A comprehensive and important text for health care professionals

Gender variance is widely misunderstood, and few medical texts examine the social, legal, emotional, historical, biological, and economic issues involved. Principles of Transgender Medicine and Surgery provides medical and health care guidelines and comprehensive information on all aspects of treatment of gender diverse individuals. This one-of-a-kind resource examines a full range of relevant data important to health care professionals. Each chapter addresses a different aspect of care, written by an authority on that sub-specialty. This practical guide instructs both novices and experienced practitioners on the state-of-the-art treatments and knowledge.

Principles of Transgender Medicine and Surgery presents the foremost international specialists on the issues, offering their expert knowledge on the wide spectrum of issues encountered by gender diverse individuals. In this handy text, professionals of all types can get important information about various aspects of transgender health care. This essential text is extensively referenced, and includes numerous photos, tables, and figures to clearly illustrate information.

Topics in Principles of Transgender Medicine and Surgery include:

• etiology
• primary medical care
• evidence-based preventive care
• hormone treatment of adults and juvenile transsexual patients
• general principles of surgical therapy
• reassignment surgery
• mental health issues
• developmental stages of the coming out process
• reproduction issues
• fertility issues
• karyotyping and genetics
• intersex individuals
• gender identity disorders
• aging and the care of elderly transgender patients

Principles of Transgender Medicine and Surgery is an essential guide for health care professionals, educators, students, patients, and patients’ families.

• Introduction
• Early Theories of the Etiology of Transsexualism
• Recent Theories of the Etiology of Transsexualism
• The Current Status of the Attempt to Identify the Etiology of Gender Variation

• Introduction
• The Spectrum of Gender Identity and Expression
• Transgender Health Care
• Ten Principles of Transgender Medical Care
• Conclusion

• Introduction
• Challenges in Providing Preventive Care to the Transgendered Population
• Evidence-Based Transgender Health Care
• Preventive Care Recommendations
• Conclusion

• Introduction
• General Principles of Treatment
• Hormonal Sex Reassignment
• Side Effects of Hormonal Sex Reassignment
• Sexual Function After Sex Reassignment
• Regrets After Sex Reassignment
• Juvenile Gender Dysphoria

• Introduction
• Controversies Surrounding Surgery
• Ethical and Legal Challenges
• Financial Aspects
• Surgeries for Gender Reassignment
• Conditions for Surgical Interventions
• Standards of Care of the Harry Benjamin International Gender Dysphoria Association

• History of Male-to-Female Surgery
• Male-to-Female Gender Reassignment Surgery: An Overview

• History of Female-to-Male Surgery
• Subcutaneous Mastectomy
• Phalloplasty
• The Importance of a Multidisciplinary Approach

• Mental Health Issues in the History of Sex Reassignment
• Practical Aspects of Clinical Care
• Writing Recommendations and Reports

• Introduction
• Coming Out As a Developmental Process
• Conclusion

• Introduction
• Transpeople and Their Children
• Ethical Arguments in Favor of Fertility Preservation
• Cryopreservation of Sperm in Transwomen
• Donor Inseminations in Partners of Transmen
• Cryopreservation of Oocytes, Embryos, or Ovarian Tissue in Transmen
• Future Possibilities

• Introduction
• What Is a Karyotype?
• What Is a Variant Karyotype?
• Chromosomal Variance, Phenotypic Variance, and Gender Identity
• Variant Karyotypes or Forms of Intersex in the Transgender Population
• Is Gender Identity Genetic?
• Intersexed or Transgendered?
• Recommendations
• Conclusion

• Introduction
• Intersexuality Defined
• Typical Sexual Differentiation Process
• Intersex Syndromes and Related Conditions
• Appendix A

• Introduction
• Classification
• Epidemiology
• Clinical Picture
• Appendix A: DSM-IV Criteria for Gender Identity Disorder in Children and Adolescents

• Introduction
• Successful Aging and its Predictors: The Concept of “Aging Well”
• Transgender Aging and Health Care
• Transgender Aging and Social Adjustment
• Graceful Exits: Living and Dying Well
• Conclusion

Abstract:

Objective: This study attempts to delineate the effects on children within different stages of development whose parent undergoes a transition to the opposite sex.:

Methods: Questionnaires were mailed to therapists who have considerable experience working with gender dysphoric patients. These therapists were queried about their experience with individuals who had children prior to the start of their transition. Variables such as the nature and manner of disclosure to the child and the nature of the relationships between the child and each parent were evaluated.

Results: Children in the preschool years were rated as adapting best to the transition, both initially and long-term. Adults also were able to adapt well, so long as the level of conflict between parents was low. Adolescents had the most difficult time adapting to a parental transition. The level of family conflict worsened the child’s adaptation across all developmental levels. The therapists delineated both risk and protective factors for children during such a situation.:

Conclusions: While a parent undergoing a gender transition is not a neutral event, both risk and protective factors do exist, and knowledge of these may be beneficial in assisting the child’s adaptation to the situation. Adolescents appear to have the most difficult time adapting to a parental transition and extra support may be needed for this group. These findings are discussed in light of identified resilience factors in children and approaches that therapists can employ to best assist families found in such a situation. Case examples are provided.

Keywords:
Adolescent, child, divorce, gender dysphoria, gender identity disorder, gender role, gender transition, GID, parenting, sexual reassignment, transgender, transsexual

Gain an in-depth understanding of the issues, concerns, and problems faced by transgender individuals

Transgender Subjectivities is a comprehensive guide for understanding the issues and concerns of the emerging transgender phenomenon. As transgender individuals become more ‘out’ in society, the need to understand their concerns, the problems they face, and the resources available to them becomes rapidly more acute. This book offers a diverse yet coherent view of this ever-expanding field. It provides an overview of transsexual manifestations designed to expose therapists as well as the general public to this actively expanding field.

In Transgender Subjectivities, experts in transgender studies examine historical, theoretical, clinical, and subjective aspects of the transgender experience. The contributors include some of the most respected and experienced clinicians and scholars in the field, such as Aaron H. Devor and Anne A. Lawrence, as well as several cutting-edge contemporary theorists, and a number of eloquent transsexual writers—including Dallas Denny and Griffin Hansbury—giving this book a wide and varied perspective.

Topics addressed in Transgender Subjectivities include:

• the origin of the ‘transsexual phenomenon’
• issues of guilt in the process of self-acceptance of gender nonconformity
• personal accounts of individuals who have coped with the experience of transgenderism
• the impact of transsexual transition on the children and partners of transitioning individuals
• the various manifestations of—and responses to—transsexuality
• resource and psychotherapeutic guidelines for specialists as well as non-specialists
• and much more!

Featuring a variety of voices from case studies and theoretical analyses to personal experiences and reflections, Transgender Subjectivities renders a difficult and expansive subject comprehensible to the novice, while at the same time offering insight and challenge to experts in the field. Not only is this an essential resource for clinicians, but it can also educate the general public about transgender issues, helping to dispel prejudice toward a sexual minority. This compact but wide-ranging guide will make you transgender-literate regardless of your current level of expertise.