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Surgical management and gynecologic care of the transgender patient

Schmidt, Megana; Ditrio, Laurenb; Shute, Brittac; Luciano, Daniellea

Current Opinion in Obstetrics and Gynecology: August 2019 - Volume 31 - Issue 4 - p 228–234
doi: 10.1097/GCO.0000000000000553

Purpose of review Over 1.4 million adults are identified as transgender in 2014. Many of these individuals have undergone, or plan to undergo, gender-affirming surgery. This review summarizes the medical and surgical options available for the transgender population and reviews screening guidelines and fertility preservation options. In addition, it highlights the role gynecologists have in caring for this population.

Recent findings Gynecologists perform certain gender-affirming surgeries, such as hysterectomies and bilateral salpingooophorectomies. They also can play an important role in providing hormone therapy, anatomy specific cancer screening, and discussion of and/or referral for fertility preservation.

Summary Gynecologists are skilled to perform certain gender-affirming surgeries and play an important role in gender-affirming care.

aDivision of Minimally Invasive Gynecologic Surgery, Department of Obstetrics & Gynecology

bDepartment of Obstetrics & Gynecology

cDepartment of Family Medicine, UConn Health, Farmington, Connecticut, USA

Correspondence to Megan Schmidt, MD, 263 Farmington Avenue, Farmington, CT 06030, USA. Tel: +1 860 679 4363; fax: +1 860 679 1228; e-mail:

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