Navigation of a New-Onset Pulmonary Embolism in a Patient Receiving Female-to-Male Gender-Affirming Care: A Case Report

The growth of the transgender and/or gender diverse (TGD) community has created an increased demand for comprehensive and evidence-based gender-affirming care, especially when providing a hormone-based regimen. Although there are known risks of adverse events from receiving exogenous hormone replace...

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Published inCurēus (Palo Alto, CA) Vol. 16; no. 6; p. e63101
Main Authors Thor, Danielle C, Patel, Krut, Singh, Monisha
Format Journal Article
LanguageEnglish
Published Palo Alto Cureus Inc 25.06.2024
Cureus
Subjects
Anticoagulants
Asthma
Case reports
Electrocardiography
Emergency medical care
Endocrinology/Diabetes/Metabolism
Estrogens
Females
Gender identity
Gender-affirming care
Hematology
Hormone replacement therapy
Internal Medicine
Mental health
Primary care
Pulmonary arteries
Pulmonary embolisms
Testosterone
Thromboembolism
Transgender persons
United States > US
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Summary:The growth of the transgender and/or gender diverse (TGD) community has created an increased demand for comprehensive and evidence-based gender-affirming care, especially when providing a hormone-based regimen. Although there are known risks of adverse events from receiving exogenous hormone replacement therapy, many of these risks are typically attributed to members of the TGD community receiving estrogen-based therapy. In this report, a case of a subsegmental pulmonary embolism in a male patient assigned female at birth who was actively receiving testosterone-based, female-to-male gender-affirming care is detailed. In doing so, attention is drawn to a potential complication of this approach, thereby empowering clinicians and patients alike to be cognizant of such risks while still pursuing this otherwise pivotal and necessary care.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.63101