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Chapter 15 - Gynecological Attention to the Prostate

from Section B - Practicing Transgynecology

Published online by Cambridge University Press:  22 December 2022

By
Garry Pigot
Edited by
Mick van Trotsenburg ,
Rixt A. C. Luikenaar  and
Maria Cristina Meriggiola
Mick van Trotsenburg
Affiliation:
Sigmund Freud PrivatUniversität, Wien
Rixt A. C. Luikenaar
Affiliation:
Rebirth Health Center, Utah
Maria Cristina Meriggiola
Affiliation:
Università di Bologna
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Summary

The prostate is an accessory gland and together with the seminal vesicles, bulbourethral and urethral glands, the testis and epididymis, produces seminal fluid or semen. It is the size of a walnut and is situated below the bladder and in front of the rectum and produces prostate-specific antigen (PSA). The development and function of the prostate are hormone dependent. Pathological changes occur as men age and these can lead to medical interventions. In general, the only indication to remove the prostate is in case of localized prostate cancer. In transgender women therefore the prostate remains in situ unless there is prostate cancer. Cross-sex hormonal (CSH) therapy lower androgen levels and by this BPH and prostate cancer rarely occur in transgender women on CSH. This chapter discusses the prostate in trans female persons and basic care principles.

Type
Chapter
Information
Context, Principles and Practice of TransGynecology
Managing Transgender Patients in ObGyn Practice
 , pp. 114 - 118
Publisher: Cambridge University Press
Print publication year: 2022

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