Semin Reprod Med 2017; 35(05): 426-433
DOI: 10.1055/s-0037-1604457
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Preventive Health for Transgender Men and Women

Katherine L. Imborek
1   Department of Family Medicine, University of Iowa Health Care, Iowa City, Iowa
Elizabeth M. Graf
2   Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, University of Iowa Health Care, Iowa City, Iowa
Kaitlyn McCune
3   Department of Obstetrics and Gynecology, Wake Forest University, Winston-Salem, North Carolina
› Author Affiliations
Further Information

Publication History

Publication Date:
26 October 2017 (online)


Transgender men and women experience an incongruity between their assigned sex at birth and their identified gender. Gender dysphoria is defined by the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) as clinically significant distress or impairment resulting from misalignment in assigned and experienced gender. Transgender people have a history of negative experiences in health care and efforts should be made to create a welcoming environment through staff training, gender neutral restrooms, and gender inclusive electronic medical record systems. Transgender men and women face unique preventive health concerns in areas of metabolic screening, cancer screening, immunizations, and anticipatory guidance secondary to cross-sex hormone therapy, gender confirming surgical procedures, and certain high-risk behaviors. Here, the available data are reviewed and suggested best practices are outlined to optimize the preventive health for this patient population.