Finding gender-affirming healthcare providers can be difficult. Many providers lack knowledge and training on the needs and experiences, can be discriminatory, and often have no indication when entering the facility that the provider is gender-affirming.
Gender-affirming care is any care in which a member of the LGBTQ+ community has their needs properly met, feels safe, and comfortable, and feels their gender is respected.
Dr. Alex Jimenez (He/Him) believes that members of the LGBTQ+ community are treated with respect ,dignity, and above all, ensure that they receive the needed medical care they deserve.
It can be challenging to find the proper treatment for general aches and pains in the body due to various environmental factors. These factors, such as home life, physical activity, and work conditions, can lead to overlapping symptoms that negatively impact a person’s mental and emotional well-being. If left untreated and depending on the severity, these symptoms can develop into chronic conditions. However, individuals can find personalized solutions to reduce pain and discomfort by taking charge of their health and wellness. This article will explore gender-affirming care, a treatment that can benefit the LGBT+ community, and non-surgical options like spinal decompression and chiropractic care. We work with certified medical providers who use our patients’ valuable information to provide treatments like gender-affirming care for individuals with general body pain. We encourage patients to ask essential questions and seek education from our associated medical providers about their condition. Dr. Jimenez, D.C., provides this information as an educational service. Disclaimer
What Is Gender-Affirming Care?
When seeking treatment, people often research and find the care that best suits their needs. One treatment that has been shown to impact many individuals positively is gender-affirming care. Research studies revealed that this process could address gender affirmation through various means, including clothing, hair, voice and pronouns, name changes, medical and surgical care, and social transition. People may use gender-affirming care uniquely to receive the treatment they deserve. Research also suggests that gender-affirming care should be multidisciplinary, involving diagnostic assessments, psychotherapy/counseling, and therapies. Many individuals in the LGBT+ community seek gender-affirming care to improve their mental and physical well-being, which can be life-saving.
How Does Gender-Affirming Care Help The LGBT+?
Gender-affirming care is an important aspect of supporting the LGBT+ community. It involves acknowledging and accepting a person’s gender identity and making necessary changes to help them express it. Creating a safe and positive environment for gender-affirming care can significantly improve the experience, health outcomes, and life quality of many individuals in the LGBT+ community, particularly those who identify as transgender. It’s important to understand the meaning of “gender” and “affirming” to provide effective care. Gender refers to how society perceives a person’s sex as either male/man or female/woman, while affirming involves accepting and validating a person’s identity. Research studies have revealed that gender-affirming care positively impacts the LGBT+ community, making it a crucial component of healthcare for this population.
In the LGBT+ community, the “T” stands for transgender individuals with a gender identity that does not match their assigned sex at birth. This can include:
Transgender woman: Male-to-female, assigned male at birth, lives female/affirmed woman, transfeminine spectrum
Transgender man: Female-to-male, assigned female at birth, live male/affirmed man, transmasculine spectrum
Transexual: individuals in the transgender community who has transitioned to the opposite sex, often including sexual reassignment surgery
Many transgender people seek gender-affirming care to improve their overall health and well-being by making changes to align their bodies and mind. Unfortunately, there are barriers associated with accessing gender-affirming care.
Barriers Associated With Gender-Affirming Care
Accessing gender-affirming care can be a barrier for many in the LGBT+ community, leading to poor mental health, decreased social support, and discrimination. Research studies revealed that these burdens can contribute to developing body dysmorphia and associated symptoms. Research has shown that individuals with body dysmorphia may develop comorbid disorders during general examinations, including gender dysmorphia, which can lead to distress for the patient. However, creating a safe and respectful environment for the LGBT+ community is possible by providing personalized gender-affirming care. The Injury Medical Chiropractic and Functional Medicine Team is committed to building a positive space for individuals who identify as transgender and alleviating pain-like symptoms through personalized treatment plans.
The Benefits of a Healthy Diet & Chiropractic Care- Video
Beneficial Treatments Utilize In Gender-Affirming Care
There is hope for individuals seeking gender-affirming care, as many beneficial treatments are available. Non-surgical options such as spinal decompression and chiropractic care can ease musculoskeletal issues and educate patients on environmental factors that affect their well-being. Hormone, physical, and mental therapy are important for personalized care plans, making them affordable and ensuring safety. Individuals in the LGBT+ community face unique health challenges, and having a safe and positive space can make their health and wellness journey more manageable.
References
Bhatt, N., Cannella, J., & Gentile, J. P. (2022). Gender-affirming Care for Transgender Patients. Innovations in Clinical Neuroscience, 19(4-6), 23–32. www.ncbi.nlm.nih.gov/pmc/articles/PMC9341318/
Carroll, R., & Bisshop, F. (2022). What you need to know about gender‐affirming healthcare. Emergency Medicine Australasia, 34(3). doi.org/10.1111/1742-6723.13990
Grant, J. E., Lust, K., & Chamberlain, S. R. (2019). Body dysmorphic disorder and its relationship to sexuality, impulsivity, and addiction. Psychiatry Research, 273, 260–265. doi.org/10.1016/j.psychres.2019.01.036
Hashemi, L., Weinreb, J., Weimer, A. K., & Weiss, R. L. (2018). Transgender Care in the Primary Care Setting: A Review of Guidelines and Literature. Federal Practitioner, 35(7), 30–37. www.ncbi.nlm.nih.gov/pmc/articles/PMC6368014/
Kaplan, E., & Bard, P. (2023). The Ultimate Spinal Decompression. JETLAUNCH.
Tordoff, D. M., Wanta, J. W., Collin, A., Stepney, C., Inwards-Breland, D. J., & Ahrens, K. (2022). Mental Health Outcomes in Transgender and Nonbinary Youths Receiving Gender-Affirming Care. JAMA Network Open, 5(2). doi.org/10.1001/jamanetworkopen.2022.0978
If you are experiencing any of these situations, then you might want to consider seeing a chiropractor.
Transgender Discrimination
Going to get a routine checkup from either the doctor or the dentist is stressful enough for individuals. For transgender individuals, going to get a routine checkup is even more stressful for them as they are more often getting mistreated or even denied care that they needed. In a 2009 survey, around 70% of transgender and gender-nonconforming individuals have reported experience the following:
Refusal of health care
Healthcare professional refusing to touch or use precautions to individuals
Healthcare professionals using unnecessary abusive language
Blamed for their own health wellness
Healthcare professionals being abusive to the patients
Additional surveys also revealed that transgender health care is discriminated and has kept at least one-third of transgender individuals from seeking medical help for any illnesses or injuries that they may have encountered. It is especially startling that many transgender patients have educated their doctors about transgender health.
Transgender is defined as �an individual who feels that their gender identity does not match their physical body and is different from the gender they are born in.� A 2016 data analysis by The Williams Institute, found out that about 1.4 million American individuals that identify as transgender.
Transgender individuals are beginning to speak about their problems and issues. They talk about the concerns about how office staff are feeling betrayed during their transitional status, all the way to others discriminating in the health care they are receiving. Transgender individuals are providing medical professionals what they can and should do to make sure that they feel safe in the medical professional’s care. Without awareness and education, the healthcare providers are not doing; these issues are more likely to escalate with the growing transgender population.
What Practitioners Need To Do
In March 2019, two individuals Emma Vosicky and Jaime Pagano, addressed to the students and faculty at the National University of Health Sciences (NUHS) Pride Medical Alliance (PMA) club about the challenges they faced. These two individuals were worried about how they would be treated differently by the office staff and were in fear of those who would betray them by sharing their information. These transgender speakers went ahead and discussed the difficult challenges that went beyond the physical transformations that they and many others have faced when seeking medical care.
Vosicky went ahead and discussed how necessary it was to “out” herself to a medical professional when they were asking her about the medication she was taking or discussing the previous medical history that did not match her appearance. Both speakers suggested that healthcare providers should consider different ways that they can let their patients know that they are non-discriminatory to them.
Pagano discussed how he felt much safer when he sees an intake form that included different sex options in a doctor’s lobby. Terms that are in the intake form includes gender non-conforming, non-binary, trans-female, and trans male, alongside with male and female. He said that this feels helpful to the provider he was seeing to be aware and cognizant that everyone is not living in a male/female only world. Pagano also mentioned that he feels more confident that his provider will be more clinically aware of his needs.
The NUHS faculty member Jamine Blesoff, ND, has worked with transgender youth and stressed that it is vital for physicians to ensure that their patients’ care is essential throughout each stage of their transitions.� Dr. Blesoff noted that health practitioners still must provide a PAP test for men who are transitioning from being female as well as a prostate exam for pre-surgical women. Dr. Blesoff expresses concern that some doctors will not provide any type of service to transgender patients.
“It is a universal requirement that healthcare practitioners adhere to HIPAA laws and to make sure that their transgender patients are treated with dignity, respect, and above all else, ensuring that they receive the needed medical care that they deserve like everyone else.”-Dr. Alex Jimenez D.C., C.C.S.T. Insight
Being Gender Neutral
Healthcare professionals should always build trust with any patients that walks through the door. Healthcare providers have to make sure that the intake forms provide space for patient�s gender identity. In addition to the patient’s physical status, transgender patients can indicate their preferred identity, and healthcare professionals can ask what pronouns the patients preferred like he/she/they and uses them throughout their visit.
Speak Respectfully
Doctors should consider using their patient�s chosen name instead of their �real� name if it does not show up in their records and ask the patient if a different name is listed. Healthcare professionals should politely apologize if they use the individual’s wrong name or identity. Even though it may be a bit challenging for long-time patients, but as long as healthcare professionals are making an effort, it will become a way of demonstrating respect not only to the patient but to the doctors as well.
“I always believe that intent matters more than words,” Sam Brinton said, who is the Head of Advocacy and Government Affairs at The Trevor Project. Brinton also mentioned, “There is a difference between ‘I cannot’ and ‘I am trying.’ If you intend to hurt me by not using my pronouns, that matters more than any words you say.”
Recognize the Physical Discomfort
For transgender patients to feel safe and that they are getting the medical care that they need, doctors should take care of them and be respectful to their patient�s needs. For transgender patients, it is already stressful enough for them to get a routine check. When doctors are respectful of their patient’s needs and not to continue procedures to them, that will cause them shame and physical discomfort.
Treat the Ailments Only
Healthcare professionals should consider what kind of information or examination that they are giving to their patients the care they needed. So providing necessary medical care like back pains, stomach problems, immune disorders, or a general checkup is essential.
Educate the Staff
All medical staff that interacts with patients must educate themselves on how to provide comfort and care when they are dealing with transgender patients. Medical providers and medical staff must apply the knowledge of interacting with patients on a day to day basis.
Conclusion
Transgender healthcare is a necessity for these individuals that are trying to get the same benefits that everyone else is getting. Healthcare professionals must be respectful and provide the best care to offer for patients with different identities and backgrounds. Educating and being aware of what the patient is going through is part of the doctor’s job to assist not only themselves better but also inform the patient a solution while making them feel comfortable. Some products are here to support anyone’s ailments and provide support to the intestines, gastrointestinal function, and muscular system.
The scope of our information is limited to chiropractic, musculoskeletal, and nervous health issues or functional medicine articles, topics, and discussions. We use functional health protocols to treat injuries or disorders of the musculoskeletal system. Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.
References:
Flores, Andrew R., et al. �How Many Adults Identify As Transgender In The United States?� The William Institute, June 2016, williamsinstitute.law.ucla.edu/wp-content/uploads/How-Many-Adults-Identify-as-Transgender-in-the-United-States.pdf.
Marshall, Tari. �Transgender Health Care: How to Meet Their Needs.� Transgender Health Care: How to Meet Their Needs, 20 Nov. 2019, blog.nuhs.edu/the-future-of-integrative-health/transgender-health-care-how-to-meet-their-needs.
Marshall, Tari. �When He/She May Be They/Them.� LinkedIn, 13 Feb. 2018, www.linkedin.com/pulse/when-heshe-may-theythem-tari-marshall?trk=portfolio_article-card_title.
Team, Lambda. �Lambda Legal Releases Health Care Discrimination Survey Results; More Than Half of LGBT and HIV Positive Respondents Report Discrimination.� Lambda Legal, 4 Feb. 2010, www.lambdalegal.org/news/ny_20100204_lambda-releases-health.
Team, NUHS. �Pride Club Program Addresses Transgender Experiences with Medical Professionals: National University of Health Sciences Illinois & Florida.� Earn a Degree Chiropractic, Naturopathy, and Acupuncture Medicine |�National University of Health Sciences, 13 Mar. 2019, www.nuhs.edu/news/2019/3/pride-club-program-addresses-transgender-experiences-with-medical-professionals/.
Team, The Trevor Project. �Saving Young LGBTQ Lives.� The Trevor Project, 2019, www.thetrevorproject.org/#sm.00013irq131dh2e6qpejz1qoa103y.
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