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Practice & Policy

The transgender patient in primary care: practical advice for a 10-minute consultation

Charlotte Cliffe, Miriam Hillyard, Albert Joseph and Azeem Majeed
BJGP Open 2017; 1 (3): bjgpopen17X101001. DOI: https://doi.org/10.3399/bjgpopen17X101001
Charlotte Cliffe
1 Honorary Clinical Research Fellow, Department of Primary Care and Public Health, Imperial College London, , UK
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  • For correspondence: c.cliffe@imperial.ac.uk
Miriam Hillyard
2 Foundation Doctor, North West Thames Foundation School, Imperial College Healthcare NHS Trust, , UK
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Albert Joseph
3 Honorary Clinical Research Fellow, Department of Primary Care and Public Health, Imperial College London, , UK
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Azeem Majeed
4 Professor of Primary Care, Department of Primary Care and Public Health, Imperial College London, , UK
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Article Figures & Data

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  • Figure 1.
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    Figure 1. UK locations of specialist gender identity clinics.

Tables

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    Box 1. Side-effects of hormonal preparations for trans men and women. 2
    Trans womenTrans men
    • Breast development takes 2 years• Beard and body hair growth
    • Decreased hair loss• Male pattern baldness
    • Reduced muscle bulk• Enlarged clitoris
    • Erection/orgasm harder to achieve• Heightened libido
    • Weight gain• Acne
    • Reproductive implications, such as infertility• Sleep apnoea
    • Weight gain
    • Reproductive implications, such as infertility
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    Box 2. Risks of hormonal preparations for trans men and women. 2
    Medications for trans womenMedications for trans menSelf-medication
    ThrombosisPolycythaemiaNon-genuine or inactive product
    GallstonesHyperlipidaemiaContaminated/harmful preparation
    Elevated liver enzymesCardiovascular diseaseMay have contraindications
    HypertriglyceridemiaHypertensionInadequate monitoring, such as liver fuction tests
    HyperprolactinaemiaType 2 diabetesOver- or underdosing
    Type 2 diabetes  
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BJGP Open
Vol. 1, Issue 3
October 2017
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The transgender patient in primary care: practical advice for a 10-minute consultation
Charlotte Cliffe, Miriam Hillyard, Albert Joseph, Azeem Majeed
BJGP Open 2017; 1 (3): bjgpopen17X101001. DOI: 10.3399/bjgpopen17X101001

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The transgender patient in primary care: practical advice for a 10-minute consultation
Charlotte Cliffe, Miriam Hillyard, Albert Joseph, Azeem Majeed
BJGP Open 2017; 1 (3): bjgpopen17X101001. DOI: 10.3399/bjgpopen17X101001
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Keywords

  • transgender
  • gender identity
  • gender variance
  • bridging prescriptions

More in this TOC Section

  • Communicating with people with hearing loss: COVID-19 and beyond
  • Improving the utility and sustainability of novel health technology to improve clinical outcomes for patients: an East Staffordshire experience of screening for atrial fibrillation with the AliveCor KardiaMobile
  • New models of care in general practice for the youth mental health transition boundary
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