Review Note
Last Update: 10/02/2024 01:21 PM
Current Deck: RACGP::Sexual Health & Gender Diversity
PublishedCurrently Published Content
Front
Gender diversity & gender-affirming hormone therapy (GAHT)
At initial medical review for new patient presenting with gender incongruence/dysphoria, what are the four key features of medical history?
At initial medical review for new patient presenting with gender incongruence/dysphoria, what are the four key features of medical history?
Back
1. Gender history
- open questions; gender experience and impact on life, mental health and relationships
2. Social history
- housing/partners/occupation
- social transition?
- medicare? (GAHT is on PBS)
3. past medical and surgical history
Relative contraindications - note family history
-Migraines with aura
-hormone sensitive cancers,
-uncontrolled hypertension,
-DVT/thrombophilia
- open questions; gender experience and impact on life, mental health and relationships
2. Social history
- housing/partners/occupation
- social transition?
- medicare? (GAHT is on PBS)
3. past medical and surgical history
Relative contraindications - note family history
-Migraines with aura
-hormone sensitive cancers,
-uncontrolled hypertension,
-DVT/thrombophilia
4. Mental health
note: signpost why (to avoid patient feeling like their incongruence is a mental disorder - express known higher rates of depression/mood disorder; offering support)
Auspath
position Statement
Checks - 'Sexology'
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