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Exploring the complexities and challenges of healthcare access for transgender people in Minas Gerais state: a qualitative study a decade following the implementation of the transsexualization process in the Brazilian National Health System.
Epidemiol Serv Saude
December 2024
Universidade Federal de Minas Gerais, CEDEPLAR, Belo Horizonte, MG, Brazil.
Objective: This article explores the complexities and challenges of healthcare access for transgender people in Minas Gerais.
Methods: : This study is based on a subsample from the Manas Survey, comprised of 15 semi-structured interviews with transgender people, conducted between May 2018 and May 2020, analyzed using the content analysis method and organized into a thematic network.
Results: : The results highlight the need for adequate structures, specific training for healthcare professionals, the influence of support networks and challenges in mental health.
Article Synopsis
- - The ICD-11 introduces a new understanding of gender identity, shifting away from viewing gender incongruence as a pathology and framing it instead as a "condition related to sexual health."
- - The article discusses the impact of these changes on diagnosing and treating children and adolescents, especially those who are seeking body-modifying procedures during puberty, and highlights the ethical complexities involved.
- - Emphasizing the need for a clinically-oriented approach, the article insists on careful diagnosis and psychotherapy to support adolescents facing psychological distress related to their gender identity.
Penile inversion vulvo-vaginoplasty with scrotal graft for trans women: surgical technique and results of initial experience.
J Sex Med
January 2025
Urology Department, Foch Hospital, Suresnes, 92150, France.
Background: A significant proportion of trans women is demanding for a genital gender-affirming surgery, with vulvo-vaginoplasty being the most frequently requested procedure. The gold standard for primary vaginoplasty in trans women is the penile skin inversion technique with scrotal skin graft, which allows for increased depth of the vaginal cavity.
Aims: The assessment of vulvo-vaginoplasty outcomes utilizing penile skin inversion and scrotal skin graft in individuals assigned male at birth in the surgeon's learning curve involves evaluating aesthetics, functionality, and sexual aspects.
Purpose Of Review: The present study reviews contemporary literature focused on transplantation and tissue substitutes for the purposes of masculinizing genital gender affirming surgery. Additional background is provided for both topics to provide a more comprehensive understanding of the modern applications.
Recent Findings: Genitourinary vascularized composite allotransplantation has become a reality in recent years with several cases reported worldwide in cisgender men with promising reports of urinary and sexual function.
Trans depathologisation and gender identity disorder in Japan: A critical discourse analysis of medical literature, 2010-2022.
Soc Sci Med
July 2024
Graduate School of Arts and Sciences, The University of Tokyo, Tokyo, Japan; Japan Society for the Promotion of Science, Tokyo, Japan. Electronic address:
Article Synopsis
- * It explores how Japanese medical models of gender identity, particularly the term seidouitsusei-syōgai (gender identity disorder), reflect both global issues and unique cultural implications, using critical discourse analysis.
- * The author highlights that the term's interpretation in Japan diverges from its English counterpart due to specific cultural connotations, revealing the complexities and structural challenges within trans medicine and the effects of depathologisation discourse in Japan.
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