Trans patients need excellent primary care and you can provide it with expert tips from endocrinologists, Dr Vin Tangpricha, Professor of Medicine at Emory University School of Medicine, and Dr Jeffrey Colburn, Assistant Professor of Medicine at Uniformed Services University. Learn practical tips in caring for transgender patients including: defining terms like gender dysphoria, gender nonconformity, transgender; use of pronouns; patient counseling; fertility concerns; initiating and monitoring hormonal therapy; surgical options; and how to help trans patients navigate the complexities of gender affirming therapy. Full show notes available at http://thecurbsiders.com/podcast Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com. Time Stamps 00:00 Intro and disclaimer 01:00 Guest bios 03:27 Getting to know our guest 08:00 Clinical case of a trans female 09:00 Defining terms and discussion of gender 14:15 What’s the difference between transgender and transexual? 16:05 How to handle mistakes in use of pronouns 17:12 How to set up a welcome practice environment 19:03 Maintaining confidentiality 20:37 Back to the case: What needs to be done before starting hormone therapy? 25:20 Evaluating for comorbidities, mental health issues and social risk factors 27:26 Is gender dysphoria driven by biology? 27:54 Evidence for hormone therapy and surgery as treatment for gender dysphoria 29:00 Cost and availability of medical and surgery therapy 34:00 Initial history and laboratory evaluation prior to hormone therapy 36:00 Choice of hormonal agent and route of administration 37:38 Fertility in trans women and men 40:30 When to expect body changes after starting therapy 43:00 Dr Tangpricha’s take home points 45:25 Monitoring of trans female on hormone therapy 46:57 Therapy and Monitoring of trans male on hormone therapy 49:56 Surgical therapy for MtF transition 52:33 Surgical therapy for FtM transition 55:50 Mental health clearance prior to surgery 57:54 Dr Colburn’s take home points 60:16 Outro Tags: gender, sex, identity, role, trans, transgender, hormone, therapy, surgery, nonconformity, dysphoria, transition, MtF, FtM, lgbt, diversity, wpath, fertility, assistant, care, education, doctor, family, foam, foamed, health, hospitalist, hospital, internal, internist, nurse, meded, medicine, medical, primary, physician, resident, student