The Health Care of Adults with Differences in Sex Development or Intersex Traits Is Changing: Time to Prepare Clinicians and Health Systems

Frances Grimstad; Jessica Kremen; Carl G. Streed; Katharine B. Dalke

doi:10.1089/lgbt.2021.0018

The Health Care of Adults with Differences in Sex Development or Intersex Traits Is Changing: Time to Prepare Clinicians and Health Systems

Frances Grimstad, Jessica Kremen, Carl G. Streed, Katharine B. Dalke

Research output: Contribution to journal › Review article › peer-review

4 Scopus citations

Abstract

Historically, the majority of differences in sex development or intersex trait (dsd/I)-specific medical care has been provided by pediatric clinicians, leading to a dearth of adult clinicians qualified to care for this vulnerable population, and pediatricians reticent to transition patients to adult care. Recent changes in routine care of children and infants with dsd/I, including reconsidering the role of early genital surgeries, highlight the critical need to address the gaps in adult dsd/I health care. In this perspective, we describe three key educational and research approaches that can be implemented to build competency to care for adults with dsd/I and improve care across the lifespan.

Original language	English (US)
Pages (from-to)	439-443
Number of pages	5
Journal	LGBT Health
Volume	8
Issue number	7
DOIs	https://doi.org/10.1089/lgbt.2021.0018
State	Published - Oct 2021

All Science Journal Classification (ASJC) codes

Dermatology
Obstetrics and Gynecology
Public Health, Environmental and Occupational Health
Psychiatry and Mental health
Urology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1089/lgbt.2021.0018

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title = "The Health Care of Adults with Differences in Sex Development or Intersex Traits Is Changing: Time to Prepare Clinicians and Health Systems",

abstract = "Historically, the majority of differences in sex development or intersex trait (dsd/I)-specific medical care has been provided by pediatric clinicians, leading to a dearth of adult clinicians qualified to care for this vulnerable population, and pediatricians reticent to transition patients to adult care. Recent changes in routine care of children and infants with dsd/I, including reconsidering the role of early genital surgeries, highlight the critical need to address the gaps in adult dsd/I health care. In this perspective, we describe three key educational and research approaches that can be implemented to build competency to care for adults with dsd/I and improve care across the lifespan. ",

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AU - Dalke, Katharine B.

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AB - Historically, the majority of differences in sex development or intersex trait (dsd/I)-specific medical care has been provided by pediatric clinicians, leading to a dearth of adult clinicians qualified to care for this vulnerable population, and pediatricians reticent to transition patients to adult care. Recent changes in routine care of children and infants with dsd/I, including reconsidering the role of early genital surgeries, highlight the critical need to address the gaps in adult dsd/I health care. In this perspective, we describe three key educational and research approaches that can be implemented to build competency to care for adults with dsd/I and improve care across the lifespan.

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The Health Care of Adults with Differences in Sex Development or Intersex Traits Is Changing: Time to Prepare Clinicians and Health Systems

Abstract

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