Transgender health and puberty suppression

Dr Rona Carroll will discuss the physical aspects of managing the transgender patient - Taha tinana. In this first of two episodes, we discuss transgender physical health and discuss management up to puberty suppression.

Topics

Discussing transition goals
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Informed consent, is primary care the right place to be completing consent?
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General healthcare of transgender patients
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Fertility preservation and contraception
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Hormones and sports people.
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Puberty suppression w GNRH agonists
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Can these drugs be commenced in primary care?
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What about genital affirming surgery?
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What are the goals of treatment?
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Bone health? Vit D and adequate calcium? Dexa?
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What should we be monitoring in primary care and how often do we need to see these patients?
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Take home messages
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Take home messages

Listen to your patient. They are the expert in their gender identity and needs.
Think about changes you can make as a practice, both in your clinic environment and in knowledge and awareness amongst all staff to ensure you create accessible, welcoming, and affirmative environments for your gender diverse patients.
Don’t make assumptions about someone’s gender or sexuality, use gender-neutral terms until you know and use peoples correct names and pronouns.
Don’t forget contraception and cancer screening.
Remember that parents of transgender children need support.
Be an ally and an advocate for your patient.

Resources

Transgender health Goodfellow Unit podcast (2018)
Be There website Youth Sector Rainbow Collective
GPs' Guides for Maintenance Hormones PATHA
Guidelines for gender affirming healthcare for gender diverse and transgender children, young people and adults University of Waikato research commons

Presenter

Rona Carroll

General Practitioner

Dr Rona Carroll is a specialist GP working in a student health service and a Senior Lecturer at the Department of Primary Health Care and General Practice at the University of Otago, Wellington. She has a special interest in transgender healthcare and is a member of the Professional Association for Transgender Health Aotearoa (PATHA) education committee. Rona provides gender-affirming hormone therapy to trans and non-binary patients and is interested in educating medical students and health practitioners in this area.