The Pyramid of Transgender Health Therapeutics

Transgender care needs a multidisciplinary team approach. The awareness about transgender health has increased over the past few years in India. The pyramid of transgender health helps to demystify the care of transgender individuals. The 7 S's of lifestyle modification need to be followed in the routine clinical care of transgender individuals. The individuals also need psychological care and support, metabolic and medical care, endocrine management, and later surgery in some cases. The policy makers can use the pyramid to decide about financial help to the community for their holistic care. The physicians involved in the care of transgender individuals can also take guidance about comprehensive care and management of transgender and gender diverse individuals.

12. Invitation for the journey to the world of togetherness / 医学教育

This article is an account of a trans individual to share with the audience that transgender people are not a myth but ordinary humans living in Japan. I illustrated the real emotions and challenges a transgender person faces in a society that lacks sufficient understanding and support, including adequate legal and healthcare systems. I also want to tell readers what "coming out" and "transitions" mean to those who have had to hide their sexuality from a very young age, even from their parents.　Our society has been changing. However, there is still a number of enormous barriers in healthcare for someone who underwent gender-affirming therapy and finally started to live as their true self. I sincerely hope medical educators training future health professionals will recognize the hardships to improve the situations.

Therapeutic Patient Education in Transgender Care

This communication visits the concept of therapeutic patient education (TPE), and explores its relevance to transgender health care. It suggests a novel term, therapeutic education (TE), and defines it as “educational activities essential to the optimization of health, offered by health care providers duly trained in the field of education, designed to help a transgender individual (or a group of individuals and their families) to manage their treatment and prevent avoidable complications, while maintaining or improving their quality of life. It describes the soft and hard skills required for TE, and suggests a classification that can help in structuring TE programs.