{"id":8,"date":"2021-02-06T13:07:02","date_gmt":"2021-02-06T12:07:02","guid":{"rendered":"http:\/\/transidenticlic.com\/?page_id=8"},"modified":"2023-05-14T14:27:12","modified_gmt":"2023-05-14T12:27:12","slug":"premiere-consultation","status":"publish","type":"page","link":"https:\/\/transidenticlic.com\/index.php\/premiere-consultation\/","title":{"rendered":"Consultation"},"content":{"rendered":"

Historique m\u00e9dical<\/h3>\n

A retracer de mani\u00e8re respectueuse<\/b> : ne pas insister, respecter si refus de la personne et proposer d\u2019en rediscuter plus tard.<\/p>\n

Questions simples : \u00ab Quelle est votre identit\u00e9 de genre? Quel sexe vous a \u00e9t\u00e9 assign\u00e9 \u00e0 la naissance? \u00bb<\/b><\/i><\/p>\n

Recherche les \u00e9ventuelles auto-m\u00e9dications hormonales<\/b> pass\u00e9es (avec bienveillance!).<\/p>\n

Expliquer<\/b> pourquoi on recherche certaines choses dans l’historique.<\/p>\n

Demander<\/b> \u00e0 la personne si des choses lui semblent importantes \u00e0 mentionner.<\/p>\n

Examen clinique<\/h3>\n

Doit concerner uniquement les parties du corps en rapport avec le motif de consultation<\/b>.<\/p>\n

Expliquer<\/b> le d\u00e9roulement de l’examen en amont<\/b> afin de pr\u00e9venir les angoisses.<\/p>\n

R\u00e9utiliser le vocabulaire sp\u00e9cifique<\/b> employ\u00e9 par la personne pour d\u00e9signer les diff\u00e9rentes parties de son corps, le cas \u00e9ch\u00e9ant demander si elle souhaite en utiliser un.<\/p>\n

Si la personne doit se d\u00e9shabiller, l’inviter \u00e0 le faire de mani\u00e8re s\u00e9curisante par exemple derri\u00e8re un paravent<\/b>.<\/p>\n

Biologie intiale en vue de la prise d’un THS<\/h3>\n\n\n\n\n
Bilan hormonal<\/b><\/th>\nAutres<\/b><\/th>\n<\/tr>\n
Testost\u00e9rone<\/p>\n

Oestrog\u00e8ne<\/p>\n

Prolactine le matin \u00e0 jeun apr\u00e8s 20 min de repos<\/p>\n

LH<\/p>\n

FSH<\/p>\n

TSH<\/td>\n

NFS<\/p>\n

Bilan lipidique<\/p>\n

Glyc\u00e9mie \u00e0 jeun<\/p>\n

Bilan h\u00e9patique (ASAT, ALAT, GGT)<\/p>\n

Cr\u00e9atinine<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Accompagnement<\/h3>\n

Estimer la qualit\u00e9 du soutien<\/b> dont dispose la personne (amis, famille, entourage professionnel…).<\/p>\n

Proposer un soutien psychologique<\/b> si la personne en ressent le besoin.<\/p>\n

\u00c9valuer les ressources mat\u00e9rielles<\/b> et \u00e9ventuellement sugg\u00e9rer des aides, \u00e9valuer la d\u00e9pendance financi\u00e8re<\/b> en pr\u00e9vision d’une possible rupture familiale<\/p>\n

Pr\u00e9sentation des ressources r\u00e9gionales<\/b> : remise d’un document avec les adresses et contacts des associations.<\/p>\n

Rechercher une \u00e9ventuelle dysphorie de genre<\/h3>\n

Cf lexique<\/a><\/p>\n

\u261e Anxi\u00e9t\u00e9, d\u00e9pression et\/ou irritabilit\u00e9.<\/p>\n

\u261e Souffrance cliniquement importante ou troubles \u00e9vidents du fonctionnement social, professionnel ou dans d’autres zones importantes de fonctionnement.<\/p>\n

N’est pas<\/b> une condition obligatoire du parcours trans et ne d\u00e9termine pas<\/b> l’acc\u00e8s \u00e0 l’hormonoth\u00e9rapie et\/ou \u00e0 la chirurgie !<\/p>\n


\n<\/a><\/p>\n

Chrysalide<\/a>, Wikitrans (1) <\/a>et (2)<\/a>, <\/a>Protocole de sant\u00e9 trans de la Maison Dispers\u00e9e de Sant\u00e9 de Lille-Moulins, HAS<\/a>, Manuel MSD<\/a>, Revue Prescrire avril 2020<\/p>\n

Derni\u00e8re modification le 14 mai 2023<\/p><\/i><\/h6>\n","protected":false},"excerpt":{"rendered":"

Historique m\u00e9dical A retracer de mani\u00e8re respectueuse : ne pas insister, respecter si refus de la personne et proposer d\u2019en rediscuter plus tard. Questions simples : \u00ab Quelle est votre identit\u00e9 de genre? Quel sexe vous a \u00e9t\u00e9 assign\u00e9 \u00e0 la naissance? \u00bb Recherche les \u00e9ventuelles auto-m\u00e9dications hormonales pass\u00e9es (avec bienveillance!). Expliquer pourquoi on recherche […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"%%post_title%% %%sep%% %%sitetitle%%","_seopress_titles_desc":"El\u00e9ments importants d'une consultation m\u00e9dicale dans le cadre d'une transition de genre \/ transidentit\u00e9","_seopress_robots_index":"","ocean_post_layout":"","ocean_both_sidebars_style":"","ocean_both_sidebars_content_width":0,"ocean_both_sidebars_sidebars_width":0,"ocean_sidebar":"0","ocean_second_sidebar":"0","ocean_disable_margins":"enable","ocean_add_body_class":"","ocean_shortcode_before_top_bar":"","ocean_shortcode_after_top_bar":"","ocean_shortcode_before_header":"","ocean_shortcode_after_header":"","ocean_has_shortcode":"","ocean_shortcode_after_title":"","ocean_shortcode_before_footer_widgets":"","ocean_shortcode_after_footer_widgets":"","ocean_shortcode_before_footer_bottom":"","ocean_shortcode_after_footer_bottom":"","ocean_display_top_bar":"default","ocean_display_header":"default","ocean_header_style":"","ocean_center_header_left_menu":"0","ocean_custom_header_template":"0","ocean_custom_logo":0,"ocean_custom_retina_logo":0,"ocean_custom_logo_max_width":0,"ocean_custom_logo_tablet_max_width":0,"ocean_custom_logo_mobile_max_width":0,"ocean_custom_logo_max_height":0,"ocean_custom_logo_tablet_max_height":0,"ocean_custom_logo_mobile_max_height":0,"ocean_header_custom_menu":"0","ocean_menu_typo_font_family":"0","ocean_menu_typo_font_subset":"","ocean_menu_typo_font_size":0,"ocean_menu_typo_font_size_tablet":0,"ocean_menu_typo_font_size_mobile":0,"ocean_menu_typo_font_size_unit":"px","ocean_menu_typo_font_weight":"","ocean_menu_typo_font_weight_tablet":"","ocean_menu_typo_font_weight_mobile":"","ocean_menu_typo_transform":"","ocean_menu_typo_transform_tablet":"","ocean_menu_typo_transform_mobile":"","ocean_menu_typo_line_height":0,"ocean_menu_typo_line_height_tablet":0,"ocean_menu_typo_line_height_mobile":0,"ocean_menu_typo_line_height_unit":"","ocean_menu_typo_spacing":0,"ocean_menu_typo_spacing_tablet":0,"ocean_menu_typo_spacing_mobile":0,"ocean_menu_typo_spacing_unit":"","ocean_menu_link_color":"","ocean_menu_link_color_hover":"","ocean_menu_link_color_active":"","ocean_menu_link_background":"","ocean_menu_link_hover_background":"","ocean_menu_link_active_background":"","ocean_menu_social_links_bg":"","ocean_menu_social_hover_links_bg":"","ocean_menu_social_links_color":"","ocean_menu_social_hover_links_color":"","ocean_disable_title":"default","ocean_disable_heading":"default","ocean_post_title":"","ocean_post_subheading":"","ocean_post_title_style":"","ocean_post_title_background_color":"","ocean_post_title_background":0,"ocean_post_title_bg_image_position":"","ocean_post_title_bg_image_attachment":"","ocean_post_title_bg_image_repeat":"","ocean_post_title_bg_image_size":"","ocean_post_title_height":0,"ocean_post_title_bg_overlay":0.5,"ocean_post_title_bg_overlay_color":"","ocean_disable_breadcrumbs":"default","ocean_breadcrumbs_color":"","ocean_breadcrumbs_separator_color":"","ocean_breadcrumbs_links_color":"","ocean_breadcrumbs_links_hover_color":"","ocean_display_footer_widgets":"default","ocean_display_footer_bottom":"default","ocean_custom_footer_template":"0","footnotes":""},"class_list":["post-8","page","type-page","status-publish","hentry","entry"],"_links":{"self":[{"href":"https:\/\/transidenticlic.com\/index.php\/wp-json\/wp\/v2\/pages\/8","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/transidenticlic.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/transidenticlic.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/transidenticlic.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/transidenticlic.com\/index.php\/wp-json\/wp\/v2\/comments?post=8"}],"version-history":[{"count":158,"href":"https:\/\/transidenticlic.com\/index.php\/wp-json\/wp\/v2\/pages\/8\/revisions"}],"predecessor-version":[{"id":2470,"href":"https:\/\/transidenticlic.com\/index.php\/wp-json\/wp\/v2\/pages\/8\/revisions\/2470"}],"wp:attachment":[{"href":"https:\/\/transidenticlic.com\/index.php\/wp-json\/wp\/v2\/media?parent=8"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}