Sex reassignment surgery letter
Cross-sex hormone therapy achieves very good results in FTM persons and is most successful in MTF persons when initiated at younger ages. The risks and benefits were discussed extensively with Mr. On the other hand, the 6th and the 7th versions of the standards of care for the health of transsexual, transgender, and gender non-conforming people of World Professional Association for Transgender Health WPATH recommend that transgender adolescents Tanner stage 2, [mainly 12 to 13 years of age] are treated by the endocrinologists to suppress puberty with gonadotropin-releasing hormone GnRH agonists until age 16 years old, after which cross-sex hormones may be given. Awareness of the condition appears to be increasing, probably because of greater societal acceptance and available hormonal treatment. If you need any more information or have questions, please do not hesitate to contact me at [therapist phone number]. This condition may cause clinically significant distress or impairment in social, occupational or other important areas of functioning. Talk to your insurance company about what their requirements are so that you can be sure you have met their expectations in order to be covered financially. This may include attending relevant professional meetings, workshops, or seminars; obtaining supervision from a mental health professional with relevant experience; or participating in research related to gender nonconformity and gender dysphoria. Please check benefit plan descriptions.
Talk to your insurance company about what their requirements are so that you can be sure you have met their expectations in order to be covered financially. He is undergoing a female-to-male gender confirmation reassignment process and I understand that he has been taking hormones for [length of time] at this time and has been living exclusively as a male for [length of time. His judgment appears sound and good. Awareness of the condition appears to be increasing, probably because of greater societal acceptance and available hormonal treatment. There are important differences between a mastectomy for breast cancer and a mastectomy for gender reassignment. For patients seeking MTF affirmation, hormone treatment includes estrogens, finasteride, spironolactone, and GnRH analogs. However, the nipple reconstruction as defined by CPT code describes a much more involved procedure than areola reduction. Cross-sex hormone therapy achieves very good results in FTM persons and is most successful in MTF persons when initiated at younger ages. Spack stated that GD is poorly understood from both mechanistic and clinical standpoints. The number of persons seeking treatment has increased substantially in recent years. The breast tissue is relatively well isolated to the central and anterolateral chest area. The condition is associated with clinically significant distress or impairment in social, occupational, or other important areas of functioning. Garramone for gender-confirming surgery. If you need any more information or have questions, please do not hesitate to contact me at [therapist phone number]. Surgical options include feminizing genital and facial surgery, breast augmentation, and various fat transplantations. He has good knowledge of, and had the ability to follow to Standards of Care for surgery. He had a significant amount of excellent questions regarding the process and these questions were all addressed. When two letters are required, the second referral is intended to be an evaluative consultation, not a representation of an ongoing long-term therapeutic relationship, and can be written by a medical practitioner of sufficient experience with gender dysphoria. You may need to provide: The right groin donor site is closed primarily in layers. Mastectomy for female to male gender reassignment surgery, however, involves mastectomy without restoration of the breast. For patients seeking a FTM gender affirmation, medical therapy includes testosterone and GnRH analogs and surgical therapy includes mammoplasty and phalloplasty. Gender reassignment remains the treatment of choice for strong and persistent gender dysphoria in both categories, but more research is needed on the short-term and long-term effects of puberty-suppressing medications and cross-sex hormones on brain and behavior. There is no minimum duration of relationship required with mental health professional. He is aware that he will still need to be monitored for breast cancer during his life, even with the significant removal of breast tissue involved in this procedure. By contrast, careful removal of all breast tissue is not essential in mastectomy for gender reassignment. His goal at this time is to undergo the chest reconstruction portion of the gender confirmation and he is aware that the procedure will likely involve an irreversible removal of breast tissue, e.
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