Case Scenario

Miley (she/her), a 21-year-old assigned male at birth, visits your pharmacy to fill a prescription for estradiol 2 mg tablets. She has transitioned socially and is starting to transition medically. She is happy that hormonal treatment has finally begun but feels very anxious about the effects of the new medicine.

Learning Objectives

After reading this article, pharmacists should be able to:

  • Describe the ways transgender and gender diverse people might affirm their gender
  • Discuss medicines commonly used for medical gender affirmation, including usual doses, adverse effects and monitoring requirements
  • Describe how to provide transgender and gender diverse friendly healthcare in the pharmacy.

Competency standards addressed (2016): 1.1, 1.4, 1.5, 2.1, 2.2, 2.3, 2.4, 3.1, 3.5

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Introduction

Advances in the psychological sciences have led to a global challenge of the assumption that humans are either men or women, and that use of the

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