Managing trans people within a health service

It is unlikely that any healthcare professional working today has not consulted with a trans person. Referral rates to gender identity clinics have been doubling every five years since the late 1960’s, and services are struggling to manage this increasing demand which has probably been recognised by us all.

In a blog here on Trends in Urology & Men’s Health in early 2018, to accompany her article on male-to-female genital reconstruction, Miss Tina Rashid gave some good advice on how to address trans people, in a respectful and correct manner1. We have now written a couple of articles for Trends on the hormonal management of trans men and women.

We are all hopefully becoming more familiar with addressing and managing trans people, but is our health service responding adequately to this continued increase in referrals and strain on specialised services, that show no sign of abating?

We believe there should be increasing support for moving some of the hormone management of these patients out into other areas of medicine. We contend that there should be greater prioritising of health spend on training and development of trans medicine as a speciality or recognised area of interest.

As committed advocates for our patients at the Gender Identity Clinic, we are strong proponents for securing optimal world-class multidisciplinary services for this growing population. We know our views that reflect this position, but would be very interested to hear others’ ideas and suggestions.

To read the article associated with this blog please click here


  1. Rashid T. Addressing trans people. Trends in Urology and Men’s Health January 2018 (; accessed 05 August 2018). 
Comments (2) Add yours ↓
  1. Roger Kirby Professor

    It is impossible for trans people to lead a stable life in the UK – with it still unsafe to walk down the street in a majority of places, a campaigner has told ITV News at the Labour Conference.

    Joni Cohen, a trans-feminist political organiser, said the trans community is “ravaged” by mental health problems.

    She said much more must be done to help those who commonly become cut off from their families, jobless and homeless.

    “It’s no wonder that transgender people have such a high suicide rate,”

    “50% of transgender people have attempted suicide in their life. We face violence in the street, we face harassment in the street.

    “In the majority of places in Britain it’s unsafe for a visibly gender non-conforming person to be walking down the street.”

    September 26, 2018 Reply
  2. Roger Kirby Professor Of Urology

    HR Company Mercer and Business in the Community commissioned a survey for World Mental Health Day about how sexuality affects people’s workplace experience, and the results were shocking.

    26% of LGBT* people have hidden who they are at work, and the same percentage felt uncomfortable about colleagues knowing their sexual orientation.

    Nearly 1 in 10 have actually been encouraged by a work colleague to hide that they are LGBT* in the last year alone.

    A staggering 7% have also been physically attacked by customers or colleagues in this time, and this almost doubles when it comes to blue-collar workers.

    October 10, 2018 Reply

Your Comment

All comments are moderated. Trends in Urology & Men’s Health reserves the right not to publish material we deem inappropriate.

Web design and marketing agency Leamington Spa