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.
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