ABSTRACT
Transgender and gender diverse adolescent and young adults (AYA) may seek gender-affirming
surgeries (GAS) as part of their gender affirmation. A number of GAS are related to
reproductive and sexual health, and pediatric and adolescent gynecology (PAG) clinicians
are well positioned as sexual and reproductive health experts to provide care in this
area. PAG clinicians may encounter patients presenting for preoperative counseling
(including discussions regarding fertility, family building, future sexual function,
and choice of oophorectomy at time of hysterectomy), requesting referrals to GAS clinicians,
or requiring GAS aftercare, or those seeking general sexual and reproductive health
care who have a history of GAS. This article reviews presurgical considerations for
AYA seeking GAS, types of GAS, their impact on pelvic, sexual, and reproductive health,
and aftercare that may involve PAG providers, with the goal of helping PAG clinicians
to better understand these procedures and to empower them to engage collaboratively
with GAS teams. With this knowledge, reproductive health clinicians can have an integral
role as skilled collaborators in the world of AYA GAS in partnership with GAS surgeons.
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Article info
Publication history
Published online: April 11, 2021
Accepted:
March 31,
2021
Received in revised form:
March 28,
2021
Received:
December 27,
2020
Footnotes
The authors have no conflicts of interest to disclose.
Identification
Copyright
© 2021 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.
