Barriers to Healthcare and Disclosure of LGBTQIA + Identity for Transgender Males in Obstetrics and Gynaecology
American Journal of Internal Medicine
Volume 8, Issue 2, March 2020, Pages: 78-83
Received: Jan. 13, 2020;
Accepted: Mar. 6, 2020;
Published: Mar. 18, 2020
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Madeleine Noelle Olding, Faculty of Life Sciences and Medicine, King’s College London, London, United Kingdom
Shuangyu Li, Clinical Communication Unit, King’s College London, London, United Kingdom
Changes in culture and legislation have brought inclusivity and cultural competence to the forefront of medicine. Clinicians must be competent at delivering care for minority-status individuals, such as those who identify as transgender. The purpose of this study is to review the literature regarding the transgender patient group’s experience of healthcare, and to propose suggestions for outcome improvement in transgender medicine. English-language articles published after 2010 were searched for under the headings ‘transgender Gynaecology’ on PubMed and ‘female-to-male transgender disclosure Gynaecology’ on Ovid. Journal articles on disclosure of female-to-male transgender status in Obstetrics and Gynaecology were selected for analysis. Qualitative themes were identified and categorised under four main headings: barriers to access; forms of disclosure; clinician facilitation; implications for Obstetrics and Gynaecology. Twenty-five journal articles were included. Systemic stigma was a considerable force in determining whether patients felt properly managed within their healthcare system. Structural changes such as renaming ‘Women’s Health Services’ to ‘Reproductive Health Services’ and embedding transgender medicine into healthcare curricula could improve the experiences of transgender men in Obstetrics and Gynaecology.
Madeleine Noelle Olding,
Barriers to Healthcare and Disclosure of LGBTQIA + Identity for Transgender Males in Obstetrics and Gynaecology, American Journal of Internal Medicine. Special Issue: Feminist Medicine.
Vol. 8, No. 2,
2020, pp. 78-83.
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