This study examined the involvement of medical gynecologists (MGs) in transgender health care, focusing on their current practices, training, and perspectives on providing transgender support. A cross-sectional survey using a standardized questionnaire was distributed to MGs across France via Google Forms® from December 1 to December 31, 2023. Out of 167 returned questionnaires, 31 respondents (18.6%) prescribed hormone therapy (HT) for women and 28 (16.8%) for men; 92.2% (154/167) recognized gynecologists as pivotal in coordinating transgender care; 6% (10/167) considered themselves well-prepared. Gynecologists seem well-positioned to offer HT, surgical referrals, support for parenthood, and to coordinate comprehensive transgender health care.
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References
1.
ColemanE, RadixAE, BoumanWP, et al.Standards of care for the health of transgender and gender diverse people, version 8. Int J Transgend Health, 2022; 23(Suppl 1):S1–S259; doi: 10.1080/26895269.2022.2100644
2.
CollinL, ReisnerSL, TangprichaV, et al.Prevalence of transgender depends on the “case” definition: A systematic review. J Sex Med, 2016; 13(4):613–626; doi: 10.1016/j.jsxm.2016.02.001
ACOG committee opinion, Number 823. Health Care for Transgender and Gender Diverse Individuals. Obstet Gynecol, 2021; 137(3):e75–e88; doi: 10.1097/AOG.0000000000004294
9.
UngerCA. Care of the transgender patient: The role of the gynecologist. Am J Obstet Gynecol, 2014; 210(1):16–26; doi: 10.1016/j.ajog.2013.05.035
10.
JarinJ. The Ob/Gyn and the transgender patient. Curr Opin Obstet Gynecol, 2019; 31(5):298–302; doi: 10.1097/GCO.0000000000000562
11.
CoussyF, AgopiantzM. La filière de gynécologie médicale [Medical gynaecology in France: a specific training program]. Gynecol Obstet Fertil, 2010; 38(3):230–231; doi: 10.1016/j.gyobfe.2010.01.004
12.
République Française. Arrêté du 21 avril 2017 relatif aux connaissances, aux compétences et aux maquettes de formation des diplômes d’études spécialisées et fixant la liste de ces diplômes et des options et formations spécialisées transversales du troisième cycle des études de médecine - Diplôme d’études spécialisées de gynécologie médicale. [Decree of April 21, 2017, on the knowledge, competencies, and training frameworks for specialized study diplomas, defining the list of diplomas, options, and transversal specialized training programs within the third cycle of medical studies - Medical gynecology diploma]: Paris, France; 2017. Available from: https://www.legifrance.gouv.fr/loda/article_lc/LEGIARTI000047112479/2024-10-04 [Last accessed: November 1, 2024].
13.
EysenbachG. Improving the quality of web surveys: The checklist for reporting results of internet e-surveys (CHERRIES). J Med Internet Res, 2004; 6(3):e34; doi: 10.2196/jmir.6.3.e34Erratum in: doi:10.2196/jmir.2042
14.
GompelA. Gynécologie Médicale: Une Histoire De Lutes.Lavoisier Médecine sciences Publishing: Paris; France; 2023. ISBN: 978-2-257-20771-5.
15.
SchefflerF, AgopiantzM, Le ChattonM, et al.Mise au point sur le post-internat en Gynécologie médicale en 2012 [Focusing on young medical gynecologists’ future in 2012]. Gynecol Obstet Fertil, 2013; 41(3):208–210; doi: 10.1016/j.gyobfe.2013.01.006
16.
DendrinosML, BudrysNM, SanghaR. Addressing the needs of transgender patients: How gynecologists can partner in their care. Obstet Gynecol Surv, 2019; 74(1):33–39; doi: 10.1097/OGX.0000000000000633
17.
LabancaT, MañeroI, PannunzioM. Transgender patients: Considerations for routine gynecologic care and cancer screening. Int J Gynecol Cancer, 2020; 30(12):1990–1996; doi: 10.1136/ijgc-2020-001860
18.
BrietM, BarkatzJ, FrontczakS, et al.Modalités du suivi gynécologique chez les patients transgenres - Revue de littérature [Modalities of gynecological follow-up of transgender patients - Literature review]. Gynecol Obstet Fertil Senol, 2022; 50(12):788–796; doi: 10.1016/j.gofs.2022.09.003
19.
GrimstadF, McLarenH, GrayM. The gynecologic examination of the transfeminine person after penile inversion vaginoplasty. Am J Obstet Gynecol, 2021; 224(3):266–273; doi: 10.1016/j.ajog.2020.10.002
CrissmanH, RandolphJF.Jr., Role for OBGYNs in gender-affirming surgical care of transgender and gender nonconforming individuals. Clin Obstet Gynecol, 2018; 61(4):722–730; doi: 10.1097/GRF.0000000000000402
22.
MaxwellS, NoyesN, KeefeD, et al.Pregnancy outcomes after fertility preservation in transgender men. Obstet Gynecol, 2017; 129(6):1031–1034; doi: 10.1097/AOG.0000000000002036
23.
Pulice-FarrowL, GonzalezKA, LindleyL. ‘None of my providers have the slightest clue what to do with me’: Transmasculine individuals’ experiences with gynecological healthcare providers. Int J Transgend Health, 2021; 22(4):381–393; doi: 10.1080/26895269.2020.1861574
24.
LifshitzD, YaishI, Wagner-KolaskoG, et al.Transgender men’s preferences when choosing obstetricians and gynecologists. Isr J Health Policy Res, 2022; 11(1):12; doi: 10.1186/s13584-022-00522-z
25.
UngerCA. Care of the transgender patient: A survey of gynecologists’ current knowledge and practice. J Womens Health (Larchmt), 2015; 24(2):114–118; doi: 10.1089/jwh.2014.4918
26.
LaV, RaidooS, TermuloK, et al.Knowledge and provision of care to transgender people by obstetrician-gynecologists in Hawai’i. Hawaii J Health Soc Welf, 2022; 81(10):272–278.
27.
BurgartJM, WaltersRW, ShanahanM. Transgender education experiences among obstetrics and gynecology residents: A national survey. Transgend Health, 2022; 7(1):30–35; doi: 10.1089/trgh.2020.0018
28.
GrimstadFW, SatterwhiteCL, WienekeCL. Assessing residency program approaches to the transgender health CREOG objective. Transgend Health, 2016; 1(1):69–74; doi: 10.1089/trgh.2015.0011
29.
Guerrero-HallKD, MuscanellR, GargN, et al.Obstetrics and gynecology resident physician experiences with lesbian, gay, bisexual, transgender and queer healthcare training. Med Sci Educ, 2021; 31(2):599–606; doi: 10.1007/s40670-021-01227-9
30.
SoltaniA, BabanS, FrenchK, et al.LGBTQI content on obstetrics and gynecology residency websites. BMC Med Educ, 2023; 23(1):854; doi: 10.1186/s12909-023-04624-3
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