#62 Transgender Health, Hormone Therapy and Preventive Screening: 5 Pearls Segment

Core IM | Internal Medicine Podcast

Core IM Team

Mental Health, Education, Health & Fitness, Medicine

4.8 • 1K Ratings

🗓️ 1 April 2020

⏱️ 33 minutes

🔗️ Recording | iTunes | RSS

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Summary

Practical tips on starting estrogen or testosterone on patients who are transgender and approach to primary care with cancer screening. CME Credit with ACP; https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im (https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im) Show notes, transcripts, and references: https://www.coreimpodcast.com/2020/04/01/5-pearls-on-transgender-health-hormone-therapy-and-preventive-screening/ (https://www.coreimpodcast.com/2020/04/01/5-pearls-on-transgender-health-hormone-therapy-and-preventive-screening/) Time Stamps: * 02:54 Hormone therapy contraindications * 07:09 Time course for hormone changes * 10:21 Hormone risks * 19:09 Hormone treatment options * 25:22 Preventative Care Screening Tags: CoreIM, gender affirming care Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Transcript

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0:00.0	Hi everyone this quorum episode this month will count for
0:03.6	ceme credit with ACP yay
0:06.4	we will link the exact URL in the show notes so click on the link
0:09.6	answer three questions and get ceme credit
0:12.0	and with that, Q the intro. I used to work at
0:15.3	Kalin-Lor Community Health Center, which is LGBT Health Center, in Chelsea in New York,
0:19.6	and I had my first hormone education visit and the person came to me and I said what are
0:26.7	what are your goals of hormones what are the changes you think are going to happen and
0:29.7	is a trans guy going on testosterone and he said,
0:32.8	I'm going to start testosterone.
0:34.6	About one to two weeks later, I'm going to feel really great about my body.
0:38.2	My family's going to accept me.
0:39.8	I'm going to be able to go out dating again, go out to the bars, I'm going to feel so comfortable,
0:45.0	I'm going to get a beard, it just like kept going, I'm going to have a deep voice, and so it was a great moment
0:49.6	for me to realize like you need to set expectations for patients.
0:53.6	That's Nathan Levitt, a nurse practitioner and an advocate for the transgender
0:57.2	community as well as a transgender man himself.
1:00.5	And just to clarify for those of you that are new to the subject, it was a teaching point for me too,
1:05.0	his patient had an unrealistic timeline in mind and we will get into why that was today.
1:10.0	Welcome back to the Core I Am Five Pearls Podcast.
1:14.4	This is Dr. Marty Freed, a primary care doc at the Ohio State Wexner Medical Center.
1:19.4	And this is Dr. Shreya Trevetti of Population Health Fellow, NYU.
	...

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