Plenary: Primary HIV Care For Transgender People

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Plenary: Primary HIV Care For Transgender People

Slide Presentation
May 5, 2005
Lori Kohler, Associate Clinical Professor, Family and Community Medicine, UCSF

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Slide 1.

Primary HIV Care For Transgender People

Slide 1.

Background

Slide 2.

Clinical Experience

Slide 3.

Transgender

Slide 4.

Transgender Terminology

Slide 5.

Transgender Terminology (continued)

Slide 6.

The Goal of Treatment

Slide 7.

What is the Diagnosis?

Slide 8.

DSM-IV Gender Identity Disorder

Slide 9.

DSM-IV Gender Identity Disorder (continued)

Slide 10.

Transgenderism

Slide 11.

(cartoon)

Slide 12.

(chart)

Slide 13.

(photo)

Slide 14.

Barriers to Medical Care for Transgender People

Slide 15.

Provider ignorance

Slide 16.

All Transgender People are Medically Underserved

Slide 17.

HBIGDA-2001

Slide 18.

Christine Jorgensen

Slide 19.

All Transgender People Need Medical Care

Slide 20.

The Number of Transgender People in Urban Areas is Increasing Due to:

Slide 21.

Urban Transgender Women

Slide 22.

FTM and HIV Risk

Slide 23.

FTM Quality of Life Survey 2004

Slide 24.

FTM QOL Survey Results

Slide 25.

(photo)

Slide 26.

Limited access to Medical Care for Transgender People

Slide 27.

Limited access to Medical Care (continued)

Slide 28.

Limited access to Medical Care (continued)

Slide 29.

Limited access to Medical Care (continued)

Slide 30.

Limited access to Medical Care (continued)

Slide 31.

Limited access to Medical Care (continued)

Slide 32.

Limited access to Medical Care (continued)

Slide 33.

Low Self Esteem

Slide 34.

Why Sex work?

Slide 35.

Low Self Esteem (continued)

Slide 36.

Incarceration

Slide 37.

Limited Access To Medical Care

Slide 38.

Limited Access To Medical Care (continued)

Slide 39.

Access to Medical Care for Transgender People

Slide 40.

Self Esteem

Slide 41.

Access to Cross-Gender Hormones can:

Slide 42.

Harry Benjamin International Gender Dysphoria Association (HBIGDA)

Slide 43.

HBIGDA Real Life Experience

Slide 44.

Readiness Criteria for Hormone Therapy-HBIGDA 2001

Slide 45.

Initial Visits

Slide 46.

Physical Exam

Slide 47.

HIV and Hormones

Slide 48.

Transgender Hormone Therapy

Slide 49.

(photo)

Slide 50.

Male to Female Treatment Options

Slide 51.

Estrogen

Slide 52.

Estrogen Treatment May Lead To:

Slide 53.

Risks of Estrogen Therapy

Slide 54.

Spironolactone

Slide 55.

Spironolactone May Lead To:

Slide 56.

Risks of Spironolactone

Slide 57.

Screening Labs for MTFs

Slide 58.

Follow-up labs for MTFs

Slide 59.

Women over 40 years old

Slide 60.

Treatment Considerations- MTFs

Slide 61.

Cosmetic Therapies

Slide 62.

Health Care Maintenance for MTFs

Slide 63.

Surgical Options for MTFs

Slide 64.

Post-op Care (Vaginoplasty)

Slide 65.

(photo)

Slide 66.

Female to Male Treatment Options

Slide 67.

Testosterone Therapy Permanent Changes

Slide 68.

Testosterone Therapy Reversible Changes

Slide 69.

Risks of Testosterone Therapy

Slide 70.

Screening Labs for FTMs

Slide 71.

Follow-Up Labs For FTMs

Slide 72.

Treatment Considerations-FTMs

Slide 73.

Cosmetic Therapies-FTMs

Slide 74.

Health Care Maintenance-FTMs

Slide 75.

Surgical Options for FTMs

Slide 76.

Follow-Up Care: MTFs and FTMs

Slide 77.

Morbidity and Mortality in Transexual Subjects Treated with Cross-Sex Hormones

Slide 78.

Morbidity and Mortality (continued)

Slide 79.

Hormones

Slide 80.

Hormone Therapy for Incarcerated Persons-HBIGDA 2001

Slide 81.

Torey South v. California Department of Corrections, 1999

Slide 82.

T. South v. CDOC, 1999

Slide 83.

Gender Clinic-Correctional Medical Facility, Vacaville, CA

Slide 84.

Gender Clinic, CMF 7/00-3/05

Slide 85.

Transgender Women and Risk of Incarceration

Slide 86.

Gender Clinic, CMF

Slide 87.

Challenges for Transgender Women in Prison

Slide 88.

Challenges for Transgender Women in Prison

Slide 89.

Identification of Transgender Inmates-Challenges

Slide 90.

Identification of Transgender Inmates-Challenges

Slide 91.

Treatment of Transgender Inmates-Challenges

Slide 92.

Hormones in Prison

Slide 93.

Special Concerns

Slide 94.

Gender Program Development

Slide 95.

Summary

Slide 96.

Summary (continued)

Slide 97.

(photo)

Slide 98.

(photo)

Slide 99.

(photo)

Slide 100.

(photo)

Slide 101.

(photo)

Slide 102.

(photo)

Slide 103.

(photo)

Slide 104.

Selected On-line Resources

Slide 105.

To Contact

Slide 106.