Masculinizing gender-affirming surgery for trans-males and non-binary individuals: what you should know

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Authors:

Darshan P. Patel, M.D., Isak A. Goodwin, M.D., Omer Acar, M.D., Ervin Kocjancic, M.D., James M. Hotaling, M.D., M.S. 

Abstract:

Gender dysphoria, the discordance between one’s gender identity and anatomy, affects nearly 25 × 106 people worldwide, and the prevalence of transgender and non-binary identities is increasing because of greater acceptance and awareness. Because of the improved accessibility to gender-affirming surgery (GAS), many providers will care for patients during and after gender transition. For trans-males (female-to-male), GAS represents a combination of procedures rather than a single surgery. The particular combination of masculinizing procedures is chosen on the basis of informed patient-provider discussions regarding the patient’s goals and anatomy and implemented through a multidisciplinary team approach. In this review, we describe the common procedures comprising masculinizing GAS to improve delivery of specialized care for this patient population.

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Fertility and Sterility

Editorial Office, American Society for Reproductive Medicine

Fertility and Sterility® is an international journal for obstetricians, gynecologists, reproductive endocrinologists, urologists, basic scientists and others who treat and investigate problems of infertility and human reproductive disorders.