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April 16, 2025

Primary Care of Patients Who Are Transgender

Today you are seeing David, a 29-year-old patient that you have not seen before. You review the medical record and determine David is a transgender man (female-to-male). He was prescribed testosterone 2.5 mg by mouth daily at his last visit 3 months ago and he is here for a follow-up visit.

As a health-care provider, you know it is essential to be aware of gender-affirming treatment for transgender patients. What is the goal of testosterone for David?

While conducting the initial interview, what are some important elements of his past medical history to discuss with David?

While talking with David, you introduce the importance of continued screening for health-care issues. Because David has not undergone any gender-affirming surgeries, what screenings would you discuss with him?

What can you do as an NP to make your nursing practice a compassionate and welcoming organization for LGBTQ patients?

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