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Official websites use. Share sensitive information only on official, secure websites. Gentile, MD; Email: julie. Transgender patients are subject to microaggressions, misgendering, and harassment from providers, medical staff, and fellow patients.
These patients experience drastic disparities in suicidality, depression, anxiety, substance use, malignancy, sexually transmitted disease STD , and victimization of violence. Providers have the opportunity to intervene and positively impact patient experiences through gender-affirming care, but they first require an adequate knowledge base and understanding of the importance of sensitive and inclusive care.
This article will discuss some of the most common disparities and obstacles faced by transgender patients and will argue the paramount role of the provider in establishing gender-affirming care and some high-impact avenues which the provider, regardless of specialty, may pursue when caring for these patients.
It has been well established that gender is a social construct, not an inborn reality of biology, nor is it binary. This is contrasted with sex , which is generally defined as the biological characteristics i. Indeed, the binary construct of gender is one of Western context and is not absolute.
Fundamentally, it must be emphasized that the gender of a person cannot be externally read or assumed. Gender identity is an internal self-identity and may or may not correspond to how a person dresses, how a person grooms their hair or facial hair, what a person calls themselves, or how they speak.