol Rep. 2020;9:178-186.

194. Columbia School of Nursing. Transgender Non-Binary (Trans NB) Health Care for Advance Practice Nurses and PAs. Available at https://www.nursing.columbia.edu/academics/academic-programs/transgender-non-binary-trans-nb-health-care-advance-practice-nurses-and-pas. Last accessed July 31, 2024.

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