In the time prior to my coming out, and during the first couple of years, I have done some research and collected a few interesting subjects about transitioning, about DES and about intersex. Although the latter is not really related to being transgender, I thought it might be worth your time looking into it.
Please select one of the following:

PDF files - Drawings - Miscellaneous

PDF files

PDF prenatal exposure to DES (diethylstilbestrol)

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The scope of adverse effects in females exposed to DES (often called “DES daughters”) has been more substantially documented than the effects in males (“DES sons”). This paper contributes three areas of important research on DES exposure in males: (1) an overview of published literature discussing the confirmed and suspected adverse effects of prenatal exposure in DES sons; (2) preliminary results from a 5-year online study of DES sons involving 500 individuals with confirmed (60% of sample) and suspected prenatal DES exposure; (3) documentation of the presence of gender identity disorders and male-to-female transsexualism reported by more than 100 participants in the study.

PDF Endocrine treatment of transsexual persons

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Objective: The aim was to formulate practice guidelines for endocrine treatment of transsexual persons. Participants: An Endocrine Society-appointed Task Force of experts, a methodologist, and a medical writer. Evidence: This evidence-based guideline was developed using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system to describe the strength of recommendations and the quality of evidence, which was low or very low. Consensus Process: Committees and members of The Endocrine Society, European Society of Endocrinology, European Society for Pediatric Endocrinology, Lawson Wilkins Pediatric Endocrine Society, and World Professional Association for Transgender Health commented on preliminary drafts of these guidelines.

PDF Gender affirming hormone therapy

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Objective: Be aware of the prevalence of transgender and non-conforming persons and appreciate the heterogeneity in this population Familiarize oneself with the use of cross-sex hormones for the purpose of gender affirmation Understand the short and potential long-term effects and consequences of cross-sex hormone therapy.
Transgender refers to a person who is born with the genetic traits of one gender but has the internalized identity of another gender This is an umbrella term that can encompass a wide range of gender identities: pre-op, post-op, gender queer, gender outlaw.

PDF An study of the social situation of persons with intersex

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It is a tradition in many countries, including the Netherlands, to take a gift for a newborn baby. In the Netherlands, the gift often indicates the sex of the baby: pink for a girl, blue for a boy. Uncommonly, it is not immediately clear what the sex of a baby is, or it turns out later that their sex development has proceeded differently from what is usual.
There are many variations of this. The illustration on the frontispiece shows a few examples: boys with an extra X chromosome; girls with xy chromosomes; or babies whose sex at birth is difficult to establish. Intersex/dsd, as this phenomenon is known, can be related to chromosome variations, anatomy or the gonads.
An important finding of this exploratory study is that there is a need for medical and social acknowledgement. There is a great deal of ignorance about intersex/dsd.

PDF WPATH Standards of Care V7 full book english

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The World Professional Association for Transgender Health (WPATH)I is an international, multidisciplinary, professional association whose mission is to promote evidence-based care, education, research, advocacy, public policy, and respect in transsexual and transgender health. The vision of WPATH is a world wherein transsexual, transgender, and gender-nonconforming people benefit from access to evidence-based health care, social services, justice, and equality. One of the main functions of WPATH is to promote the highest standards of health care for individuals through the articulation of Standards of Care (SOC) for the Health of Transsexual, Transgender, and Gender Nonconforming People. The SOC are based on the best available science and expert professional consensus.II Most of the research and experience in this field comes from a North American and Western European perspective.

PDF About transgender people, gender identity, and expression

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Transgender is an umbrella term for persons whose gender identity, gender expression, or behavior does not conform to that typically associated with the sex to which they were assigned at birth. Gender identity refers to a person’s internal sense of being male, female, or something else; gender expression refers to the way a person communicates gender identity to others through behavior, clothing, hairstyles, voice, or body characteristics. “Trans” is sometimes used as shorthand for “transgender.” While transgender is generally a good term to use, not everyone whose appearance or behavior is gender nonconforming will identify as a transgender person. The ways in which transgender people are talked about in popular culture, academia, and science are constantly changing, particularly as individuals’ awareness, knowledge, and openness about transgender people and their experiences grow.

PDF Guidelines for the care of transgender and nonbinary people

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The Center of Excellence for Transgender Health (CoE) at the University of California – San Francisco is proud to present these Guidelines for the Primary and Gender-Affirming Care of Transgender and Gender Nonbinary People. Transgender people have a gender identity that differs from the sex which they were assigned at birth, and are estimated to represent 0.5% of the U.S. population. Numerous needs assessments have demonstrated that transgender people encounter a range of barriers to accessing primary health care. A 2006 survey of more than 600 transgender people in California found that 30% postponed seeking medical care due to prior disrespect or discrimination, and that 10% were primary care outright. The 2011 National Transgender Discrimination Survey of more than 6000 transgender people in all 50 U.S. states found several noteworthy disparities, including 28% who delayed care due to past discrimination and 19% who were denied care outright. Most alarmingly, 50% of respondents reported having to teach their providers about their own healthcare.

PDF National standardized guideline of best practices in hormone therapy

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We sought to create a national standardized guideline of best practices in hormone therapy provision as a reference to achieve uniformity in our answers because we observed that even experts in trans care provided different responses to similar questions posed. This is largely due to the disparate recommendations given in each clinic’s protocol and the general the lack of research supporting hard and fast rules when it comes to hormone prescribing for gender transition. We reconciled all the different protocols published to date and sought input from other nationally acclaimed experts in transgender care to contribute to our guidelines. Due to the lack of research on the long-term effects of hormone therapy in transgender people, many of our suggestions are based on low-level evidence in cis-gender populations and our aggregated collective knowledge derived from clinical practice and experience. Acknowledging that gaps in evidence exist, differences in practice will continue to be reasonable and expected until hard evidence provides answers.

PDF file 9

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PDF file 9 Coming soon


Drawing 1

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Drawing 2

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Drawing 2 coming soon.

Drawing 3

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Drawing 3 coming soon.


Miscellaneous 1

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Miscellaneous 1 coming soon.

Miscellaneous 2

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Miscellaneous 2 coming soon.

Miscellaneous 3

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Miscellaneous 3 coming soon.

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