Adult transgender care: A review for urologists
Notice bibliographique
Résumé
male at birth but who identify as female will be referred to as 'transgender women'.It is important for a health care provider to inquire what pronouns patients' use to ensure the appropriate language is used and to establish trust.Pronouns can include "she/her", "he/him", "they/them" and others.Terminology is ever changing.Staying current on trans competent language may lead to improved patient care. The transition processGender dysphoria/ incongruence is defined as distress that may accompany the incongruence between one's gender identity and one's assigned sex at birth.(5)Transition is a term used to describe the process one might take to express their felt gender identity.Transition may involve, social, medical or surgical elements.Social transition can include aspects such dressing in clothing that reflects their gender identity, name/ pronoun change, and changing government identification.Social transitioning alone may alleviate distress from gender dysphoria with improved quality of life and well-being.( 6) Medical transition generally refers to starting hormone therapies.Surgical transition can include many possible surgeries to alter one's primary and secondary sex characteristics.There is not one way that a TGNB individual transitions.The process is individualized.For many TGNB patients, social, medical and surgical transition can greatly improve gender dysphoria.(7)In Ontario, the TransPULSE study surveyed 433 participants regarding the transition process.(8)Of those surveyed, 30% had not undertaken any steps in the transition process, while 23% were living in their felt gender but without any medical intervention.Forty-six percent of transgender women and 39% of transgender men were currently using hormones for a medical transition.Twenty-three percent reported having completely transitioned, which was self-defined and could include medical or surgical measures.Of surgical interventions, orchiectomy was most common, reported by 21% of transgender women.Vaginoplasty was reported in 15% of transgender women.In contrast, only 0.4 % of transgender men had undergone phalloplasty.The study confirmed this population represents a heterogeneous group in terms of accessing different aspects of transition.This study also suggested that we may be at the 'tip of the iceberg' in terms of the numbers of patients going through this process. Hormonal and medical therapiesMany patients choose to pursue medical treatments to address their gender dysphoria.Hormonal therapy is generally overseen by the patient's primary care provider or endocrinologist.Hormonal modulation has quality of life benefits for transgender patients.(9,10) Criteria for the prescription of hormone therapy includes: gender incongruence, capacity to make informed decisions, and reasonable control of associated mental health conditions.(11)For transgender men, masculinizing hormonal treatment is primarily exogenous testosterone therapy.Transdermal, subcutaneous and intramuscular (IM) formulations are most
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,004 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,000 |
| Méta-épidémiologie (sens large) | 0,002 | 0,001 |
| Bibliométrie | 0,003 | 0,004 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,001 | 0,001 |
| Intégrité de la recherche | 0,001 | 0,002 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,007 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».