Context, Principles and Practice of TransGynecology

This comprehensive and authoritative book is written by over seventy of the foremost experts working with the care of transgender and gender expansive patients for gynecologists and those working in neighboring disciplines. Among medical specialists, understanding of the complex reality and medical needs of transgender and gender diverse individuals is still limited. This book offers the opportunity to understand transgynecology in a way that is inclusive and up-to-date, with insights into liaison with specialties such as urology, dermatology, sexuology, physiotherapy amongst others. By contextualising transgender/gender diverse medicine before covering specific issues such as imaging, benign disorders, fertility maintenance, medico-legal concerns and uterine transplantation, this book is truly unique. Aimed at gynecologists, obstetricians, general practitioners, counsellors and all those who work with transgender, non-binary, or gender diverse patients, this book prepares the reader for the prerequisites and subtleties of transgynecology.

• This book enables state-of-the-art healthcare for an exponentially growing group of patients, in an area of medicine that is still widely unknown to specialists
• A unique, comprehensive textbook comprised of up-to-date information covering all aspects of Obstetrics and Gynecology for caring for transgender and gender diverse patients
• Offers a single, authoritative source to all issues relevant to transgynecology, written by the foremost experts from around the world

Table of Contents

Section A. Contextual Transgynecology:
1. Terminology in transgender medicine
2. Optimizing clinical ob/gyn services through improved communication with trans persons
3. What do trans people expect from transition and what do they encounter physically?
4. A pondering transfemale gynaecologist
5. The ever-changing role of the mental health care professional in transgender healthcare
6. Impact of stigma and resilience on the health of transgender and nonbinary people
7. Dealing with the physical complaints of nonbinary clients
8. Impulses for a gender-variant gynecological expertise from a queer-theoretical perspective
Section B. Practicing Transgynecology:
9. Gynecological office medicine for trans and gender-diverse people
10. Features of imaging in transgender persons
11. Benign Gynecological conditions in transgender and gender diverse people
12. Urogynaecological disorders
13. Painful and frequent micturation
14. Differential diagnosis and evaluation of pelvic pain in transgender patients
15. Gynecological attention to the prostate
16. Vaginal dilators and dilating after vaginoplasty
17. TransSenology
Section C. Gynecological Surgery for Transgender Males:
18. What is different in performing hysterectomy on trans men?
19. Opportunistic salpingectomy
20. Colpectomy
Section D. Sexuality and Contraception:
21. Transition-related sexual health care
22. Contraceptive advice for trans male persons
23. Sexual abuse and trauma-informed care for transgender and gender diverse people in ob/gyn practice
Section E. Fertility and Reproduction:
24. Fertility counseling for transgender and nonbinary people
25. Management of fertility for the trans masculine individual
26. Fertility maintenance for trans women
27. Fertility prospects related to puberty blocking therapy
28. Medico-legal entanglements of assisted reproduction
29. Obstetrical care for trans persons
30. Uterine transplantation for trans women: Prerequisites and limitations
Section F. Impact of Gender Affirming Hormonal Therapy on Genital Organs:
31. Changes to the uterus from supraphysiologic androgens
32. The ovaries under supraphysiological androgen exposure.
33. The vaginal and neovaginal microbiome under androgen or estrogen exposure respectively
Section G. Screening and Prophylaxis:
34. Prevention and management of neovaginal stenosis and other related complications of vaginoplasty
35. Pelvic physical therapy for gender-affirming genital vaginoplasty
36. HPV associated dysplasia of skin and mucosa and vaccination options in trans people
37. Extent, burden and characteristics of STD's and HIV in trans people
38. Screening policies for cervical, (neo-)vaginal, and vulvar dysplasia and cancer.