Take a moment — yes, right now — to consider your gender. Do you identify as a woman, man, or another gender: essentially, how would you describe your gender identity? How do you show your gender to other people through how you look or act — in other words, your gender expression? And has your gender identity or gender expression changed or stayed the same over time?
Questions like these can be especially valuable if you’re wondering about how gender identity and expression may shift as children grow up. And, of course, these questions may also resonate with many adults.
A new paper by Sean Singer, HMS student starting dermatology residency, and Alex S. Keuroghlian, HMS Associate Professor of Psychiatry, describes the potential benefits of Isotretinoin in treating acne related to HRT for transmasculine people. The paper also discusses the current barriers to Isotretinoin access and recommendations for change, including gender-inclusive data collection for the iPLEDGE program and increasing the number of trans-affirming health providers who can prescribe Isotretinoin in order to avoid referals to additional providers.
Transgender and gender-diverse people face multiple barriers to accessing appropriate health care, including denial of service, harassment, and lack of clinician knowledge. This article presents a blueprint for planning and implementing a transgender health program within a primary care practice in order to enhance the capacity of the health care system to meet the medical and mental health needs of this underserved population. The steps described, with emphasis on elements specific to transgender care, include conducting a community needs assessment, gaining commitment from leadership and staff, choosing a service model and treatment protocols, defining staff roles, and creating a welcoming environment.
This article was authored by an HMS student and HMS faculty. It can be accessed here.
At Massachusetts General Hospital, we are not only caregivers, support staff and researchers – we are leaders, advocates and allies. In this installment of the “I am MGH” video series, members of the MGH community share their roles in creating a more welcoming and affirming environment for transgender and gender non-binary patients. At MGH, we believe that because of diversity we excel; through inclusion we will respect; focused on equity we will serve, heal, educate and innovate.
Through a multi-disciplinary effort, MGH has established programs to provide equal access to care and services, including the MGH Psychiatry Gender Identity and Sexual Orientation Program and clinical programs in the Departments of Surgery, Urology, and Obstetrics & Gynecology. This October, the MGH Transgender Health Program will expand to include care for children and adolescents in a partnership with MassGeneral Hospital for Children.
In celebration of LGBTQ+ Pride month, LAHMS is proud to offer this resource created by first-year Harvard medical student Casey Orozco-Poore for the Racial Justice Coalition's "Essentials" series. In this presentation, you will find more information on the health and identity of transgender people, which features basic definitions, cultural context, health disparities and clinical recommendations for health care workers. Casey is a leader of the LAHMS student group and proud to offer this free resource created for students, physicians and educators to utilize in their efforts in creating safe clinical spaces for all patients.
Though President Donald Trump tweeted his solidarity with LGBT Americans as PRIDE month began, his actions speak louder than words. His administration’s new policy on transgender military service deals a cruel blow to transgender service members who want to serve their country openly and proudly. The policy, which took effect last month, forbids military service by anyone who “requires gender transition” — forcing transgender troops to hide and deny who they are or face discharge.
HMS students, faculty and staff gathered in the TMEC Atrium on Nov. 1 to stand in solidarity with intersex, trans and gender-diverse friends, families and patients. The demonstration was part of a national movement initiated by the Medical Student Pride Alliance in response to an article in the New York Times about a leaked U.S. Department of Health and Human Services memo regarding a government definition of gender based on biological sex. Additionally, students were rallying in support of voting yes on a Massachusetts ballot measure that would keep in place a law prohibiting discrimination on the basis of gender identity.
ALL OF US know that accessing basic health care and emergency medical care treatment is essential to taking care of ourselves and our families. This November, voters will have a unique opportunity to uphold a Massachusetts state law that prohibits discrimination against transgender people in public accommodations, which includes hospitals and doctors’ offices.
Voting Yes on Question 3 this November means not only that all residents of Massachusetts are free to live their lives without the fear of discrimination, but that all of us – including transgender people – can live without fear of being turned away in moments of need.
Self-swab testing for HPV could be a good alternative to pap tests for transmasculine people, says Sari Reisner, principal investigator of the study and Assistant Professor of Pediatrics at Harvard Medical School and Boston Children’s Hospital, also in the Department of Epidemiology at Harvard T.H. Chan School of Public Health.
Bullying started early for Nicole Maines, now a college freshman, who has known since she was 2 years old that she was not the boy she was born as. She wanted to dress as Ariel the mermaid in a world that expected her to be a Batman.
By age 12, her transition was complete. She took the name Nicole and switched to using the girls bathroom at school. But one complaint was all it took to unleash what Maines called “the adults with outdated values who don’t understand or don’t want to understand.”
Bullying forced the family to flee Orono, Maine.
“No one should have to grow up being bullied for who they are,” Maines said.