Medical and Surgical Reproductive Care of Transgender and Gender Diverse Patients.

Transgender and gender nonbinary (TGNB) patients may seek out gynecologic care for a variety of reasons. It is important for gynecologic providers to possess a comprehensive understanding and comfort level in caring for TGNB adolescents and young adults. This piece discusses the gynecologic care of TGNB adolescents and young adults. It reviews disparities faced by TGNB adolescents, social, medical, and surgical affirmation approaches to gender affirming care, and gynecologic health considerations including fertility, menstrual suppression, breakthrough bleeding and vulvovaginal atrophy on testosterone, hysterectomy and oophorectomy approaches, as well as pelvic health care following gender-affirming penile inversion vulvovaginoplasty.