Lauren Dutton, CNM, MSN, is a clinician at Planned Parenthood of Maryland and a recent graduate of Yale University School of Nursing.
Gynecologic Care of the Female-to-Male Transgender Man
Article first published online: 24 DEC 2010
2008 American College of Nurse Midwives
Journal of Midwifery & Womens Health
Volume 53, Issue 4, pages 331–337, July-August 2008
How to Cite
Dutton, L., Koenig, K. and Fennie, K. (2008), Gynecologic Care of the Female-to-Male Transgender Man. Journal of Midwifery & Womens Health, 53: 331–337. doi: 10.1016/j.jmwh.2008.02.003
- Issue published online: 24 DEC 2010
- Article first published online: 24 DEC 2010
- cultural competency;
- Pap smear;
- primary care;
Transgender men are a vulnerable population whose health care needs have been difficult to identify because of limited research and an inability to identify the population. Limited evidence suggests that transgender men are at increased risk of having polycystic ovarian syndrome, contracting HIV, experiencing violence, and committing suicide. This qualitative study, conducted through face-to-face interviews of a convenient sample, was a three-part interview containing a demographic and health questionnaire, the Norbeck Social Support Questionnaire, as well as the Health Care Relationship Trust Scale. Audio recordings and written notes were reviewed and common themes were identified via content analysis. Six self-identified transgender men between the ages of 19 and 45 years were enrolled in the study. Participants were at varying degrees of social and medical transition. Four major themes were identified: 1) receiving gynecologic care was perceived to be important; 2) breasts caused the most gender identity conflict; 3) transgender men struggle with revealing their gender identity to health care providers; and 4) the male/female boxes on health intake forms, as well as pronoun usage by medical staff, were barriers to receiving health care. This gynecologic health care needs assessment of transgender men begins to characterize the barriers transgender men face when seeking health care.