Journal article

Position statement on the hormonal management of adult transgender and gender diverse individuals

Ada S Cheung, Katie Wynne, Jaco Erasmus, Sally Murray, Jeffrey D Zajac

Medical Journal of Australia | WILEY | Published : 2019

Abstract

INTRODUCTION: Rising demand for gender-affirming hormone therapy mandates a need for more formalised care of transgender and gender diverse (TGD) individuals in Australia. Estimates suggest that 0.1-2.0% of the population are TGD, yet medical education in transgender health is lacking. We aim to provide general practitioners, physicians and other medical professionals with specific Australian recommendations for the hormonal and related management of adult TGD individuals. MAIN RECOMMENDATIONS: Hormonal therapy is effective at aligning physical characteristics with gender identity and in addition to respectful care, may improve mental health symptoms. Masculinising hormone therapy options in..

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Grants

Awarded by Australian Government National Health and Medical Research Council Early Career Fellowship


Funding Acknowledgements

The figure in Box 2 was designed for this article by TGD community member and graphic artist Jake Kidson-Purry. We thank TGD community members who reviewed and provided feedback on the position statement: Daria Chetcuti, Max Rainier, Alex Wong andTransgender Victoria committee members. We also thank expert reviewers Ruth McNair (University of Melbourne), Michael Irwig (George Washington University, USA), the AusPATH executive committee, the ESA Medical Affairs Committee and the RACP Policy and Advocacy Committee for reviewing the manuscript. Ada Cheung is supported by an Australian Government National Health and Medical Research Council Early Career Fellowship (#1143333) and receives research support from the Viertel Charitable Foundation Clinical Investigator Award, an ESA Postdoctoral Award and the RACP Vincent Fairfax Family Foundation.