Gynecological Aspects of Transgender Healthcare

The role of gynecology for transgender healthcare has traditionally been limited to hysterectomy and oophorectomy in female-to-male transsexuals (FtM). But much more health issues within the broad spectrum of gynecology are relevant for transsexuals of both sexes. From procreation to cancer prevention, from genital health maintenance to pelvic floor disorders, from dyspareunia to libido loss, gynecology may play a major role for healthcare maintenance of the transgender population. In this article several gynecological aspects are highlighted with special attention to the context of transsexualism. The lack of knowledge of gynecologists about the special needs of this population, and in many countries a reserved attitude of doctors toward transgender persons, still is a limiting factor of gynecological care for transgender persons.

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