Works Cited

1. U.S. Department of Health and Human Services. Healthy People 2030: LGBT. Available at https://health.gov/healthypeople/objectives-and-data/browse-objectives/lgbt. Last accessed June 23, 2021.

2. Koh J. The history of the concept of gender identity disorder. Seishin Shinkeigaku Zasshi. 2012;114(6):673-680.

3. Meyerowitz J. How Sex Changed: A History of Transsexuality in the United States. Cambridge, MA: Harvard University Press; 2002.

4. Benjamin H. The Transsexual Phenomenon. New York, NY: The Julian Press; 1966.

5. Lombardi E. Transgender health: a review and guidance for future research—proceedings from the Summer Institute at the Center for Research on Health and Sexual Orientation, University of Pittsburgh. Int J Transgend. 2010;12(4):211-229.

6. McHugh P. Surgical Sex: Why We Stopped Doing Sex Change Operations. Available at https://www.firstthings.com/article/2004/11/surgical-sex. Last accessed June 23, 2021.

7. Fraser L. Depth psychotherapy with transgender people. Sex Relationship Ther. 2009;24(2)126-142.

8. Fox M. Stanley H. Biber, 82, Surgeon Among First to Do Sex Changes, Dies. Available at https://www.nytimes.com/2006/01/21/us/stanley-h-biber-82-surgeon-among-first-to-do-sex-changes-dies.html. Last accessed June 23, 2021.

9. World Health Organization. International Classification of Diseases and Related Health Problems. 11th ed. Geneva: World Health Organization; 2018.

10. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Text Revision. Washington, DC: American Psychiatric Association; 1994.

11. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Washington, DC: American Psychiatric Association; 2013.

12. Bockting WO. Transforming the paradigm of transgender health: a field in transition. Sex Relationship Ther. 2009;24(2):103-107.

13. McCaslin S. Healthcare and LGBTQ Debates Collide in Trans Medical Tourism. Available at https://seattleglobalist.com/2012/08/29/healthcare-and-lgbtq-debates-collide-in-trans-medical-tourism-globalist-launches-new-project/6464. Last accessed June 23, 2021.

14. Human Rights Campaign. Get Insured – Affordable Care Act Resources for the LGBTQ Community. Available at https://www.hrc.org/resources/get-insured-affordable-care-act-resources-for-the-lgbt-community. Last accessed June 23, 2021.

15. Alegría CA. Relationship challenges and relationship maintenance activities following disclosure of transsexualism. J Psychiatr Ment Health Nurs. 2010;17(10):909-916.

16. Alegría CA. Transgender identity and health care: implications for psychosocial and physical evaluation. J Am Acad Nurse Pract. 2011;23(4):175-182.

17. Hembree WC, Cohen-Kettenis PT, Gooren L, et al. Endocrine treatment of gender-dysphoric/gender-incongruent persons: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metabol. 2017;102(11):3869-3903.

18. Gooren LJ. Care of transsexual persons. N Engl J Med. 2011;364:1251-1257.

19. Luders E, Sánchez FJ, Gaser C, et al. Regional gray matter variation in male-to-female transsexualism. Neuroimage. 2009;46(4): 904-907.

20. Spack NP. Management of transgenderism. JAMA. 2013;309(5):478-484.

21. Cohen-Kettenis PT, Delemarre-van de Wall HA, Gooren LJ. The treatment of adolescent transsexuals: changing insights.J Sex Med. 2008;5(8):1892-1897.

22. Kruijver FP, Zhou J, Pool CW, Hofman MA, Gooren LJ, Swaab DF. Male-to-female transsexuals have female neuron numbers in a limbic nucleus. J Clin Endocrinol Metab. 2000;85(5):2034-2041.

23. Nawata H, Ohomori K, Tanaka M, et al. Regional cerebral blood flow changes in female to male gender identity disorder. Psychiatry Clin Neurosci. 2010;64(2):157-161.

24. Wallien MS, Zucker KJ, Steensma TD, Cohen-Kettenis PT. 2D:4D finger-length ratios in children and adults with gender identity disorder. Horm Behav. 2008;54(3):450-454.

25. Kraemer B, Noll T, Delsignore A, Milos G, Schnyder U, Hepp U. Finger length ratio (2D:4D) in adults with gender identity disorder. Arch Sex Behav. 2009;38(3):359-363.

26. Schneider HJ, Pickel J, Stalla GK. Typical female 2nd-4th finger length (2D:4D) ratios in male-to-female transsexuals: possible implications for prenatal androgen exposure. Psychoneuroendocrinology. 2006;31(2):265-269.

27. Voracek M, Kaden A, Kossmeier M, Pietschnig J, Tran US. Meta-analysis shows associations of digit ratio (2D:4D) and transgender identity are small at best. Endocr Pract. 2018;24(4):386-390.

28. Olson J, Forbes C, Belzer M. Management of the transgender adolescent. Arch Pediatr Med. 2011;165(2):171-176.

29. Memon MA. Gender Dysphoria. Available at https://emedicine.medscape.com/article/2200534-overview. Last accessed June 23, 2021.

30. Berreth ME. Nursing care of transgendered older adults: implications from the literature. J Gerontol Nurs. 2003;29(7):44-49.

31. Jarolím L. Surgical conversion of genitalia in transsexual patients. BJU Int. 2000;85(7):851-856.

32. Veale JF. Prevalence of transsexualism in New Zealand. Aust N Z J Psychiatry. 2008;42(10):887-889.

33. Flores AR, Herman JL, Gates GJ, Brown TNT. How Many Adults Identify as Transgender in the United States? Available at https://williamsinstitute.law.ucla.edu/publications/trans-adults-united-states/. Last accessed June 23, 2021.

34. Downing JM, Przedworski JM. Health of transgender adults in the U.S., 2014–2016. Am J Prev Med. 2018;55(3):336-344.

35. Olsson SE, Möller AR. On the incidence and sex ratio of transsexualism in Sweden, 1972–2002. Arch Sex Behav. 2003;32(4): 381-386.

36. Institute of Medicine. The Health of Lesbian, Gay, Bisexual, and Transgender People: Building a Foundation for Better Understanding. Washington, DC: The National Academies Press; 2011.

37. Jenner CO. Transsexual primary care. J Am Acad Nurse Pract. 2010;22(8):403-408.

38. Herbst JH, Jacobs ED, Finlayson TJ, et al. Estimating HIV prevalence and risk behaviors of transgender persons in the United States: a systematic review. AIDS Behav. 2008;12(1):1-17.

39. Grant JM, Mottet LA, Tanis J, Harrison J, Herman JL, Keisling M. Injustice at Every Turn: A Report of the National Transgender Discrimination Survey. Available at https://www.thetaskforce.org/injustice-every-turn-report-national-transgender-discrimination-survey/. Last accessed June 23, 2021.

40. Edwards JW, Fisher DG, Reynolds GL. Male-to-female transgender and transsexual clients of HIV service programs in Los Angeles County, California. Am J Public Health. 2007;97(6):1030-1033.

41. Centers for Disease Control and Prevention. HIV Among Transgender People. Available at https://www.cdc.gov/hiv/group/gender/transgender/index.html. Last accessed June 23, 2021.

42. Nuttbrock L, Hwahng S, Bockting W, et al. Psychiatric impact of gender-related abuse across the life course of male-to-female transgender persons. J Sex Res. 2010;47(1):12-23.

43. Transrespect Versus Transphobia. TMM Resources. Available at https://transrespect.org/en/trans-murder-monitoring/tmm-resources/. Last accessed June 23, 2021.

44. Carmel TC, Erickson-Schroth L. Transgender Mental Health. Paper presented at: Philadelphia Trans Health Conference; May 30–June 2, 2012; Philadelphia, PA.

45. Ehrbar RD. Introduction to Substance Misuse and Trans People. Paper presented at: Philadelphia Trans Health Conference; May 30–June 2, 2012; Philadelphia, PA.

46. Smith EA, Thomson K, Offen N, Malone RE. "If you know you exist, it's just marketing poison:" meanings of tobacco industry targeting in the lesbian, gay, bisexual, and transgender community. Am J Public Health. 2008;98(6):996-1003.

47. Mukerjee R, Wesp L. Cultural Competency for the Trans and Gender Non-Conforming Patient. Paper presented at: Philadelphia Trans Health Conference; May 30–June 2, 2012; Philadelphia, PA.

48. youth.gov. Homelessness and Housing. Available at https://youth.gov/youth-topics/lgbtq-youth/homelessness. Last accessed June 23, 2021.

49. DC Trans Coalition. DC Trans Needs Assessment Summary Findings: Phase One. Available at https://dctranscoalition.files.wordpress.com/2010/11/dctc-needs-assessment-phase-one-summary.pdf. Last accessed June 23, 2021.

50. Newfield E, Hart S, Dibble S, Kohler L. Female-to-male transgender quality of life. Qual Life Res. 2006;15(9):1447-1457.

51. Human Rights Campaign. Corporate Equality Index 2021. Available at https://www.hrc.org/resources/corporate-equality-index. Last accessed June 23, 2021.

52. Wang T, Cahill S. Antitransgender political backlash threatens health and access to care. Am J Public Health. 2018;108(5):609-610.

53. Transgender Law Center. Transgender Health Care Update: Webinar! Available at https://transgenderlawcenter.org/archives/11273. Last accessed June 23, 2021.

54. Movement Advancement Project. Healthcare Laws and Policies: Medicaid. Available at https://www.lgbtmap.org/equality-maps/healthcare_laws_and_policies. Last accessed June 16, 2021.

55. Feldman J, Bockting W. Transgender health. Minn Med. 2003;86(7):25-32.

56. Sanchez NF, Janchez JP, Danoff A. Health care utilization, barriers to care, and hormone usage among male-to-female transgender persons in New York City. Am J Public Health. 2009;99(4):713-719.

57. Committee on Health Care for Underserved Women. Committee Opinion #512: health care for transgender individuals. Obstet Gynecol. 2011;118(6):1454-1458.

58. U.S. Department of Health and Human Services. Medicare Coverage Issues Manual, November 2000. Available at https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/downloads/R131CIM.pdf. Last accessed June 23, 2021.

59. Stroumsa D. The state of transgender health care: policy, law, and medical frameworks. Am J Public Health. 2014;104(3):e31-e38.

60. U.S. Department of Veterans Affairs, Veterans Health Administration. Transgender Vets, the VA, and Respect. Available athttps://www.va.gov/HEALTH/NewsFeatures/2017/January/Transgender-Vets-the-VA-and-Respect.asp. Last accessed June 23, 2021.

61. KFF. Disparities Policy. The Affordable Care Act and Insurance Coverage Changes by Sexual Orientation. Available at https://www.kff.org/disparities-policy/issue-brief/the-affordable-care-act-and-insurance-coverage-changes-by-sexual-orientation. Last accessed June 23, 2021.

62. Levi J. Testimony Opposing Proposed HB 5193: An Act Concerning Health Insurance Coverage for Gender Reassignment Surgery. Available at https://www.cga.ct.gov/2015/insdata/tmy/2015HB-05193-R000224-Jennifer%20Levi,%20GLAD%20Director%20of%20the%20Transgender%20Rights%20Project-TMY.PDF. Last accessed June 23, 2021.

63. Feinberg L. Trans health crisis: for us it's life or death. Am J Public Health. 2001;91(6):897-900.

65. Samuel L, Zaritsky E. Communicating effectively with transgender patients. Am Fam Physician. 2008;78(5):649-650.

66. National LGBT Health Education Center. Affirmative Care for Transgender and Gender Non-Conforming People: Best Practices for Front-line Health Care Staff. Available at https://www.lgbtqiahealtheducation.org/wp-content/uploads/13-017_TransBestPracticesforFrontlineStaff_v6_02-19-13_FINAL.pdf. Last accessed June 23, 2021.

67. Keepnews DM. Lesbian, gay, bisexual and transgender health issues and nursing: moving toward an agenda. ANS Adv Nurs Sci. 2011;34(2):163-170.

68. National Student Nurses Association. Resolutions by Year: 2021 - New. Available at https://www.nsna.org/resolutions-by-year.html. Last accessed June 23, 2021.

69. National Student Nurses Association. In Support of Implementing Practices Suggested in The Joint Commission Report, "Advancing Effective Communication, Cultural Competence, and Patient and Family Centered Care for the Lesbian, Gay, Bisexual, and Transgender (LGBT) Community: A Field Guide." Available at https://www.dropbox.com/s/ee4pg6lrc3vt3ls/NSNA%20Resolutions%202012.pdf?dl=0. Last accessed June 23, 2021.

70. Deutsch MB, Green J, Keatley J, Mayer G, Hastings J, Hall AM. Electronic medical records and the transgender patient: recommendations from the World Professional Association for Transgender Health EMR Working Group. J Am Med Inform Assoc. 2013;20(4):700-703.

71. Coleman E, Bockting W, Botzer M, et al. Standards of Care for the Health of Transsexual, Transgender, and Gender-Nonconforming People: Version 7. Int J Transgenderism. 2012;13(4):165-232.

72. Angello M. Transition-Related Mental Health Concerns. Paper presented at: Philadelphia Trans Health Conference; May 30– June 2, 2012; Philadelphia, PA.

73. Eyler AE. Depression, Suicide, and Transgender/Gender Variance. Paper presented at: Philadelphia Trans Health Conference; May 30–June 2, 2012; Philadelphia, PA.

74. De Vries AL, Noens IL, Cohen-Kettenis PT, van Berckelaer-Onnes IA, Doreleijers TA. Autism spectrum disorders in gender dysphoric children and adolescents. J Autism Dev Disord. 2010;40(8):930-936.

75. Rotondi NK. Depression in trans people: a review of the risk factors. Int J Transgend. 2011;13(3):104-116.

76. Fenway Health. Preventing Transgender Suicide: An Introduction for Providers. Available at https://fenwayhealth.org/documents/medical/transgender-resources/Blue.pdf. Last accessed June 23, 2021.

77. Hoshiai M, Matsumoto Y, Sato T, et al. Psychiatric comorbidity among patients with gender identity disorder. Psychiatry Clin Neurosci. 2010;64(5):514-519.

78. Madeddu F, Prumas A, Hartmann D. Prevalence of Axis II disorders in a sample of clients undertaking psychiatric evaluation for sex reassignment surgery. Psychiatr Q. 2009;80(4):261-267.

79. Khoosal D, Langham C, Palmer B, Terry T, Minajagi, M. Features of eating disorder among male-to-female transsexuals.Sex Relationship Ther. 2009;24(2):217-229.

80. White T, Ettner R. Adaptation and adjustment in children of transsexual parents. Eur Child Adolesc Psychiatry. 2007;16(4):215-221.

81. Sobralske M. Primary care needs of patients who have undergone gender reassignment. J Am Acad Nurse Pract. 2005;17(4):133-138.

82. Davidson A, Franicevich J, Freeman M, et al. Tom Waddell Health Center Protocols for Hormonal Reassignment of Gender. Available at https://www.sfdph.org/dph/comupg/oservices/medSvs/hlthCtrs/TransGendprotocols122006.pdf. Last accessed June 23, 2021.

83. Center of Excellence for Transgender Health. Guidelines for the Primary and Gender-Affirming Care of Transgender and Nonbinary People. Available at https://transcare.ucsf.edu/guidelines. Last accessed June 23, 2021.

84. Fenway Community Health Transgender Health Program. Protocol for Hormone Therapy. Available at https://fenwayhealth.org/documents/medical/transgender-resources/Fenway_Protocols.pdf. Last accessed June 23, 2021.

85. Fenway Community Health Transgender Health Program. Informed Consent for Reproductive Rights. Available at https://fenwayhealth.org/documents/medical/transgender-resources/Informed_Consent_-_Reproductive_Rights.pdf. Last accessed June 23, 2021.

86. de Blok CJM, Klaver M, Wiepjes CM, et al. Breast development in transwomen after 1 year of cross-sex hormone therapy: results of a prospective multicenter study. J Clin Endocrinol Metab. 2018;103(2):532-538.

87. Barrett J. The clinical risks associated with the diagnosis and management of disorders of gender identity. Clin Risk. 2009;15(4): 131-134.

88. Asscheman H, Giltay EJ, Megens JA, de Ronde WP, van Trotsenburg MA, Gooren LJ. A long-term follow-up study of mortality in transsexuals receiving treatment with cross-sex hormones. Eur J Endocrinol. 2011;164(4):635-642.

89. Getahun D, Nash R, Flanders WD, et al. Cross-sex hormones and acute cardiovascular events in transgender persons: a cohort study. Ann Intern Med. 2018;169(4):205-213.

90. Kohler L. Primary Care for Transgender Patients. Available at https://www.slideshare.net/FNian/primary-care-for-transgender-patients-presentation. Last accessed June 23, 2021.

91. Van Hunsel F, Van Puijenbroek E. Analysis of spontaneous reports of thromboembolic adverse drug reactions associated with cyproterone/ethinylestradiol. Drug Safety. 2013;36(9):817.

92. Elamin MB, Garcia MZ, Murad MH, Erwin PJ, Montori VM. Effects of sex steroid use on cardiovascular risk in transsexual individuals: a systematic review and meta-analysis. Clin Endocrinol. 2010;72(1):1-10.

93. Maraka S, Singh Ospina N, Rodriguez-Gutierrez R, et al. Sex steroids and cardiovascular outcomes in transgender individuals: a systematic review and meta-analysis. J Clin Endocrinol Metab. 2017;102(11):3914-3923.

94. Giltay EJ, Bunck MC, Gooren LJ, Zitman FG, Diamant M, Teerlink T. Effects of sex steroids on the neurotransmitter-specific aromatic amino acids phenylalanine, tyrosine, and tryptophan in transsexual subjects. Neuroendocrinology. 2008;88(2):103-110.

95. Tongson K, Konovalova V, Dhawan N, Sharma S, Bahl J, Masri M. Breast cancer suspicion in a transgender male-to-female patient on hormone replacement therapy presenting with right breast mass: breast cancer risk assessment and presentation of a rare lesion. Case Rep Oncological Med. 2017;5172072.

96. Sonnenblick EB, Shah AD, Goldstein Z, Reisman T. Breast imaging of transgender individuals: a review. Curr Radiol Rep. 2018;6(1):1.

97. Gooren LJ. Hormone treatment of the adult transsexual patient. Horm Res. 2005;64(Suppl 2):31-36.

98. Goldstein Z, Khan M, Reisman T, Safer JD. Managing the risk of venous thromboembolism in transgender adults undergoing hormone therapy. J Blood Med. 2019;10:209-216.

99. Gooren LJ, Gitay EJ, Bunck MC. Long-term treatment of transsexuals with cross sex hormones: extensive personal experience.J Clin Endocrinol Metab. 2008;93(1):19-25.

100. Owen K, Hancock AB. The role of self- and listener perceptions of femininity in voice therapy. Int J Transgend. 2010;12(4):272-284.

101. American Speech-Language-Hearing Association. Voice and Communication Change for Transgender People. Available athttps://www.asha.org/public/speech/disorders/voice-and-communication-change-for-transgender-people. Last accessed June 23, 2021.

102. King RS, Brown GR, McCrea CR. Voice parameters that result in identification or misidentification of biological gender in male-to-female transgender veterans. Int J Transgend. 2011;13(3):117-130.

103. Hancock AB, Garabedian LM. Transgender voice and communication treatment: a retrospective chart review of 25 cases.Int J Lang Commun Disord. 2013;48(1):54-65.

104. Banotai A. Feminization of voice and communication therapy for transgender clients. Adv Healthcare Network Speech Hear. 2005;15(24):22.

105. Pickering J, Kayaijan D. Voice program assists transgender community. ASHA Lead. 2009;14:18-20.

106. Wesp L. Hormone Management for FTM Spectrum Patients. Paper presented at: Philadelphia Trans Health Conference; May 30–June 2, 2012; Philadelphia, PA.

107. Lexicomp Online. Available at https://online.lexi.com/lco/action/home. Last accessed June 23, 2021.

108. Wesp L. Pelvic Care for FTM Spectrum Patients. Paper presented at: Philadelphia Trans Health Conference; May 30–June 2, 2012; Philadelphia, PA.

109. Deutsch MB. Pelvic Cancer Screening in Transgender Persons. Paper presented at: Philadelphia Trans Health Conference; May 30–June 2, 2012; Philadelphia, PA.

110. Peitzmeier SM, Khullar K, Reisner SL, Potter J. Pap test use is lower among female-to-male patients than non-transgender women. Am J Prev Med. 2014;47(6):808-812.

111. Light AD, Obedin-Maliver JO, Sevelius JM, Kerns JL. Transgender men who experienced pregnancy after female-to-male gender transitioning. Obstet Gynecol. 2014;124(6):1120-1127.

112. Van Borsel J, De Cuypere G, Rubens R, Destaerke B. Voice problems in female-to-male transsexuals. Int J Lang Commun Disord. 2000;35(3):427-442.

113. Cosyns M, Van Borsel J, Wierckx K, et al. Voice in female-to-male transsexual persons after long-term androgen therapy. Laryngoscope. 2014;124(6):1409-1414.

114. Tollinche LE, Walters CB, Radix A, et al. The perioperative care of the transgender patient. Anesth Analg. 2018;127(2):359-366.

115. American Society of Plastic Surgeons. 2018 Plastic Surgery Statistics Report. Available at https://www.plasticsurgery.org/documents/News/Statistics/2018/plastic-surgery-statistics-full-report-2018.pdf. Last accessed June 23, 2021.

116. Gibson B, Catlin AJ. Care of the child with the desire to change genders: part III, male-to-female transition. Pediatr Nurs. 2010;36(5):268-272.

117. Fischer BA. Pre- and Post-Op Care of the Transgender Surgery Patient: A Guide for the Primary Care Physician. Paper presented at: Philadelphia Trans Health Conference; May 30–June 2, 2012; Philadelphia, PA.

118. Ainsworth TA, Spiegel JH. Quality of life of individuals with and without facial feminization surgery or gender reassignment surgery. Qual Life Res. 2010;19(7):1019-1024.

119. Spiegel J. Trachea Shave Boston. Available at https://www.drspiegel.com/facial-feminization-surgery-boston/ffs-procedures/trachea-shave. Last accessed June 23, 2021.

120. MTF surgery.net. MTF Surgery Guide. Available at https://www.mtfsurgery.net. Last accessed June 23, 2021.

121. Lane M, Ives GC, Sluiter EC, et al. Trends in gender-affirming surgery in insured patients in the United States. Plast Reconstr Surg Glob Open. 2018;6(4):e1738.

122. Thomas JP. Cricothyroid Approximation. Available at https://www.voicedoctor.net/surgery/pitch/cricothyroid-approximation. Last accessed June 23, 2021.

123. Mastronikolis NS, Remacle M, Biagini M, Kiagiadaki D, Lawson G. Wendler glottoplasty: an effective pitch raising surgery in male-to-female transsexuals. J Voice. 2013;27(4):516-522.

124. Bowman C, Goldberg JM. Care of the patient undergoing sex reassignment surgery. Int J Transgend. 2006;9(3/4):135-165.

125. Sutcliffe PA, Dixon S, Akehurst RL, et al. Evaluation of surgical procedures for sex reassignment: a systematic review. J Plast Reconstr Aesthet Surg. 2009;62(3):294-306.

126. Manrique OJ, Sabbagh MD, Ciudad P, et al. Gender-confirmation surgery using the pedicle transverse colon flap for vaginal reconstruction: a clinical outcome and sexual function evaluation study. Plast Reconstr Surg. 2018;141(3):767-771.

127. Salgado CJ, Nugent A, Kuhn J, Janette M, Bahna H. Primary sigmoid vaginoplasty in transwomen: technique and outcomes. BioMed Research International. 2018;2018:4907208.

128. McGinn C. Vaginoplasty Requirements. Available at https://www.drchristinemcginn.com/services/srs/vaginoplasty.php. Last accessed June 23, 2021.

129. Spehr C. Male-to-female sex reassignment surgery in transsexuals. Int J Transgend. 2007;10(1):25-37.

130. Mukerjee R. Pelvic Care for MTF Patients. Paper presented at: Philadelphia Trans Health Conference; May 30–June 2, 2012; Philadelphia, PA.

131. Massie JP, Morrison SD, Van Maasdam J, Satterwhite T. Predictors of patient satisfaction and postoperative complications in penile inversion vaginoplasty. Plast Reconstr Surg. 2018;141(6):911e-921e.

132. Rossi Neto R, Hintz F, Krege S, Rübben H, Vom Dorp F. Gender reassignment surgery: a 13 year review of surgical outcomes.Int Braz J Urol. 2012;38(1):97-107.

133. Beddoe AE, Schub T. Evidence-based care sheet: transsexualism. CINAHL Inf Syst. 2012.

134. Lobato MI, Koff WJ, Maneti C, et al. Follow-up of sex reassignment surgery in transsexuals: a Brazilian cohort. Arch Sex Behav. 2006;35(6):711-715.

135. Dutton L, Koenig K, Fennie K. Gynecologic care of the female-to-male transgender man. J Midwifery Women's Health. 2008;53(4):331-337.

136. Gibson B. Care of the child with the desire to change genders: part II, female-to-male transition. Pediatr Nurs. 2010;36(2):112-117.

137. O'Hanlan KA, Dibble S, Young-Spint M. Total laparoscopic hysterectomy for female-to-male transsexuals. Obstet Gynecol. 2007;110(5):1096-1101.

138. Bettocchi C, Ralph DJ, Pryor JP. Pedicled pubic phalloplasty in females with gender dysphoria. BJU Int. 2005;95(1):120-124.

139. Garaffa G, Ralph DJ, Christopher N. Total urethral construction with the radial artery-based forearm free flap in the transsexual. BJU Int. 2010;106(8):1206-1210.

140. Rashid M, Tamimy MS. Phalloplasty: the dream and the reality. Indian J Plast Surg. 2013;46(2):283-293.

141. van der Sluis WB, Smit JM, Pigot GLS, et al. Double flap phalloplasty in transgender men: surgical technique and outcome of pedicled anterolateral thigh flap phalloplasty combined with radial forearm free flap urethral reconstruction. Microsurgery. 2017;37(8):917-923.

142. Le B, Burnett AL. Evolution of penile prosthetic devices. Korean J Urol. 2015;56(3):179-186.

143. van de Grift TC, Elaut E, Cerwenka SC, Cohen-Kettenis PT, Kreukels BPC. Surgical satisfaction, quality of life, and their association after gender-affirming surgery: a follow-up study. J Sex Marital Ther. 2018;44(2):138-148.

144. Bizic MR, Jeftovic M, Pusica S, et al. Gender dysphoria: bioethical aspects of medical treatment. BioMed Research International. 2018;2018:9652305.

145. Garcia MM, Christopher NA, De Luca F, Spilotros M, Ralph DJ. Overall satisfaction, sexual function, and the durability of neophallus dimensions following staged female to male genital gender confirming surgery: the Institute of Urology, London U.K. experience. Transl Androl Urol. 2014;3(2):156-162.

146. Gatos KC. A literature review of cervical cancer screening in transgender men. Nurs Womens Health. 2018;22(1):52-62.

147. Casella R, Bubendorf L, Schaefer DJ, Bachmann A, Gasser TC, Sulser T. Does the prostate really need androgens to grow? Transurethral resection of the prostate in a male-to-female transsexual 25 years after sex-changing operation. Urol Int. 2005;75(3):288-290.

148. Weyers S, Decaestecker K, Verstraelen H, et al. Clinical and transvaginal sonographic evaluation of the prostate in transsexual women. Urology. 2009;74(1):191-196.

149. Weyers S, Lambein K, Sturtewagen Y, Verstraelen H, Gerris J, Praet M. Cytology of the "penile" neovagina in transsexual women. Cytopathology. 2010;21(2):111-115.

150. Weyers S, Verstraelen H, Gerris J, et al. Microflora of the penile skin-lined neovagina of transsexual women. BMC Microbiol. 2009;9(102):1-6.

151. Stone JP, Hartley RL, Temple-Oberle C. Breast cancer in transgender patients: a systematic review. Part 2: female to male. Eur J Surg Oncol. 2018;44(10):1463-1468.

152. Gooren LJ, van Trotsenburg MAA, Giltay EJ, van Diest PJ. Breast cancer development in transsexual subjects receiving cross-sex hormone treatment. J Sex Med. 2013;10(12):3129-3134.

153. Peitzmeier SM, Reisner SL, Harigopal P, Potter J. Female-to-male patients have high prevalence of unsatisfactory Paps compared to non-transgender females: implications for cervical cancer screening. J Gen Intern Med. 2014;29(5):778-784.

154. Potter J, Peitzmeier SM, Bernstein I, et al. Cervical cancer screening for patients on the female-to-male spectrum: a narrative review and guide for clinicians. J Gen Intern Med. 2015;30(12):1857-1864.

155. Van Caenegem E, Wierckx K, Taes Y, et al. Bone mass, bone geometry, and body composition in female-to-male transsexual persons after long-term cross-sex hormonal therapy. J Clin Endocrinol Metab. 2012;97(7):2503-2511.

156. Wesp L. Primary Care for FTM Patients. Paper presented at: Philadelphia Trans Health Conference; May 30–June 2, 2012; Philadelphia, PA.

157. Devor H. Sexual orientation identities, attractions, and practices of female-to-male transsexuals. J Sex Res. 1993;30(4):303-315.

158. Kins E, Hoebeke P, Heylens G, Rubens R, De Cuypere G. The female-to-male transsexual and his female partner versus the traditional couple: a comparison. J Sex Marital Ther. 2008;34(5):429-438.

159. Gibson B, Catlin AJ. Care of the child with the desire to change gender: part I. Pediatr Nurs. 2010;36(1):53-59.

160. De Vries AL, McGuire JK, Steensma TD, Wagenaar EC, Doreleijers TA, Cohen-Kettenis PT. Young adult psychological outcome after puberty suppression and gender reassignment. Pediatrics. 2014;134(4):696-704.

161. Dreger A. Gender identity disorder in childhood: inconclusive advice to parents. Hastings Cent Rep. 2009;39(1):26-29.

162. American Psychological Association. Resolution on Appropriate Affirmative Responses to Sexual Orientation Distress and Change Efforts. Available at https://www.apa.org/about/policy/sexual-orientation. Last accessed June 23, 2021.

163. Morgan SW, Stevens PE. Transgender identity development as represented by a group of female-to-male transgendered adults. Issues Ment Health Nurs. 2008;29(6):585-599.

164. Mallon GP, DeCrescenzo T. Transgender children and youth: a child welfare practice perspective. Child Welfare. 2006;85(2):215-241.

165. Rosenthal SM. Approach to the patient: transgender youth: endocrine considerations. J Clin Endocrinol Metab. 2014;99(12):4379-4389.

166. Obedin-Maliver J, Goldsmith ES, Stewart L, et al. Lesbian, gay, bisexual, and transgender-related content in undergraduate medical education. JAMA. 2011;306(9):971-977.

167. Corliss HL, Shankle MD, Moyer MB. Research, curricula and resources related to lesbian, gay, bisexual, and transgender health in U.S. schools of public health. Am J Public Health. 2007;97(6):1023-1027.

168. Dubin SN, Nolan IT, Streed CG Jr, Greene RE, Radix AE, Morrison SD. Transgender health care: improving medical students' and residents' training and awareness. Adv Med Educ Pract. 2018;9:377-391.

169. Eliason MJ, Dibble S, Dejoseph J. Nursing's silence on lesbian, gay, bisexual, and transgender issues: the need for emancipatory efforts. ANS Adv Nurs Sci. 2010;33(3):206-218.

170. American Association of Colleges of Nursing. The Essentials of Baccalaureate Education for Professional Nursing Practice. Washington, DC: American Association of Colleges of Nursing; 2008.

171. American Association of Colleges of Nursing. QSEN Learning Module Series. Available at https://www.aacnnursing.org/Faculty/Teaching-Resources/QSEN/QSEN-Learning-Module-Series. Last accessed June 23, 2021.

172. Zuzelo PR. Improving nursing care for lesbian, bisexual, and transgender women. J Obstet Gynecol Neonatal Nurs. 2014;43(4):520-530.

173. American College of Nurse-Midwives. ACNM Library. Transgender/Transsexual/Gender Variant Health Care: Position Statements. Available at http://www.midwife.org/ACNM/files/ACNMLibraryData/UPLOADFILENAME/000000000278/Transgender%20Gender%20Variant%20Position%20Statement%20December%202012.pdf. Last accessed June 23, 2021.

174. Harvard Law Review. Outlawing Trans Youth: State Legislatures and the Battle over Gender-Affirming Healthcare for Minors. Available at https://harvardlawreview.org/2021/04/outlawing-trans-youth-state-legislatures-and-the-battle-over-gender-affirming-healthcare-for-minors. Last accessed July 13, 2021.

Evidence-Based Practice Recommendations Citations

1. National Institute for Health and Clinical Excellence. Autism: Recognition, Referral, Diagnosis and Management of Adults on the Autism Spectrum. London: National Institute for Health and Clinical Excellence; 2012. Available at https://www.nice.org.uk/guidance/CG142. Last accessed July 13, 2021.

2. U.S. Preventive Services Task Force. Screening for suicide risk in adolescents, adults, and older adults in primary care: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2014;160(10):719-726. Available at https://www.acpjournals.org/doi/10.7326/M14-0589. Last accessed July 13, 2021.

3. Deutsch MB (ed). Guidelines for the Primary and Gender-Affirming Care of Transgender and Gender Nonbinary People. 2nd ed. San Francisco, CA: UCSF Center of Excellence for Transgender Health; 2016. Available at https://transcare.ucsf.edu/sites/transcare.ucsf.edu/files/Transgender-PGACG-6-17-16.pdf. Last accessed July 13, 2021.

4. Adelson SL, American Academy of Child and Adolescent Psychiatry Committee on Quality Issues. Practice parameter on gay, lesbian, or bisexual sexual orientation, gender nonconformity, and gender discordance in children and adolescents. J Am Acad Child Adolesc Psychiatry. 2012;51(9):957-974. Available at https://www.jaacap.org/article/S0890-8567(12)00500-X/fulltext. Last accessed July 13, 2021.

5. Hembree WC, Cohen-Kettenis PT, Gooren L, et al. Endocrine treatment of gender-dysphoric/gender-incongruent persons: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab. 2017;102(11):3869-3903. Available at https://academic.oup.com/jcem/article/102/11/3869/4157558. Last accessed July 13, 2021.


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