21St Century Issues In Transgender Health

By Marissa Velazquez


Gender identity is the internal personal sense of being a man, woman, or outside the binary gender identity. For transgender people, this identity differs from the gender they were assigned at birth. While gender identity differs from sexual orientation, it is no easier to change. For this reason, transgender individuals seek to align their bodies with their gender identity. Consequently, certain transgender health issues frequently arise within this population.

There are different levels of trans identity. Transvestites like to wear clothing that is traditionally associated with the opposite sex but they are not interested in changing their gender assignment on a full-time basis. Drag kings and queens are individuals who do not appear to be either traditionally feminine or masculine. Others feel they are either a little of both or neither one.

Transexuals are people who have a powerful desire to live and be recognized as a member of the opposite gender to which they were born. Many of these people have gender reassignment treatment to make their appearance look more like their desired gender. This may include a combination of hormones and surgery with rigorous counselling.

Children who experience this feeling of gender misalignment feel it at a surprisingly young age. When little Nick started playing with female-oriented toys and games at the age of two, his mother noticed this but did not feel particularly concerned. By the age of four, he announced to her that God had made him a boy by mistake. When he reached the age of six years old, he told her he wanted to change his assigned gender.

Fortunately, sympathetic doctors exist who will offer to administer hormone injections to block the child going through a psychologically distressing puberty until they have made a thorough decision as to which gender feels right for them. Some of these teens follow through with a full gender reassignment. Many of these people may have otherwise been driven to commit suicide.

Exposed to social disapproval and often open hostility, transgender individuals have a higher likelihood than the general population to experience severe mental distress. They are on the receiving end of harassment and violent behavior, to which they respond by becoming depressed, often leading them to self-harm or commit suicide. They will avoid seeking medical attention.

Many healthcare providers lack the expertise to deal effectively with transgender patients. They may even go so far as to turn them away and deny them medical care. Transgender health problems may not even be covered by peoples' medical insurance, setting up yet another barrier to access medical care. One serious issue is that of developing cancer in the remaining sexual organs. Transgender men who retain their uterus, ovaries or breasts may develop cancer in these organs. Similarly, transgender men may develop cancer of the prostate.

Fortunately, there are a number of helpful organizations that offer help. The World Professional Association for Transgender Health (WPATH) is one such organization. Among its missions are to promote evidence based care and respect for trans patients. The Mermaids charity exists to support children, teens and families with gender identity issues. The Center of Excellence for Transgender Health focuses on HIV prevention, routine care, mental wellness and cultural competency.




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