{"id":20011,"date":"2022-12-05T16:13:44","date_gmt":"2022-12-05T21:13:44","guid":{"rendered":"https:\/\/www.zocdoc.com\/blog\/?p=20011"},"modified":"2023-03-06T15:23:33","modified_gmt":"2023-03-06T20:23:33","slug":"how-to-talk-about-your-transgender-status-with-your-doctor","status":"publish","type":"post","link":"https:\/\/www.zocdoc.com\/blog\/guides\/how-to-talk-about-your-transgender-status-with-your-doctor\/","title":{"rendered":"How to Talk About Your Transgender Status With Your Doctor"},"content":{"rendered":"

Seeking healthcare while transgender is often difficult. Transgender patients face a range of <\/span>healthcare challenges<\/span><\/a>, many of which stem from the <\/span>stress of discrimination<\/span><\/a>. These health issues, plus a high demand for transition-related care, should make us frequent flyers in doctor\u2019s offices.\u00a0<\/span><\/p>\n

However, these spaces can feel unsafe. Since medical providers can direct the course of our health care, disclosing our status as transgender to a discriminatory provider places us at risk of information breach and personal harm. In <\/span>one survey<\/span><\/a>, <\/span>28 percent of trans patients reported experiencing harassment in medical settings.\u00a0<\/span><\/p>\n

Even providers who are not intentionally discriminatory but are unaware of the intricacies of transgender healthcare can provide poorer treatment. \u201c<\/span>Trans broken arm syndrome<\/span><\/a>\u201d describes the propensity of providers to misattribute the cause of any ailment in a trans patient to their medical transition. In the survey cited above, half of trans patients reported teaching their doctors how to provide transgender care.\u00a0<\/span><\/p>\n

The expectation of mistreatment and a range of other healthcare disparities contributes to <\/span>health care anxiety<\/span><\/a> that keeps us from accessing healthcare despite keenly needing it. While there\u2019s been an <\/span>increase in trans-friendly<\/span><\/a> healthcare providers out there, we still have a long way to go. <\/span><\/p>\n

Trans and queer-aligned NGOs are a first port-of-call for trans patients looking for healthcare, and some are taking steps to <\/span>partner with medical institutions<\/span><\/a> for referrals, outreach and provider education.\u00a0<\/span><\/p>\n

For now, I break down what types of information you might want to talk about with your medical provider if you identify as transgender.\u00a0<\/span><\/p>\n

\n

Opening up<\/h3>\n

There isn\u2019t a single transgender body. Your identity as a trans person is bound up in a complex web of sociocultural, physiological, emotional and political factors that vary from person to person.<\/span><\/p>\n

Some trans people have obtained sufficient treatment and surgery to be effectively indistinguishable from cisgender people. Others forgo medical transition, whether or not by choice. Still others have<\/span> intersex conditions (a difference between the external and internal genitals) that can affect their gender identity.<\/span><\/p>\n

Dr. Anastacia Tomson<\/span><\/a>, an LGBTQ+ rights activist and trans woman based in South Africa, says that healthcare anxieties for trans patients \u201c<\/span>can be manifold.\u201d Still, <\/span>if you\u2019re a trans patient meeting with a new doctor, \u201cIdeally, you should always disclose medical information, particularly if you have received medical or surgical interventions.\u201d\u00a0<\/span><\/p>\n

Before you even enter the doctor\u2019s office, however, you\u2019ll often have to navigate billing and insurance. This can be especially challenging for trans people whose documentation does not match their presentation or identity. Sometimes it\u2019s necessary to disclose your transgender status to the doctor\u2019s office to avoid bureaucratic confusion and receive care. This may include presenting assigned sex at birth or a dead name to the office, potentially in the presence of other patients and unrelated staff. At minimum, this can out a patient and be a distressing experience, and at worst can result in <\/span>stigma or mistreatment<\/span><\/a>. This is one reason why the right to change gender markers and identity documents is so important.<\/span><\/p>\n

Once you\u2019re in the room, you\u2019ll want to talk to your doctor and assess whether they\u2019re a good fit.\u00a0<\/span><\/p>\n

If you don\u2019t feel comfortable being fully honest with your provider, that might mean they\u2019re not the best fit, Tomson advises. Assessing whether doctors are queer-friendly, or a good fit can be fraught with uncertainty. Often, doctors who <\/span>advertise themselves as queer-friendly<\/span><\/a> become a go-to resource for queer patients. These doctors attract queer patients who feel safe seeing them, and the doctors then develop experience in treating queer communities. Local branches of national nonprofits such as <\/span>Planned Parenthood<\/span><\/a> can also make referrals to known queer-friendly doctors, or provide care themselves. There are also databases of queer-friendly healthcare providers, such as <\/span>Outlist<\/span><\/a>.<\/span><\/p>\n

Whatever you do, you shouldn\u2019t lie to your provider. \u201c<\/span>To be fair and get the best outcomes, it is helpful for the medical team caring for a patient to know everything that makes up their body,\u201d says Ilene Corina,<\/span>\u00a0a patient safety advocate<\/a> in New York.<\/span>\u00a0<\/span><\/p>\n

Despite the challenges we encounter in healthcare, the benefits of lying rarely outweigh the risks incurred to our health.<\/span> Let\u2019s get into what parts of your medical history you\u2019ll want to discuss with your doctor to the best of your ability.\u00a0<\/span><\/p>\n

\n

Past transition care\u00a0<\/span><\/h3>\n

It\u2019s important to talk about any past transition care, such as hormone replacement therapy, with a new doctor. \u201c<\/span>Having access to more information allows for better clinical decision-making and rational medical care,\u201d <\/span>Tomson says.\u00a0<\/span><\/p>\n

This is also pertinent when switching providers or seeing multiple providers. Tomson notes that it\u2019s helpful to \u201c<\/span>furnish your new provider with as much of the clinical history as possible.\u201d <\/span>\u201c<\/span>This allows for better continuity of care, and avoids unnecessary duplication of investigations or gaps in management of ongoing medical concerns,\u201d she adds.\u00a0<\/span><\/p>\n

Being honest about past treatments also prevents certain misdiagnoses. For instance, <\/span>some effects of HRT may present diagnostically as a hormone imbalance in someone who presents as the opposite gender. For example, a masculine-presenting trans woman on feminizing hormone therapy will develop breast tissue. This may be misidentified as <\/span>gynecomastia<\/span><\/a>.\u00a0<\/span><\/p>\n

Likewise, the effects of masculinizing HRT on a patient read as a woman may be misidentified as an effect of <\/span>polycystic ovary syndrome<\/span><\/a> or other hormone disorders.\u00a0<\/span>Disclosing to prevent misdiagnosis or the deployment of unnecessary procedures (pregnancy tests or prostate screening) can save money and ensure quality care.<\/span><\/p>\n

\n

Anatomical information<\/h3>\n

A range of healthcare risks and conditions affect anatomy independent of gender identity. \u201c<\/span>A trans woman will still need a prostate exam, and a trans man might still get pregnant,\u201d says Corina.\u00a0<\/span><\/p>\n

However, providers <\/span>may not always be aware of a patient\u2019s internal anatomy. They might not ask a trans woman about prostate health, for example, if they\u2019re unaware of the sex they were assigned at birth. It\u2019s often up to the patient to disclose this information in order to get the care they need.\u00a0<\/span><\/p>\n

Gender transition is a journey. The road we walk to become our happiest selves is seldom free from uncertainty and risk. Still, positive change is happening. The quality of healthcare for transgender patients improves with each passing year. <\/span>More and more providers receive<\/span><\/a> better <\/span>training on caring for LGBTQ+ bodies<\/span><\/a>.\u00a0<\/span><\/p>\n

Hopefully someday, trans patients will be able to confidently talk about their medical history with not just select medical providers but all of them.<\/span><\/p>\n

\n

Need a doctor? Find one on Zocdoc.<\/h1>\n","protected":false},"excerpt":{"rendered":"

Some tips from someone who\u2019s been there. <\/p>\n","protected":false},"author":91,"featured_media":20012,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[227],"tags":[],"class_list":["post-20011","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-guides","reviewer-dr-nassim-assefi"],"yoast_head":"\nHow to Talk About Your Transgender Status With Your Doctor - Guides<\/title>\n<meta name=\"description\" content=\"Some tips from someone who\u2019s been there.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.zocdoc.com\/blog\/guides\/how-to-talk-about-your-transgender-status-with-your-doctor\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"How to Talk About Your Transgender Status With Your Doctor - 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