Approach to the patient: cases of hormonal management in older transgender and gender diverse adults.
Micol S Rothman, Jason O van Heesewijk, Danit Ariel et al.
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Case in brief
This article presents a case-based approach to managing older transgender and gender diverse (TGD) adults undergoing gender-affirming hormone therapy. It highlights the complexities of care in the context of age-related health issues such as neurocognitive disorders, cardiovascular disease, prostate cancer, bone health, and menopause. The discussion emphasizes the need for tailored management strategies due to the lack of specific guidelines for this population.
Diagnostic / clinical pearl
Clinicians should consider the unique health challenges faced by older TGD adults when managing hormone therapy, as age-related conditions may complicate treatment.
Why it matters
This case-based approach underscores the necessity for future research to develop evidence-based guidelines tailored to the needs of older TGD adults, enhancing their healthcare outcomes.