CC BY-NC-ND 4.0 · Indian J Plast Surg 2022; 55(02): 144-148
DOI: 10.1055/s-0042-1749103
Review Article

Gender Affirmative Care Clinic: An Overview

1   ATHI, Association for Transgender Health in India, Board Member WPATH (World Professional Association for Transgender Health), WPATH GEI SOC7 Certified Member, Gurgaon, Haryana, India
,
Bela Sharma
2   Department of Internal Medicine, FMRI, Gurgaon, Haryana, India
3   Medical Director IPATH (Indian Professional Association for Transgender Health), Member WPATH (World Professional Association for Transgender Health), Gurgaon, Haryana, India
› Author Affiliations

Abstract

Transgender healthcare is an evolving multispecialty field including medical and social domains catering to the needs of a specific subset of population presenting with gender incongruence, differences in sexual development/orientation, requiring care rather than cure. Delivery of transgender healthcare is done through gender friendly healthcare facilities, which are designated as “gender affirmative care clinics (GACC).” The primary purpose of the gender affirmative care clinic is to be the “one stop solution” for a person seeking affirmative care. The main objective is to facilitate care with compassion and prevent/mitigate dysphoria. The components of the GACC should include reception cum front office; affirmative mental healthcare department; affirmative medical, surgical, and sexual healthcare department; diagnostics, legal, and ethics department, as well as inpatient care. The GACC should be preferably located in a place that is easily accessible to the community members and has an “open plan.”



Publication History

Article published online:
14 July 2022

© 2022. Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 The Lancet Public Health. Transgender health, identity, and dignity. Lancet Public Health 2020; 5 (04) e177
  • 2 Reisner SL, Bradford J, Hopwood R. et al. Comprehensive transgender healthcare: the gender affirming clinical and public health model of Fenway Health. J Urban Health 2015; 92 (03) 584-592
  • 3 Bouman WP, de Vries AL, T'Sjoen G. Gender dysphoria and gender incongruence: an evolving inter-disciplinary field. Int Rev Psychiatry 2016; 28 (01) 1-4
  • 4 Gonzales G, Henning-Smith C. Barriers to care among transgender and gender nonconforming adults. Milbank Q 2017; 95 (04) 726-748
  • 5 Lim HH, Jang YH, Choi GY, Lee JJ, Lee ES. Gender affirmative care of transgender people: a single center's experience in Korea. Obstet Gynecol Sci 2019; 62 (01) 46-55
  • 6 Sharma S, Arora K, Tilak D. et al. Indian standards of care for persons with gender incongruence and people with differences in sexual development/orientation. Wisdom Publication 2021; 1 (01) 1-31
  • 7 Reisner S, Bradford J, Hopwood R. et al. Comprehensive transgender healthcare: the gender affirming clinical and public health model of Fenway health. J Urban Health Bull N Y Acad Med 2015; 92
  • 8 Morenz AM, Goldhammer H, Lambert CA, Hopwood R, Keuroghlian AS. A blueprint for planning and implementing a transgender health program. Ann Fam Med 2020; 18 (01) 73-79
  • 9 Deutsch MB, Buchholz D. Electronic health records and transgender patients–practical recommendations for the collection of gender identity data. J Gen Intern Med 2015; 30 (06) 843-847
  • 10 Leon-Gambetta C, Huttner R, Matyas A. Voice feminization: voice therapy vs. surgical intervention: a systematic review. Communication Sciences and Disorders: Systematic Review Publications. 2019. 5. Available at: https://scholarworks.uvm.edu/csdms/5
  • 11 Davies S, Papp VG, Antoni C. Voice and communication change for gender nonconforming individuals: giving voice to the person inside. Int J Transgenderism 2015; 16 (03) 117-159
  • 12 Mattawanon N, Spencer JB, Schirmer III DA, Tangpricha V. Fertility preservation options in transgender people: a review. Rev Endocr Metab Disord 2018; 19 (03) 231-242
  • 13 Baram S, Myers SA, Yee S, Librach CL. Fertility preservation for transgender adolescents and young adults: a systematic review. Hum Reprod Update 2019; 25 (06) 694-716
  • 14 Chen D, Simons L, Johnson EK, Lockart BA, Finlayson C. Fertility preservation for transgender adolescents. J Adolesc Health 2017; 61 (01) 120-123
  • 15 Wansom T, Guadamuz TE, Vasan S. Transgender populations and HIV: unique risks, challenges and opportunities. J Virus Erad 2016; 2 (02) 87-93
  • 16 Gerritse K, Hartman L, Antonides MF, Wensing-Kruger A, de Vries ALC, Molewijk BC. Moral challenges in transgender care: a thematic analysis based on a focused ethnography. Arch Sex Behav 2018; 47 (08) 2319-2333
  • 17 Hann M, Ivester R, Denton GD. Bioethics in practice: ethical issues in the care of transgender patients. Ochsner J 2017; 17 (02) 144-145
  • 18 Greene DN, McPherson GW, Rongitsch J. et al. Hematology reference intervals for transgender adults on stable hormone therapy. Clin Chim Acta 2019; 492: 84-90
  • 19 Roberts TK, Kraft CS, French D. et al. Interpreting laboratory results in transgender patients on hormone therapy. Am J Med 2014; 127 (02) 159-162
  • 20 Sowinski JS, Gunderman RB. Transgender patients: what radiologists need to know. AJR Am J Roentgenol 2018; 210 (05) 1106-1110
  • 21 Kapoor A, Pathare S. Section 377 and The Mental Healthcare Act, 2017: breaking barriers. Indian J Med Ethics 2019; 4 (02) 111-114
  • 22 Srinivasan SP, Chandrasekaran S. Transsexualism in Hindu mythology. Indian J Endocrinol Metab 2020; 24 (03) 235-236