Nursing considerations for transgendered men

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Facilitating easy access and coordination of various subspecialty services, such as endocrinology, anesthesiology, psychotherapy, psychiatry, and social work, ultimately promotes the perioperative care and recovery of the trans-gender patient. Hormonal sex reassignment therapy, which reduces the secondary sex characteristics of the original gender and enhances the characteristics of the desired gender, involves estrogen or testosterone. Spironolactone risk factors include hyperkalemia, hypotension, and drug interactions. Venous Thromboembolism Major perioperative concerns facing transgender patients include VTE such as deep vein thrombosis and pulmonary embolism. Erickson-Schroth L.

nursing considerations for transgendered men
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Learning how to take a transgender sensitive sexual history is important to assess risks.

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Creating a culturally competent clinical environment for LGBT patients. J Clin Nurs. There are other risks associated with transgender individuals, including decreased ability to obtain insurance, higher risk of being a victim of violence or sexual assault, increased risk for drug abuse, higher risk of sexually-transmitted diseases and HIV infection, lower availability of social support, and increased incidents of mental health disorders such as anxiety, depression, and suicide attempts American Medical Student Association, ; SAMHSA, Testosterone supplementation may have undesirable effects that can be detrimental during the perioperative period; accordingly, testing should focus on identifying these abnormalities in the preoperative period.

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A Resource for the Transgender Community.