Care of the Transgender Patient

Letters19 November 2019Care of the Transgender PatientJoshua D. Safer, MD and Vin Tangpricha, MD, PhDJoshua D. Safer, MDMount Sinai Health System and Icahn School of Medicine at Mount Sinai, New York, New York (J.D.S.) and Vin Tangpricha, MD, PhDEmory University School of Medicine and Atlanta VA Medical Center, Atlanta, Georgia (V.T.)Author, Article, and Disclosure Informationhttps://doi.org/10.7326/L19-0535 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:Dr. Klein raises important concerns about the relative safety among routes of estrogen administration and makes a logical argument that there may be greater risk for harm with injectable estradiol. Absent data, a rationale for promoting injectable estradiol over other products is lacking; however, data to definitively proscribe its use are also lacking.Dr. Herbst and colleagues present a thoughtful, conservative approach to screening transgender persons for substance use, mental health morbidity, and medical concerns. Future research will be needed to learn the usefulness of specific elements of their proposal. Author, Article, and Disclosure InformationAffiliations: Mount Sinai Health System and Icahn School of Medicine at Mount Sinai, New York, New York (J.D.S.)Emory University School of Medicine and Atlanta VA Medical Center, Atlanta, Georgia (V.T.)Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M19-0182. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoCare of the Transgender Patient Joshua D. Safer and Vin Tangpricha Care of the Transgender Patient Wendy Klein Care of the Transgender Patient Ellen D. Herbst , Edith Harris , David L. Pennington , and Steven L. Batki Metrics Cited byThe importance of providing gender-affirming care in pharmacy practiceIs There a Link Between Hormone Use and Diabetes Incidence in Transgender People? Data From the STRONG CohortOptimizing sexual and reproductive health across the lifespan in people with cystic fibrosisEvaluation of Allergic Diseases in Transgender and Gender-Diverse Patients: A Case Study of AsthmaFOREST protocol: a qualitative study exploring health and sexuality of transmasculine individuals in FranceRole-play simulation to teach nursing students how to provide culturally sensitive care to transgender patientsAbortion experiences and preferences of transgender, nonbinary, and gender-expansive people in the United StatesNo Venous Thromboembolism Increase Among Transgender Female Patients Remaining on Estrogen for Gender-Affirming SurgeryPeripartum Considerations for the Transgender Parturient: A Case ReportTransgender and Gender Nonconforming Patient Experience in the Inland Empire, CaliforniaA rapid review of gender, sex, and sexual orientation documentation in electronic health recordsUsing Evidence to Fill Gaps in the Care of Transgender PeopleEffects of gender affirming hormone therapy on body mass index in transgender individuals: A longitudinal cohort studyCurrent State of Transgender Medical Education in the United States and Canada: Update to a Scoping ReviewAttitudes and experiences of health care professionals when caring for transgender men undergoing fertility preservation by egg freezing: a qualitative studyCare of the Transgender PatientWendy Klein, MDCare of the Transgender PatientEllen D. Herbst, MD, Edith Harris, MA, David L. Pennington, PhD, and Steven L. Batki, MD 19 November 2019Volume 171, Issue 10Page: 775-776KeywordsDisclosureEstradiolEstrogensForecastingMorbidityPsychiatry and mental healthRoutes of administrationSafety ePublished: 19 November 2019 Issue Published: 19 November 2019 Copyright & PermissionsCopyright © 2019 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...