14. Gynaecological care for transgender and gender-diverse people

Transgender and gender-diverse individuals have a gender identity that differs from the sex assigned at their birth. Depending on the needs of each individual, medical and/or surgical gender affirming treatment may be provided. Transition may impact a person’s reproductive options, so fertility counselling and preservation should be available. People of all gender identities with a uterus can become pregnant, and they may need specific obstetric guidance. The aetiology of gynaecological complaints does not differ much from the cisgender population and warrants all social and health care employees to take a trans-specific and gender-inclusive medical approach. To address the specific health concerns and needs of transgender and gender-diverse people, it is of the utmost importance that all health care providers are educated and trained in transgender health.