Health Care Experiences of Patients Discontinuing or Reversing Prior Gender-Affirming Treatments

Article Multidisciplinary Sciences

Access to gender-affirming hormones during adolescence and mental health outcomes among transgender adults

Jack L. Turban et al.

Summary: Access to gender-affirming hormones during adolescence and adulthood is associated with favorable mental health outcomes compared to desiring but not accessing these hormones.

PLOS ONE (2022)

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Article Health Care Sciences & Services

Care of Transgender Patients: A General Practice Quality Improvement Approach

Isabel Boyd et al.

Summary: This quality improvement project aimed to examine and audit the data of trans and gender minority patients in one primary care population in England. The findings revealed a lack of appropriate primary care audit standard and inconsistency between UK gender identity clinics and international guidance. The study also highlighted long wait times, high medical complexity, and undesired treatment outcomes among patients.

HEALTHCARE (2022)

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Article Psychology, Multidisciplinary

Detransition-Related Needs and Support: A Cross-Sectional Online Survey

Elie Vandenbussche

Summary: The study reveals significant psychological needs and lack of medical support for detransitioners, with negative experiences reported from medical and mental health systems as well as the LGBT+ community. The research calls for increased awareness and support for detransitioners.

JOURNAL OF HOMOSEXUALITY (2022)

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Article Education, Scientific Disciplines

Perspectives of Transgender and Genderqueer Standardized Patients

Emily J. Noonan et al.

Summary: This research explores the experiences and perceptions of gender minorities (GMs) serving as standardized patients (SPs) in a gender-affirming care clinical case. GM SPs reported personal connections, identified gaps in communication skills and knowledge about gender identity, and gained insight into medical education. The study demonstrates that involving GMs in patient simulation can lead to positive outcomes such as hope, empowerment, and engagement, and provides valuable insights for improving students' GM clinical skills and implementing gender-affirming education in medical schools.

TEACHING AND LEARNING IN MEDICINE (2021)

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Article Public, Environmental & Occupational Health

Medical detransition following transgender identity reaffirmation: two case reports

Pablo Exposito-Campos et al.

Summary: Gender detransition is a under-researched phenomenon, with patients citing reasons such as increased body satisfaction, self-esteem, and positive changes in social environments for discontinuing gender-affirming treatments. Therefore, a more nuanced approach is needed when dealing with gender-related clinical presentations, providing individuals with diverse management options.

SEXUAL HEALTH (2021)

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Article Public, Environmental & Occupational Health

Preventing transition regret: An institutional ethnography of gender-affirming medical care assessment practices in Canada

K. R. MacKinnon et al.

Summary: This study examined the pervasive regret prevention techniques in gender affirming care practices in Canada, including extensive psychosocial evaluations for trans patients. While regret and detransitioning are unpredictable and unavoidable clinical phenomena, critical research into detransition experiences is necessary to improve comprehensive gender affirming care.

SOCIAL SCIENCE & MEDICINE (2021)

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Article Psychiatry

Access to care and frequency of detransition among a cohort discharged by a UK national adult gender identity clinic: retrospective case-note review

R. Hall et al.

BJPsych Open (2021)

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Article Psychology, Clinical

Individuals Treated for Gender Dysphoria with Medical and/or Surgical Transition Who Subsequently Detransitioned: A Survey of 100 Detransitioners

Lisa Littman

Summary: The study aimed to describe a population of individuals who experienced gender dysphoria, underwent medical and/or surgical transition, and then detransitioned by various means. A diverse range of reasons for detransition were identified, including comfort with their natal sex, concerns about medical complications, and specific causes for gender dysphoria. The research highlights a lack of comprehensive evaluation by healthcare professionals prior to transition, with only a minority of detransitioned individuals informing their clinicians. More research is needed to understand this population, determine detransition prevalence, address medical and psychological needs, and improve the evaluation and counseling processes prior to transition.

ARCHIVES OF SEXUAL BEHAVIOR (2021)

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Article Public, Environmental & Occupational Health

Factors Leading to Detransition Among Transgender and Gender Diverse People in the United States: A Mixed-Methods Analysis

Jack L. Turban et al.

Summary: This study found that among TGD adults in the United States, 13.1% reported a history of detransition, with 82.5% of those reporting at least one external driving factor, often including family pressure and societal stigma. Individuals with a history of detransition were more likely to be male, have nonbinary gender identities, bisexual sexual orientations, and have unsupportive families.

LGBT HEALTH (2021)

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Article Pediatrics

Medical Care for Nonbinary Youth: Individualized Gender Care Beyond a Binary Framework

Jen Hastings et al.

Summary: This article discusses the challenges faced by nonbinary youth, emphasizing the importance of gender-affirming language and proposing supportive and affirming care measures. Medical interventions should be individualized, including pubertal suppression, hormones, and surgeries, focusing on individual effects rather than masculinizing or feminizing terminology.

PEDIATRIC ANNALS (2021)

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Review Public, Environmental & Occupational Health

Peer support as a protective factor against suicide in trans populations: A scoping review

Hannah Kia et al.

Summary: This paper presents the results of a scoping review on the significance and function of peer support in mitigating suicide risk in trans populations. While most literature supports the protective significance of peer support for trans persons, a small body of work reveals novel sources of peer support that are infrequently and inconsistently examined in academic research. Further research is needed to fully understand the role of peer support in protecting against suicide among trans individuals.

SOCIAL SCIENCE & MEDICINE (2021)

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Article Social Sciences, Interdisciplinary

Zoom Interviews: Benefits and Concessions

John L. Oliffe et al.

Summary: This article discusses the benefits and concessions of using Zoom for virtual research interviews. It highlights the rich therapeutic value and cost effectiveness of Zoom interviews, but also acknowledges challenges such as adjusting to different ways of existence and choppy perspectives. Adapting to the unique virtual platform and developing interviewer skills are crucial considerations.

INTERNATIONAL JOURNAL OF QUALITATIVE METHODS (2021)

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Review Surgery

Regret after Gender-affirmation Surgery: A Systematic Review and Meta-analysis of Prevalence

Valeria P. Bustos et al.

Summary: Based on a systematic review of multiple studies, the prevalence of regret in transgender individuals after gender-affirmation surgeries is extremely low, corroborating improvements in selection criteria for these procedures. However, the study also highlights the importance of developing validated questionnaires due to high subjectivity in regret assessment.

PLASTIC AND RECONSTRUCTIVE SURGERY-GLOBAL OPEN (2021)

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Article Education & Educational Research