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Book Details
Abstract
The number of people coming out as transgender continues to rise, and this book shows healthcare and medical practitioners how to deliver excellent primary and secondary care to gender diverse patients.
This guide provides accessible and practical advice on tailoring the social and ethical aspects of practice to the needs of each individual. Beyond setting out how clinical procedures should work for gender reassignment, it explains how to use language and pronouns in a respectful way, provides information on transgender services and resources, and offers insights into the challenges commonly faced by transgender people in both medical and social contexts. Based on cutting edge research and the lived experience of the author as a non-binary person, this is essential reading for all those working to meet the needs of transgender people in healthcare settings.
Dr Vincent's book, 'Transgender health', is comprehensive and thorough in its scope and detail; historically and philosophically well grounded, giving much food for thought, yet it is also direct and practical. Dr Vincent brings their characteristic scholastic integrity to this excellent book. On behalf of GIRES, Bernard and Terry Reed recommend it to professional as well as lay readers.
Terry Reed OBE and Bernard Reed OBE, founders of the trans charity GIRES
At last, a book that fulfills the very real need among medical practitioners, faced with growing numbers of transgender or non-binary service users in everyday practice. This is a very comprehensive volume, packed with up-to-date advice from a clinical expert. A must-have on every shelf.
Christine Burns MBE, author and transgender activist
Ben Vincent holds a PhD in Sociology and Social Policy from the University of Leeds. Ben specialises in transgender identity, community practices, and transgender healthcare.
I can't think of anyone, working in any aspect of general healthcare, who wouldn't be likely to provide much better care to trans people as a result of reading this book.
Dr James Barrett, Lead Clinician of the Charing Cross Gender Identity Clinic
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Transgender Health: A Practitioner’s Guide to Binary and Non-Binary Trans Patient Care, Ben Vincent, PhD | 3 | ||
| Foreword by Dr Stuart Lorimer | 11 | ||
| Acknowledgements | 15 | ||
| 1. Introducing Trans Terminology | 17 | ||
| Glossary | 21 | ||
| Terms to avoid | 34 | ||
| Conclusion | 37 | ||
| 2. Fundamental Concepts: Sex, Gender and Transgender History | 39 | ||
| Sex and gender | 40 | ||
| The history of the medicalisation of trans people | 47 | ||
| Diagnostic manuals | 51 | ||
| 3. Administration and Patient Interactions | 61 | ||
| Inclusive language in service provision | 62 | ||
| Examples of gendered language | 64 | ||
| When can gendered language be appropriate? | 65 | ||
| Misgendering | 67 | ||
| Non-binary people and inclusive language | 67 | ||
| Language use in gendered medicine | 69 | ||
| Changing names and gender markers on medical records | 70 | ||
| Additional name change options in Scotland and Northern Ireland | 73 | ||
| Helping a patient change their passport | 73 | ||
| Trans-affirmative therapeutic interactions | 74 | ||
| 4. The Referral Process | 77 | ||
| General information for professionals making a referral to a GIC | 78 | ||
| England | 80 | ||
| Information for Welsh referrals | 89 | ||
| Scotland | 90 | ||
| Northern Ireland | 93 | ||
| 5. Care Separate from Transition | 95 | ||
| Health disparities between cisgender men and cisgender women | 97 | ||
| Primary care unrelated to trans status | 103 | ||
| Secondary and tertiary care | 103 | ||
| Conclusion | 118 | ||
| 6. Children and Adolescents | 119 | ||
| Myths and misconceptions | 120 | ||
| ‘It’s just a phase’? – desistance | 121 | ||
| Parental influence? | 124 | ||
| Are trans children and adolescents mentally unwell? | 124 | ||
| Following the crowd? | 125 | ||
| Conversion therapy | 127 | ||
| The importance of support | 127 | ||
| Risks of an unsupportive environment | 129 | ||
| Guidance for parents | 129 | ||
| Guidance for schools | 130 | ||
| Guidance for clinicians – referrals | 131 | ||
| The Tanner stages | 134 | ||
| Puberty/hormone blockers | 136 | ||
| Fertility | 139 | ||
| Role of the GP in managing blockers and hormones for young people | 140 | ||
| Gonadotropin-releasing hormone (GnRH) analogues | 140 | ||
| Triptorelin (Decapeptyl® SR, Gonapeptyl® depot) | 141 | ||
| Goserelin (Zoladex®) | 142 | ||
| Leuprorelin (Prostap® SR DCS) | 143 | ||
| Progestins | 144 | ||
| Medroxyprogesterone Acetate (MPA) (Provera®, Depo-Provera®) | 145 | ||
| Additional prescribed interventions | 146 | ||
| 7. Gender Affirmation: Hormone Replacement Therapy, and Non-Surgical Interventions | 147 | ||
| Criteria for hormone prescription | 147 | ||
| The GP’s role in hormone provision | 148 | ||
| Estrogen (Estradiol) | 152 | ||
| Different preparations, doses, and deliveries | 155 | ||
| GnRH analogues | 158 | ||
| Antiandrogens | 158 | ||
| Bicalutamide (Casodex®) | 158 | ||
| Cyproterone (Androcur®, Cyprostat®, Dianette®) | 159 | ||
| Spironolactone (Aldactone®) | 159 | ||
| Finasteride (Proscar®) | 160 | ||
| Testosterone | 161 | ||
| Antiestrogens | 164 | ||
| Non-binary hormone regimens | 165 | ||
| Voice | 166 | ||
| Hair removal | 167 | ||
| Binding | 168 | ||
| Prostheses | 170 | ||
| Gamete storage | 171 | ||
| 8. Gender Affirmation Surgeries | 173 | ||
| Referral for surgery | 174 | ||
| Chest reconstruction – general information | 174 | ||
| Top surgery for trans men and AFAB non-binary people | 174 | ||
| Top surgery for trans women and AMAB non-binary people | 177 | ||
| Vocal surgery to raise pitch | 178 | ||
| Facial feminisation surgeries | 178 | ||
| Genital surgeries for trans women and AMAB non-binary people | 182 | ||
| Genital surgeries for trans men and AFAB non-binary people | 184 | ||
| Regret associated with surgeries | 186 | ||
| Concluding remarks | 189 | ||
| References | 191 | ||
| Subject Index | 203 | ||
| Author Index | 206 |