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It’s easy to help patients with gender variance – here’s what you can do


On the other hand... The "well-known medication" is not designed or licensed for the purpose the author is advocating. GNRH analogues for delaying puberty when medically indicated and for endometriosis are administered through specialist clinics. GPs may choose to administer them for prostate cancer under specialist advice but that is for a clear medical indication within the licence and is not by any means comparable. Familiarity with the drugs used as intended is quite different from familiarity with the use of male hormones on female bodies and vice versa. Patients in this situation are best served by seeing someone with an interest and relevant experience - or is that the problem? Are the ethical dilemmas, prescribing risks and long term responsibility for prescribing outside one's field being handed to GPs because this is mental health led and the psychiatrists are unfamiliar with the drugs they are expecting someone else to use or because not enough doctors with an interest can be found to operate a dedicated service? I would think those with an interest in this area should be arguing for more specialist involvement, not suggesting that anyone could and should do it. I am quite happy to offer basic medical care in my capacity as a GP but I do not agree that what the author is suggesting comprises basic medical care.

Posted date

17 Jun 2016

Posted time