scholarly journals Case Report: Successful Use of Minoxidil to Promote Facial Hair Growth in an Adolescent Transgender Male

2021 ◽  
Vol 12 ◽  
Author(s):  
Kenneth C. Pang ◽  
Thomas P. Nguyen ◽  
Rita Upreti
Keyword(s):  
Systemic Absorption ◽  
Androgenic Alopecia ◽  
Testosterone Therapy ◽  
Over The Counter ◽  
Facial Hair ◽  
Gender Diverse ◽  
Counter Medication ◽  
Topical Minoxidil ◽  
And Gender ◽  
Excessive Skin

Increasing numbers of trans and gender diverse young people are presenting to health services seeking gender-affirming medical care. While testosterone therapy in transgender males is generally effective in inducing masculinization, some adolescents encounter barriers to accessing such treatment or may not wish to experience all the changes that usually accompany testosterone. Here, we describe the case of a 17 year old trans male who presented with gender dysphoria but was initially unable to start testosterone therapy. Due to a desire for facial hair, he was therefore treated with topical minoxidil, an easily accessible, over-the-counter medication that has been used to treat androgenic alopecia for several decades. In this case, minoxidil was applied regularly to the lower face and, after three months of treatment, he developed obvious pigmented facial hair that was sufficient to help him avoid being misgendered. The only reported side effect was excessive skin dryness. Unexpectedly, despite no direct application to other areas, there was also an increase in pigmented body hair, suggestive of systemic absorption and effect. Given its long-standing use and safety record in the management of alopecia, minoxidil might thus represent a useful treatment option for trans males who desire an increase in facial hair.

Initiation of Gender-Affirming Testosterone Therapy in a Lactating Transgender Man

2021 ◽  
pp. 089033442110376
Author(s):  
Sara Oberhelman-Eaton ◽  
Alice Chang ◽  
Cesar Gonzalez ◽  
Andrew Braith ◽  
Ravinder J. Singh ◽  
...  
Keyword(s):  
Human Milk ◽  
Gender Dysphoria ◽  
Post Partum ◽  
Safety Data ◽  
Serum Testosterone ◽  
Testosterone Therapy ◽  
Gender Diverse ◽  
Infant Dose ◽  
And Gender ◽  
Outpatient Appointments

Introduction: Transgender and gender diverse individuals may choose to provide their infants with human milk. Lactating transgender men may experience gender dysphoria and desire to initiate or reinitiate gender-affirming testosterone therapy. However, there is limited safety data regarding use of testosterone during lactation. Main Issue: A 30-year-old G2P2 transgender man with gender dysphoria sought to initiate gender-affirming testosterone therapy while lactating. Management: Subcutaneous testosterone was self-administered beginning at 13 months post-partum. We prospectively collected data on circulating testosterone concentrations in parent serum, milk, and infant serum over 5 months until the infant self-weaned. The infant was monitored for growth and development at routine pediatric outpatient appointments. Parent serum testosterone concentrations rose with the initiation of testosterone therapy, reaching therapeutic concentrations by Day 14. Milk testosterone concentrations also increased with a maximum concentration of 35.9 ng/dl when the lactating parent was on a dose of 80 mg subcutaneous testosterone cypionate weekly. The calculated milk/plasma ratio remained under 1.0 and the calculated relative infant dose remained under 1%. The infant had no observable side effects, and his serum testosterone concentrations remained undetectable throughout the study period. Conclusion: This is the first study with data regarding human milk and infant serum testosterone concentrations during the initiation of gender-affirming testosterone therapy in a lactating individual. This evidence can help families and clinicians with decisions regarding lactation and testosterone use.

The Co-Occurrence of Autism and Gender Diversity

2020 ◽  
pp. 197-211
Author(s):  
Jill C. Fodstad ◽  
Rebecca Elias ◽  
Shivali Sarawgi
Keyword(s):  
Gender Dysphoria ◽  
Gender Diversity ◽  
Gender Nonconforming ◽  
Medical Interventions ◽  
Gender Diverse ◽  
Nonbinary Gender ◽  
Psychiatric Conditions ◽  
The Common ◽  
And Gender

Gender diversity refers to gender expressions and/or gender identity experiences that vary from the common experiences of gender. Gender-diverse people may be gender nonconforming, gender nonbinary, gender fluid, gender exploring, transgender, and so forth. Some gender-diverse individuals experience gender dysphoria and/or gender incongruence and may require gender-affirming supports, including gender-affirming medical interventions. The co-occurrence of autism and gender diversity has been highlighted in a series of studies internationally as well as through rich community expressions. Studies in gender-referred individuals reveal high rates of autism traits as well as high rates of existing autism diagnoses. Studies in autistic populations reveal greater gender diversity characteristics. The long-term course of gender diversity in autistic individuals is poorly understood. Clinical guidelines have been developed for adolescents with the co-occurrence, but much work remains: No gender-related measures have been developed and tested for use in neurodiverse populations, no programs exist to support gender-diverse neurodiverse adults, and little is known about co-occurring mental health profiles, risks, or protective factors for people with the co-occurrence. The inclusion of this chapter on co-occurring autism and gender diversity within a book on “co-occurring psychiatric conditions” is problematic, because gender diversity is not a “psychiatric condition,” but instead a form of human diversity. The diagnosis of Gender Dysphoria is useful only insomuch as it allows individuals to obtain necessary gender-related supports. The authors’ choice to include this chapter in this book reflects a compromise, motivated by the need for educating both autism and gender specialists in this common co-occurrence.

An analysis of suicidal thoughts and behaviors among transgender and gender diverse adults

2021 ◽  
Author(s):  
Robert J. Cramer ◽  
Andrea R. Kaniuka ◽  
Farida N. Yada ◽  
Franck Diaz-Garelli ◽  
Ryan M. Hill ◽  
...  
Keyword(s):  
Suicidal Thoughts ◽  
Gender Diverse ◽  
And Behaviors ◽  
And Gender ◽  
Suicidal Thoughts And Behaviors

scholarly journals Transgender and gender diverse health education for future nurses: Students' knowledge and attitudes

2021 ◽  
Vol 97 ◽  
pp. 104690
Author(s):  
Athena D.F. Sherman ◽  
Alex McDowell ◽  
Kristen D. Clark ◽  
Monique Balthazar ◽  
Meredith Klepper ◽  
...  
Keyword(s):  
Health Education ◽  
Knowledge And Attitudes ◽  
Gender Diverse ◽  
And Gender

Distractions and Defractions: Using Parental Rights to Fight Against the Educational Rights of Transgender, Nonbinary, and Gender Diverse Students

2020 ◽  
pp. 089590482098303
Author(s):  
Cris Mayo
Keyword(s):  
Healthcare Access ◽  
Self Determination ◽  
Parental Rights ◽  
Diverse Students ◽  
Educational Rights ◽  
Policy Debates ◽  
Gender Diverse ◽  
Youth Rights ◽  
And Gender ◽  
Religiously Based

In recent years, conservative advocates have obscured their transphobia by framing their concerns as religiously-based parental rights claims. They have advocated for limitations on youth rights to gender identity self-determination. This article examines policy debates over transgender-inclusive practices in schools, including conservative demands for parental notification and limitations on healthcare access for transgender youth. I suggest that schools ought to be more concerned with children’s or students’ rights to help enable diverse students to flourish and become who they are in supportive schools. This shift would move schools away from the distractions of conservative parental rights claims and re-focus them instead on the needs of students.

scholarly journals Benefits of a Nurse Directed over the Counter Medication Dispensing System in an Automotive Plant

AAOHN Journal ◽  
2001 ◽  
Vol 49 (9) ◽  
pp. 422-428
Author(s):  
Yvonne Abdoo ◽  
Sally L. Lusk ◽  
Cynthia S. Darling-Fisher ◽  
David L. Ronis ◽  
Richard J. Kowalski
Keyword(s):  
Over The Counter ◽  
Counter Medication ◽  
Medication Dispensing

Transgender and Gender Diverse Community Connection, Help-Seeking, and Mental Health Among Black Transgender Women Who Have Survived Violence: A Mixed-Methods Analysis

2021 ◽  
pp. 107780122110138
Author(s):  
Athena D. F. Sherman ◽  
Sarah Allgood ◽  
Kamila A. Alexander ◽  
Meredith Klepper ◽  
Monique S. Balthazar ◽  
...  
Keyword(s):  
Mental Health ◽  
Mixed Methods ◽  
Help Seeking ◽  
Longitudinal Research ◽  
Care Delivery ◽  
Poor Mental Health ◽  
Transgender Women ◽  
Gender Diverse ◽  
Diverse Community ◽  
And Gender

Black transgender women are disproportionately affected by violence and poor care-delivery, contributing to poor mental health. Little is known regarding the effect of transgender and gender diverse (TGD) community connection (TCC) on health. This analysis (a) explores relationships between TCC, polyvictimization, and mental health and (b) analyzes how TCC influenced help-seeking following violent experiences among Black transgender women. Mixed-methods data from 19 Black transgender women were analyzed using correlational and thematic content analyses. Findings suggest that TCC is associated with improved help-seeking and mental health among Black transgender women, highlighting a need for longitudinal research to identify approaches for leveraging TCC.

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