Midwifery Care for Transfeminine Individuals

This article focuses on the provision of gender‐affirming care and preventive care for transfeminine individuals—those assigned male at birth who identify as female or on the feminine spectrum. To meet the learning needs of health care providers less familiar with gender‐affirming care, this article begins with an overview of gender identity concepts. Initiation and management of feminizing gender‐affirming hormone therapy is then covered in detail, including common gender‐affirming medications and their adverse effects, diagnostic criteria, psychosocial evaluation, initial physical examination and laboratory work, and recommendations for follow‐up visits and laboratory monitoring. Lastly, the article briefly reviews health care of transfeminine individuals before and after surgical gender‐affirming interventions and details best practices for transfeminine preventive care.