Publication Date:
June 17, 2016
PENDING REVISION 2025 - awaiting update of Endocrine Society Guidelines
Second Edition
Madeline B. Deutsch, MD, MPH
Editor; Guidelines for the Primary Care of Transgender and Gender Nonbinary People
Medical Director, UCSF Gender Affirming Health Program
Professor of Clinical Family and Community Medicine; University of California, San Francisco
Table of Contents
- Introduction to the guidelines
- Contributors
- Grading of evidence
- Terminology and definitions
- Creating a safe and welcoming clinic environment
- Transgender patients and the physical examination
- Overview of gender affirming treatments and procedures
- Initiating hormone therapy
- Overview of feminizing hormone therapy
- Overview of masculinizing hormone therapy
- Pelvic pain and persistent menses in transgender men
- Approach to genderqueer, gender non-conforming, and gender nonbinary people
- Cardiovascular disease
- Diabetes mellitus
- Bone health and osteoporosis
- Transgender health and HIV
- Transgender health and hepatitis C
- Transgender people and sexually transmitted infections (STIs)
- Testicular and scrotal pain and related complaints
- Free silicone and other filler use
- Fertility options for transgender persons
- General approach to cancer screening in transgender people
- Screening for breast cancer in transgender women
- Prostate and testicular cancer considerations in transgender women
- Breast cancer screening in transgender men
- Screening for cervical cancer in transgender men
- Ovarian and endometrial cancer considerations in transgender men
- Mental health considerations with transgender and gender nonconforming clients
- Postoperative care and common issues after masculinizing chest surgery
- Perioperative and postoperative care for feminizing augmentation mammaplasty
- Vaginoplasty procedures, complications, and aftercare
- Phalloplasty and metoidioplasty - overview and postoperative considerations
- Hysterectomy
- Binding, packing, and tucking
- Hair removal
- Transgender voice and communication - vocal health and considerations
- Health insurance coverage issues for transgender people in the United States
- Legal and identity documents
- Sex-segregated systems
- Homeless transgender individuals
- Health considerations for gender non-conforming children and transgender adolescents
Suggested citation:
UCSF Gender Affirming Health Program, Department of Family and Community Medicine, University of California San Francisco. Guidelines for the Primary and Gender-Affirming Care of Transgender and Gender Nonbinary People; 2nd edition. Deutsch MB, ed. June 2016. Available at transcare.ucsf.edu/guidelines.