This is a new service — your feedback will help us improve it.

4th edition: Sherbourne’s Guidelines for gender-affirming primary care with trans and non-binary patients

4th edition: Sherbourne's Guidelines for gender-affirming primary care with trans and non-binary patients

This edition of Sherbourne’s Guidelines for gender-affirming primary care with trans and non-binary patients, like its predecessor, was authored by Dr. Amy Bourns, a family physician on Sherbourne’s LGBT2SQ Health Team. In addition to incorporating recently available evidence in both general primary care and trans health, the 2019 edition features revisions and expansions in several areas, including:

  • expanded discussion of considerations for non-binary patients;
  • unique considerations for older trans patients;
  • incorporation of changes to the International Statistical Classification of Diseases and Related Health Problems (ICD) diagnosis;
  • subtle language changes that reflect the rapid pace of cultural change;
  • an expanded discussion of fertility considerations for trans people;
  • discussion of alternate routes of hormone administration;
  • expanded discussion of HIV prevention and treatment in transfeminine and transmasculine populations;
  • an updated monitoring schedule with a reduced number of routine bloodwork parameters required;
  • an overview of the role of PCPs in supporting patients with transition-related surgeries; and
  • a review of the updated process for referrals and public funding for transition-related surgeries in Ontario.

The Trans Primary Care Guide, the online interactive tool based on the Guidelines, has also been updated to reflect the most current clinical information consistent with this new 4th edition of the Guidelines.

You may also want to access the Quick Reference Guide that was created to accompany the full Guidelines.

RainbowHealthOntario @RainbowHealthOn Sep 21

Alcohol use research study seeking trans participants: PACT Youth Pilot Study loom.ly/RUZG3x0 https://t.co/OTGFAfEMId

RainbowHealthOntario @RainbowHealthOn Sep 20

The next RHO Trans Health Mentorship Call is tomorrow at noon. This teleconference connects #onthealth clinicians w… twitter.com/i/web/status/1…

RainbowHealthOntario @RainbowHealthOn Sep 19

Happy Bisexual Awareness Week! In our About Health series, we cover unique factors health care providers should kee… twitter.com/i/web/status/1…