Gender dysphoria (GD) is the distress a person feels due to a mismatch between their gender identity and their sex assigned at birth
Gender identity an individual's personal sense of having a particular gender.
Gender Reassignment is the process (typically involving a combination of surgical procedures and hormone treatment) undertaken by a transgender person in order to alter their physical sexual characteristics to match their gender identity.
There are no official statistics nationally or regionally regarding transgender populations, however, Stonewall says that the best estimate at the moment is that around 1 per cent of the population might identify as trans, including people who identify as non-binary. That would mean about 600,000 trans and non-binary people in Britain, out of a population of over 60 million.
Transgender healthcare: guidance for doctors
This GMC guidance is aimed to help doctors see how the principles of Good medical practice apply in relation to trans patients and also to explain doctors’ duties under the Equality Act 2010 and other legislation.
Guidance on trans inclusion for GP surgeries
Transactual UK's community voice survey found that 45% of UK based trans people feel that their GP doesn’t have a good understanding of their healthcare needs. That’s why we’ve worked with GPs and members of the trans community to create these quick guides which offer information at a glance with quick hyperlinks to more detailed sources of information.
We’ve designed the resources to ensure that GPs and surgery staff are able to quickly access accurate and up to date information, ensuring that they are able to offer trans patients good quality care in line with best practice.
They can be accessed below on their website:
Top Tips for Working with Trans People
This guide is designed to give staff a basic understanding of trans people and their needs, as well as tips on how you can best support them in your role and in the workplace. It will also point you to sources of further reading and information.
Gender identity – Trans
If you are trans, take a look at the information below about ways you can look after your health.
Smoking, Alcohol and Drugs
Trans people are more likely to have been smokers, to drink alcohol more often and to have taken drugs compared to the general population. If you would like help with drinking or drug taking there are services across the East Riding you can use. Take a look at the East Riding of Yorkshire council website for more information.
You can also find support for improving your overall health and wellbeing from your local East Riding YOURHealth team. They offer a variety of health services, including support to stop smoking, managing your weight and reducing your alcohol intake.
Antidote is the UK’s only Lesbian, Gay, Bisexual and Trans (LGBT) run and targeted drug and alcohol support service. The service provides non-judgemental free advice and support delivered by highly trained staff and volunteers – all of whom identify as LGB or T, and who have a good understanding of the pressures and problem that come with recreational drug or alcohol use. Call their helpline on 020 7833 1674, 10am-6pm, Monday to Friday and ask for one of the Antidote team.
Some studies have found that trans people can disproportionately experience domestic abuse, and that this can include transphobic abuse from partners.
Galop is an LGBT+ anti-violence charity and offer a national Lesbian, Gay, Bisexual and Trans+ Domestic Abuse Helpline which you can access on 0800 999 5428.
Local support is also available. Take a look at the East Riding of Yorkshire council website for more information.
Mental health and wellbeing
Many trans people have experienced a range of difficulties in their lives, which can contribute to mental health problems. In fact, trans people experience higher rates of mental ill health compared to the general population. This is not because of their gender identity, but is likely to be linked to difficulties such as bullying, stigma and discrimination. If you need support with your mental health and wellbeing there are services both locally and nationally.
Trans younger people
Trans young people or those questioning their sexuality can often face difficulties such as bullying.
Lollipop is a support group for young LGBTQ+ young people aged 10-18 and up to 25 for people with special educational needs and disability (SEND). It is run every Wednesday in Beverley and more information is available through calling 01482 871077 or emailing firstname.lastname@example.org.
Transgender people and HIV
The World Health Organisation has published a policy brief Transgender people and HIV. This technical brief summarizes essential information and existing World Health Organisation recommendations for HIV prevention, diagnosis, treatment and care among transgender populations.
Health Checks and Screening
The NHS routinely invites people for certain health screenings, such as breast cancer screening (mammograms) and cervical screening. Healthcare professionals may also offer screenings for other cancers such as prostate cancer, dependent on your symptoms. It is important for trans people to be aware of what screenings they may be invited to and which they need. The best way to find out what you need would be to talk to a healthcare professional. Below is an example of cervical screening that outlines the different recommendations.
If you are an FtM/trans man aged 25 to 64 who is registered with a GP as male, you will not be invited for your smear test. However, if you have not had a hysterectomy and still have a cervix, you should still have your smear test. This is especially important if you have had any abnormal smears in the past.
If you are an FtM/trans man aged 25 to 64 who is registered with a GP as female, you will automatically be invited for your smear test. We recommend that you still have your smear test if you have not yet had a hysterectomy and still have a cervix.
If you are an MtF/trans woman aged 25 to 64 who is registered with a GP as female, you may be invited for your smear test. However, as you do not have a cervix, you will not need to be screened. If this applies to you, you can let your GP know so your records can be updated and you are not updated unnecessarily.
If you are an MtF/trans woman aged 25 to 64 who is registered with a GP as male, you will not be invited for a smear test and will not need to be screened.