Feature Article| Volume 12, ISSUE 5, P330-338, May 2016

Male, Female, Other: Transgender and the Impact in Primary Care

Published:February 24, 2016DOI:


      • There are many new terms pertaining to the transgender patient that the provider needs to understand in order to provide culturally sensitive and competent care.
      • Transgender is a process that a person may choose to embark on; this includes counseling, hormone therapy, and/or surgery.
      • Hormone therapy may impact primary care, affecting how the practitioner cares for their patient.
      • Regular monitoring of the transgender patient is imperative for quality care. The provider must be aware of the implications of hormone therapy and adapt their care as needed.


      Transgender includes patients at various stages of their journey. It is important that providers care for transgender patients with a culturally sensitive approach, awareness, and competent skill. There are new terms to learn. There may be mental health issues or substance use issues. Hormone therapy can have an impact on a person’s health. As a primary care provider, it is important to be alert to these potential issues, addressing the patient’s individual needs. In this study we discuss the transgender patient and outline basic care and issues that can arise in a primary care setting.


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        • Roberts T.K.
        • Fantz C.R.
        Barriers to quality health care for the transgender population.
        Clin Biochem. 2014; 47: 983-987
      1. US Department of Health and Human Services. Office of Disease Prevention and Health Promotion. 2015. Healthy People 2020. Accessed June 10, 2015.

        • Redfern J.
        • Sinclair B.
        Improving health care encounters and communication with transgender patients.
        Redfern Strategic Medical Communications, Goshen, NY2014
      2. Healthy People 2020. Transgender health factsheet. 2010. Accessed June 11, 2015.

        • American Psychiatric Association
        Diagnostic and Statistical Manual of Mental Disorders.
        5th ed. American Psychiatric Publishing, Arlington, Va2013
      3. Gay Alliance. A glossary of terms associated with the LGBTQ communities. 2013. Accessed September 20, 2014.

        • Alegria C.
        Transgender identity and health care: implications for psychosocial and physical evaluation.
        J Am Acad Nurse Pract. 2011; 23: 175-182
        • Holmes J.
        • Freeman S.
        Assessment and management of female-to-male transgender patients: a psychosocial and hormonal approach.
        Am J Nurse Pract. 2012; 16: 6-14
      4. Gay Alliance. Trans-basics. Accessed September 29, 2014.

        • Coleman E.
        • Bockting W.
        • Botzer M.
        • et al.
        Standards of care for the health of transsexual, transgender, and gender-nonconforming people, version 7.
        Int J Transgenderism. 2012; 13: 165-232
        • Steinle K.
        Hormonal management of the female-to-male transgender patient.
        J Midwif Womens Health. 2011; 56: 293-302
        • Gardner I.
        • Safer J.
        Progress on the road to better medical care for transgender patients.
        Curr Opin Endocrinol Diabetes Obes. 2013; 20: 553-558
        • Phillips J.
        • Fein-Zachary V.
        • Mehta T.
        • Littlehale N.
        • Venkateraman S.
        • Slanetz P.
        Breast imaging in the transgender patient.
        AJR Am J Roentgenol. 2014; 202: 1149-1156


      Laura Markwick, DNP, FNP-C, is an assistant professor in the Wegmans School of Nursing at St. John Fisher College in Rochester, NY. She can be reached at .