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2. Psychosexual functioning in cancer survivorship: What the pediatric oncologist needs to know.

Author

Frederick NN, Lehmann V, Ahler A, Carpenter K, Cherven B, Klosky JL, Nahata L, and Quinn GP

Subjects
Child, Adolescent, Young Adult, Humans, Adult, Survivors, Survivorship, Cancer Survivors, Neoplasms complications, Neoplasms therapy, Sexual Health
Abstract

Sexual health may be disrupted in adolescents and young adults (AYAs) both during and after cancer treatment, irrespective of whether they are diagnosed in childhood, adolescence, or young adulthood. Unfortunately, oncology providers often underestimate the relevance of psychosexual issues for AYAs and underprioritize sexual health throughout treatment and survivorship. The purpose of this narrative review is to provide information on (a) the etiology of psychosexual dysfunction in childhood, adolescent, and young adult cancer patients and young adult survivors of childhood cancer; (b) strategies for communicating and evaluating potential sexual health issues of AYA patients/survivors; and (c) guidance for the practicing pediatric oncologist on how to address sexual health concerns with patients., (© 2023 Wiley Periodicals LLC.)

Published
2023
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3. A Call for Fertility and Sexual Function Counseling in Pediatrics.

Author

Nahata L, Quinn GP, and Tishelman A

Subjects
Adolescent, Child, Humans, Pediatrics ethics, Pediatrics standards, Physician-Patient Relations ethics, Practice Guidelines as Topic, Professional-Family Relations ethics, Directive Counseling ethics, Directive Counseling methods, Directive Counseling standards, Fertility, Pediatrics methods, Sexual Health, Truth Disclosure ethics
Published
2016
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4. Standards of Care for the Health of Transgender and Gender Diverse People, Version 8

Author

Coleman, E., Radix, A. E., Bouman, W. P., Brown, G. R., de Vries, A. L. C., Deutsch, M. B., Ettner, R., Fraser, L., Goodman, M., Green, J., Hancock, A. B., Dhejne, C., Edmiston, E. K., Edwards Leeper, L., Ehrbar, R., Hall, B. P., Ehrensaft, D., Eisfeld, J., Feldman, J. L., Fisher, A. D., Garcia, M. M., Johnson, K., Klink, D. T., Gijs, L., Green, S. E., Hardy, T. L. D., Irwig, M. S., Jacobs, L. A., Mazur, T., Mclachlan, C., Janssen, A. C., Kreukels, B. P. C., Kuper, L. E., Kvach, E. J., Obedin Maliver, J., Malouf, M. A., Massey, R., Morrison, S. D., Mosser, S. W., Neira, P. M., Reed, T., Rider, G. N., Nygren, U., Oates, J. M., Pagkalos, G., Patton, J., Phanuphak, N., Sabir, K., Safer, J. D., Rachlin, K., Ristori, J., Robbins Cherry, S., Roberts, S. A., Steensma, T. D., Rodrigue Wallberg, K. A., Rosenthal, S. M., Scheim, A. I., Seal, L. J., Sehoole, T. J., Vala, L. N., Van Mello, N. M., Spencer, K., St. Amand, C., Strang, J. F., Taylor, G. B., Tilleman, K., Arcelus, J., Johnson, T. W., T’Sjoen, G. G., Veale, J. F., Vencill, J. a., Vincent, B., Motmans, J., Wesp, L. M., West, M. A., Karasic, D. H., Knudson, G. A., Leibowitz, S. F., Tangpricha, V., Tishelman, A. c., Meyer Bahlburg, H. F. L., Monstrey, S. J., Nahata, L., Nieder, T. O., Reisner, S. L., Allen, L. R., Richards, C., Schechter, L. S., Van Trotsenburg, M. A. A., Winter, S., Ducheny, K., Berg, D. R., Adams, N. J., Adrián, T. M., Azul, D., Bagga, H., Başar, K., Byrne, J., Capitán, L., Bathory, D. S., Belinky, J. J., Berli, J. U., Bluebond Langner, R. O., Bouman, M.B., Dalke, K. B., Bowers, M. L., Brassard, P. J., Cargill, C. J., Carswell, J. M., Chang, S. C., D’Marco, A., Chelvakumar, G., Corneil, T., De Cuypere, G., de Vries, E., Den Heijer, M., Elaut, E., Erickson Schroth, L., Devor, A. H., APH - Mental Health, APH - Quality of Care, VU University medical center, Plastic, Reconstructive and Hand Surgery, APH - Methodology, Other Research, Internal medicine, APH - Aging & Later Life, Amsterdam Gastroenterology Endocrinology Metabolism, Medical psychology, APH - Personalized Medicine, Amsterdam Reproduction & Development (AR&D), and Obstetrics and gynaecology

Subjects
CENTRAL PRECOCIOUS PUBERTY, Health (social science), SOC8, assessment, Psychology, Clinical, Medicine (miscellaneous), Social Sciences, population, institutional settings, surgery, Endocrinologia, Transgèneres, QUALITY-OF-LIFE, terminology, Medicine and Health Sciences, Social Sciences - Other Topics, Psychology, adolescents, Public, Environmental & Occupational Health, education, intersex, AFFIRMING HORMONE-THERAPY, communication, Health Policy, WORLD PROFESSIONAL ASSOCIATION, Social Sciences, Interdisciplinary, transgender, OVARIAN TISSUE CRYOPRESERVATION, eunuch, PENILE INVERSION VAGINOPLASTY, Life Sciences & Biomedicine, mental health, nonbinary, sexual health, FACIAL FEMINIZATION SURGERY, Gender Studies, Transgender people, endocrinology, primary care, SEX REASSIGNMENT SURGERY, children, reproductive health, Science & Technology, voice, postoperative care, Biomedical Social Sciences, Social Sciences, Biomedical, health care professional, gender diverse, CONGENITAL ADRENAL-HYPERPLASIA, Standards of Care, TO-FEMALE TRANSSEXUALS
Abstract

Background: Transgender healthcare is a rapidly evolving interdisciplinary field. In the last decade, there has been an unprecedented increase in the number and visibility of transgender and gender diverse (TGD) people seeking support and gender-affirming medical treatment in parallel with a significant rise in the scientific literature in this area. The World Professional Association for Transgender Health (WPATH) is an international, multidisciplinary, professional association whose mission is to promote evidence-based care, education, research, public policy, and respect in transgender health. One of the main functions of WPATH is to promote the highest standards of health care for TGD people through the Standards of Care (SOC). The SOC was initially developed in 1979 and the last version (SOC-7) was published in 2012. In view of the increasing scientific evidence, WPATH commissioned a new version of the Standards of Care, the SOC-8. Aim: The overall goal of SOC-8 is to provide health care professionals (HCPs) with clinical guidance to assist TGD people in accessing safe and effective pathways to achieving lasting personal comfort with their gendered selves with the aim of optimizing their overall physical health, psychological well-being, and self-fulfillment. Methods: The SOC-8 is based on the best available science and expert professional consensus in transgender health. International professionals and stakeholders were selected to serve on the SOC-8 committee. Recommendation statements were developed based on data derived from independent systematic literature reviews, where available, background reviews and expert opinions. Grading of recommendations was based on the available evidence supporting interventions, a discussion of risks and harms, as well as the feasibility and acceptability within different contexts and country settings. Results: A total of 18 chapters were developed as part of the SOC-8. They contain recommendations for health care professionals who provide care and treatment for TGD people. Each of the recommendations is followed by explanatory text with relevant references. General areas related to transgender health are covered in the chapters Terminology, Global Applicability, Population Estimates, and Education. The chapters developed for the diverse population of TGD people include Assessment of Adults, Adolescents, Children, Nonbinary, Eunuchs, and Intersex Individuals, and people living in Institutional Environments. Finally, the chapters related to gender-affirming treatment are Hormone Therapy, Surgery and Postoperative Care, Voice and Communication, Primary Care, Reproductive Health, Sexual Health, and Mental Health. Conclusions: The SOC-8 guidelines are intended to be flexible to meet the diverse health care needs of TGD people globally. While adaptable, they offer standards for promoting optimal health care and guidance for the treatment of people experiencing gender incongruence. As in all previous versions of the SOC, the criteria set forth in this document for gender-affirming medical interventions are clinical guidelines; individual health care professionals and programs may modify these in consultation with the TGD person. ispartof: INTERNATIONAL JOURNAL OF TRANSGENDER HEALTH vol:23 issue:Suppl 1 pages:S1-S258 ispartof: location:United States status: published

Published
2022

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