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Serving the Needs of Transgender and Gender-Diverse Persons in Radiology

2019; Elsevier BV; Volume: 16; Issue: 4 Linguagem: Inglês

10.1016/j.jacr.2018.12.050

1558-349X

Justin T. Stowell, Frances Grimstad, Daniel Kirkpatrick, Liz Brown, Efrén J. Flores,

Diversity and Career in Medicine

Transgender and gender-diverse (TGD) persons experience an inner sense of gender that does not align with the sex assigned to them at birth [ 1 James S.E. Herman J.L. Rankin S. Keisling M. Mottet L. Anafi M. The report of the 2015 U.S. Transgender Survey. National Center for Transgender Equality, Washington, District of Columbia2016 Google Scholar ]. Although TGD persons are included within the broader social classification of lesbian, gay, bisexual, transgender, and queer (LGBTQ) people, gender identity and sexual orientation are separate constructs (ie, TGD people may have any sexual orientation) (Table 1). A rising prevalence of TGD persons in the United States (an estimated 1.4 million or 1 in 250 adults) coupled with increasing desire and insurance coverage for TGD health services has fueled a need for knowledgeable providers of gender-affirming hormonal and surgical therapies [ 1 James S.E. Herman J.L. Rankin S. Keisling M. Mottet L. Anafi M. The report of the 2015 U.S. Transgender Survey. National Center for Transgender Equality, Washington, District of Columbia2016 Google Scholar ]. Table 1Glossary of select accepted terminology used in reference to gender-diverse populations 1 James S.E. Herman J.L. Rankin S. Keisling M. Mottet L. Anafi M. The report of the 2015 U.S. Transgender Survey. National Center for Transgender Equality, Washington, District of Columbia2016 Google Scholar Term Meaning Gender identity Inner sense of masculinity or femininity Sex Identification of male, female, or intersex at birth on the basis of phenotype and/or genetics Sexual orientation Individual preference for sexual intimacy with others Transgender Person whose gender identity differs from the sex assigned at birth Gender diverse (also gender nonconforming, nonbinary, gender queer) Person whose gender identity differs from the sex assigned at birth but whose gender identity may not be confined to a binary male/female understanding of gender; may use pronouns such as they/them or others Cisgender Person whose gender identity aligns with one’s assigned sex at birth Trans man Person with male gender identity who was assigned female at birth Trans woman Person with female gender identity who was assigned male at birth Transmasculine, transfeminine Terms to describe directionality of gender identity or expression on the spectrum of gender-diverse persons Gender dysphoria Distress caused by incongruence of gender identity and sex assigned at birth Gender-affirming hormone therapy Hormonal regimens designed to induce phenotypic characteristics of the affirmed gender and suppress those of the birth-assigned sex Gender-affirming surgery Surgeries to align one’s anatomy with one’s gender identity; “gender reassignment” and “sex change” are considered offensive and no longer used Open table in a new tab Re: “Serving the Needs of Transgender and Gender-Diverse Persons in Radiology”Journal of the American College of RadiologyVol. 16Issue 9PreviewI compliment the authors of the timely and informative article, “Serving the Needs of Transgender and Gender-Diverse Persons in Radiology” [1]. Full-Text PDF