PRIMARY AND GENDER – CARE OF TRANSGENDER AND GENDER PEOPLE

Recently, on June 17, 2016, the Centre of Excellence for Transgender Health at the University of California, San Francisco; created a Clinical Guide for the care of binary and non-binary transgender people.

50% OF THE TRANSGENDER PEOPLE SAY THAT THEY HAVE TO TEACH THE HEALTH TEAM

Voice Feminization

Transgender people have a gender identity that differs from the gender to which they were assigned at birth, and it is estimated that it is the situation for 0.5% of the United States population. Numerous needs assessments have demonstrated that transgender people encounter a number of barriers to accessing primary health care. Most alarming is that 50% of respondents reported having to teach their providers about their own healthcare.

A European advisory committee of experts on the subject of transgender health contributed to the creation of this guide. The main objective of this Guide is to provide the clinician with comprehensive, effective and evidence-based references for the care and management of the transgender person.

It reviews all possible areas of medicine involved in transgender people; (Vaginoplasty, Phaloplasty, Hysterectomy, Mammoplasty), Cardiovascular Diseases, Diabetes Mellitus, Osteoporosis and Other Bone Diseases, Sexually Transmitted Diseases, Hepatitis C, HIV, Neoplasic Pathology (Breast cancer, prostate cancer, uterine cancer, ovarian cancer), mental health considerations, etc.

THE VOICE, ARÉA CONSIDERED IN THE GUIDE FOR TRANSGENDER PEOPLE

One of the areas that it contemplates is the consideration about the voice and the communication in transgender people.

The objective of the treatment for transgender people who complaint about their voice and communication is to help achieve a voice that is congruent with their gender in an efficient and safe manner. Treatment should be specific to each person and can be achieved through behavioural and medical / surgical intervention.

In this section, one of the points of interest is how to achieve the feminization of the voice. Thus this Guide states that a voice can be obtained more acute, with a higher tone altering the anatomy of the larynx, specifically increasing the tension of the vocal cords; Shortening the length of the vocal cords or reducing the mass of the same. Within the surgical techniques to shorten the length of the vocal cords, this Guide uses as reference our surgical technique and our results. (Glotoplasty modified by Dr. Casado).