Statistics and Figures
10x number of referrals for trans health services in 2016 compared to 2011. Rising demand for trans care, socioeconomic disadvantage, and high burden of mental health conditions warrants a multidisciplinary approach to provide optimal care. Psychosocial interventions may assist individuals in navigating health care needs and social transitions. Further studies are required to understand links between ASD, ADHD, and gender identity and to evaluate optimal models of health service provision for transgender individuals.
Data taken from the 2018 study, Sociodemographic and Clinical Characteristics of Transgender Adults in Australia. Cheung et al. Transgender Health 2018.
Experiences include: Incorrect pronouns being used by healthcare providers and receptionists. Inappropriate and irrelevant questions about patients’ transgender experiences. Incorrect focus on patients’ transgender status as a cause of any presenting mental and medical health issues. Transgender people being unable to dictate their own hormonal transitions. Inability to afford medically-necessary operations.
Overall findings highlight a pressing need for better training for healthcare professionals in trans healthcare, to improve access to care for the community.
Data taken from Health Needs of Trans and Gender Diverse Adults in Australia: A Qualitative Analysis of a National Community Survey. Zwickl et al. International Journal of Environmental Research and Public Health, 2019. Led by two trans researchers Sav Zwickl and Alex Wong.
Adult trans respondents
Trans people who have experienced severely lacking knowledge among healthcare providers
Trans people with a regular primary care doctor
Trans people who want further research in mental health and neurological indicators
Issues and Suggestions Include:
Trans-specific training for all kinds of healthcare professionals, including doctors, therapists, and specialists
Medical advances including surgical techniques, hormone effects, risks and alternative treatments
Medical interventions and ongoing support for trans people who are years into their medical transitions
Further research into hormone blockers to reduce the stigma around their use, and increase their safety
Further understanding of the correlation between Autism disorders and transgender identities
Further understanding of non-binary identities and social transitions, including the use of pronouns
The use of Telehealth to support trans people in remote and rural areas, who suffer from lack of access
Anecdotally, both in clinics and on online forums, there was wide discrepancy in trans hormone prescription. We conducted this study to try to document how doctors were prescribing hormone therapy in Australia. We targeted AusPATH members as we thought they would be the most experienced in trans health. The responses were pretty homogenous so the people who actually prescribe differently (like people who give estrogen implants or those that aim for very high estrogen levels), may have not responded to our survey. This is a limitation.
Cross-Sex Hormone Therapy in Australia: the Prescription Patterns of Clinicians Experienced in Adult Transgender Healthcare. Bretherton et al. Internal Medicine Journal 2018.
AusPATH members experienced in hormone prescription
Supported development of Australian guidelines, later created by THR
Used Testosterone Undecanoate injections (Reandron)
Used Oral Estradiol Valerate (Progynova)
Targeted hormone reference ranges of the affirmed gender
Recommended: Incorporation of trans health into medical school and endocrine training curricula. Training or lectures delivered should be designed by experienced clinicians in collaboration with trans community members. Inclusion of community voices allows an understanding of health issues and barriers faced by the community.
Data taken from Australian Endocrinologists Need More Training in Transgender Health: A National Survey. Bretherton et al. Clinical Endocrinology 2020.
Clinical Endocrine Society of Australia members
Endocrinologists who feel comfortable commencing gender-affirming hormone therapy
Endocrinologists who want more training in trans medicine
Medical students who have training in trans medicine
Endocrinologists who have training in trans medicine
Endocrinologists who have low confidence in performing a trans consultation
Endocrinologists who have seen 1-4 trans patients in their career
Endocrinologists who have never seen a trans patient throughout their career
Endocrinologists who feel comfortable treating trans patients