Context, Principles and Practice of TransGynecology

Mick van Trotsenburg is a Dutch-Austrian Ob/Gyn and specialist for Transgender Medicine since twenty-five years. Mick founded Austrians first out-patient clinic for transgender healthcare already in the year 2000, followed by an appointment as executive director of the gender clinic of the Free University of Amsterdam, one of the largest and most innovative academic gender clinics worldwide. Mick's interests are especially focused on the impact of gender-affirmative hormone treatment on the genital tract, and on hormone therapy in elderly, both cis-and transgender. Mick served as board member of various scientific societies in the field, and was a chapter lead of the upcoming SoC8 of WPATH. Currently he is heading genderPRO, an international consultancy for Transgender Healthcare Development and continues teaching Transgender Medicine at the Sigmund Freud University in Vienna. Rixt AC Luikenaar (they/she/he) is a genderqueer physician who graduated Medical School Cum Laude from the University of Groningen in The Netherlands and founded 'Rebirth Health Center' in Salt Lake City, Utah, in 2014. They have treated well over 6000 transgender and gender-expansive patients and are a pioneer in the field of Transgynecology. They are passionate about improving access to affordable and excellent gynecological care for transgender and nonbinary patients. Dr. Luikenaar is WPATH Certified and Board Certified in Obstetrics and (Pediatric and Adolescent) Gynecology, they are affiliated with the Crane Center for Transgender Surgery and the University of Utah Department of Obstetrics and Gynecology. Dr. Luikenaar presents at professional symposia and peer reviews for academic journals, they are a consultant for 'Flo Health' and live in Salt Lake City with their family and Sphynx cats. Maria Cristina Meriggiola M.D., Ph.D. is Associate Professor of Obstetrics and Gynecology at the University of Bologna, IRCCS S Orsola Hospital. She collaborates with MIT (Movimento di Identità Trans) one of the most important no-profit Italian organizations where she follows endocrine treatment of hundreds of adolescent, young adult and adult transgenders. At the University Hospital Prof Meriggiola coordinates a program for transgender health that includes gynecological, plastic and otolaryngological surgeries for transgender people. Prof Meriggiola has led many researchers in the field that have resulted in numerous peer reviewed articles presented at national and international conferences. She is one of the founding partners of the Società Italiana Genere Identità e Salute.

• Section A. Contextual Transgynecology: 1. Terminology in transgender medicine; 2. Optimizing clinical ob/gyn services through improved communication with trans persons; 3. What do trans people expect from transition and what do they encounter physically?; 4. A pondering transfemale gynaecologist; 5. The ever-changing role of the mental health care professional in transgender healthcare; 6. Impact of stigma and resilience on the health of transgender and nonbinary people; 7. Dealing with the physical complaints of nonbinary clients; 8. Impulses for a gender-variant gynecological expertise from a queer-theoretical perspective; Section B. Practicing Transgynecology: 9. Gynecological office medicine for trans and gender-diverse people; 10. Features of imaging in transgender persons; 11. Benign Gynecological conditions in transgender and gender diverse people; 12. Urogynaecological disorders; 13. Painful and frequent micturation; 14. Differential diagnosis and evaluation of pelvic pain in transgender patients; 15. Gynecological attention to the prostate; 16. Vaginal dilators and dilating after vaginoplasty; 17. TransSenology; Section C. Gynecological Surgery for Transgender Males: 18. What is different in performing hysterectomy on trans men?; 19. Opportunistic salpingectomy; 20. Colpectomy; Section D. Sexuality and Contraception: 21. Transition-related sexual health care; 22. Contraceptive advice for trans male persons; 23. Sexual abuse and trauma-informed care for transgender and gender diverse people in ob/gyn practice; Section E. Fertility and Reproduction: 24. Fertility counseling for transgender and nonbinary people; 25. Management of fertility for the trans masculine individual; 26. Fertility maintenance for trans women; 27. Fertility prospects related to puberty blocking therapy; 28. Medico-legal entanglements of assisted reproduction; 29. Obstetrical care for trans persons; 30. Uterine transplantation for trans women: Prerequisites and limitations; Section F. Impact of Gender Affirming Hormonal Therapy on Genital Organs: 31. Changes to the uterus from supraphysiologic androgens; 32. The ovaries under supraphysiological androgen exposure.; 33. The vaginal and neovaginal microbiome under androgen or estrogen exposure respectively; Section G. Screening and Prophylaxis: 34. Prevention and management of neovaginal stenosis and other related complications of vaginoplasty; 35. Pelvic physical therapy for gender-affirming genital vaginoplasty; 36. HPV associated dysplasia of skin and mucosa and vaccination options in trans people; 37. Extent, burden and characteristics of STD's and HIV in trans people; 38. Screening policies for cervical, (neo-)vaginal, and vulvar dysplasia and cancer.