A 22-year-old transgender male presents to your clinic for a routine check-up. He has been on testosterone therapy for 1 year and reports significant improvement in his gender dysphoria.
- Assessment:
- Physical: Weight: 180 lbs, Height: 6’1″, BP: 130/80, HR: 72 bpm.
- Mental Health: Reports increased confidence and decreased anxiety. No suicidal ideation.
- Medications: Testosterone enanthate 200 mg IM every 2 weeks.
- Social History: Smokes 1 pack of cigarettes per day.
- Concerns:
- The patient expresses concern about potential long-term health risks of testosterone therapy, such as cardiovascular disease and liver problems.
- He inquires about options for hair removal on his chest and back.
Questions:
- What are the potential long-term health risks associated with testosterone therapy in transgender men?
- What are the appropriate screening recommendations for these health risks?
- What are the non-surgical options for hair removal on the chest and back?
- How can you provide culturally competent care to this patient?
For peer response answer this:
- How would you address potential side effects of testosterone therapy, such as acne, oily skin, and voice deepening, with this patient?
Discuss the importance of ongoing monitoring and adjustments to the testosterone dosage based on the patient’s individual needs and goals.
Submission Instructions:
- Your initial post should be at least 500 words, formatted, and cited in current APA style with support from at least 2 academic sources.
- You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts.
- All replies must be constructive and use literature where possible.
- Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
- Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.
- You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.
