Editorial| Volume 128, P87-88, October 2019

What physicians should advise their mature patients concerning gender transition

      Clearly, the issue of gender being a binary characteristic of humans is a societal norm of western culture [
      • Thomas R.
      • Pega F.
      • Khosla R.
      • Verster A.
      • Hana T.
      • Say L.
      Ensuring an inclusive global health agenda for transgender people.
      ]. Many cultures such as the Hijra of Nepal, Bangladesh, Pakistan and India, the Muxes of Mexico and the Bugis Tribe of Indonesia recognize more than two genders. However, over the past five years, western society is breaking down gender silos and with this the number of individuals describing themselves as transgender has increased. As transgender individuals work their way into healthcare systems, clinicians in many different specialties are being called on to help facilitate both affirmation of gender and maintenance of hormonal treatment as well as continue surveillance of medical issues related to the genotype such as prostate cancer in a transgender woman.
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