{"id":9,"date":"2021-02-06T13:07:02","date_gmt":"2021-02-06T12:07:02","guid":{"rendered":"http:\/\/transidenticlic.com\/?page_id=9"},"modified":"2023-09-11T16:08:36","modified_gmt":"2023-09-11T14:08:36","slug":"suivi-medical","status":"publish","type":"page","link":"https:\/\/transidenticlic.com\/index.php\/suivi-medical\/","title":{"rendered":"Suivi m\u00e9dical"},"content":{"rendered":"

Pr\u00e9ambule
\n\t\t\t\t\t\t\tIl est primordial que les personnes trans puissent avoir le libre choix<\/b><\/a><\/u> de leur parcours.
\n
Il n’existe pas de parcours type<\/b>, mais un parcours adapt\u00e9<\/b> \u00e0 chaque personne trans et pas forc\u00e9ment lin\u00e9aire<\/b> !<\/p>\n

Lettre d’attestation de suivi psychiatrique<\/h3>\n

N’est pas obligatoire<\/b> afin de pouvoir d\u00e9buter un THS…<\/p>\n

… mais parfois exig\u00e9e par certain\u00b7es sp\u00e9cialistes (endocrinologues, chirurgien\u00b7nes)<\/p>\n

\u26a0 La psychoth\u00e9rapie n\u2019est pas<\/b> un pr\u00e9requis \u00e0 l\u2019hormonoth\u00e9rapie et la chirurgie<\/p>\n

Prises en charge compl\u00e9mentaires<\/h3>\n

Orthophoniste<\/b> : harmonisation de la voix
\n
Dermatologue<\/b> : \u00e9pilation d\u00e9finitive
\n
Psychiatre<\/b> ou psychologue<\/b> : accompagnement non stigmatisant
\n
Kin\u00e9sith\u00e9rapeute<\/b> : accompagnement de la transformation du corps, notamment musculaire, induite par les hormones + d\u00e9cryptage et travail sur les st\u00e9r\u00e9otypes de genre social dans les fa\u00e7ons de bouger, de s’asseoir, de marcher + accompagnements post-op<\/p>\n

Facteurs de risques associ\u00e9s \u00e0 rechercher<\/h3>\n

Psychiatriques<\/b> : d\u00e9pression et tentatives de suicide possiblement li\u00e9es \u00e0 la transphobie, TCA, trouble anxieux…<\/p>\n

Cardio-vasculaires<\/b> et m\u00e9taboliques<\/b> sous THS : hypertriglyc\u00e9rid\u00e9mie, dyslipid\u00e9mie, HTA, diab\u00e8te de type 2, tabac<\/p>\n

D\u00e9pistages<\/h3>\n

IST<\/b> : s\u00e9rologies VIH \/ VHB \/ VHC \/ syphilis, PCR gonocoque et chlamydia
\n
Frottis du col ut\u00e9rin<\/b> chez les personnes poss\u00e9dant un ut\u00e9rus \u00e0 partir de 25 ans
\n
Mammographie<\/b> : chez les femmes trans ayant pris une hormonoth\u00e9rapie > 5 ans \u00e0 partir de 50 ans, chez les hommes trans n’ayant pas subi de mastectomie
\n
Violences<\/b> : sexuelles, psychologiques, physiques…
\n
Consommations<\/b> : de tabac, d’alcool, de stup\u00e9fiants<\/p>\n

ALD n\u00b031<\/h3>\n

Demande d’ALD \u00ab\u00a0hors liste\u00a0\u00bb par le m\u00e9decin traitant possible et tr\u00e8s fortement recommand\u00e9e pour la prise en charge des frais m\u00e9dicaux : formulaire vierge<\/a>
\n
Exemple ici<\/a> pour un parcours masculinisant
\n
Exemple ici<\/a> pour un parcours f\u00e9minisant<\/p>\n

Fertilit\u00e9<\/h3>\n

Jusqu’\u00e0 la loi de 2016<\/a>, le changement d’\u00e9tat-civil n’\u00e9tait pas accord\u00e9 sans une st\u00e9rilisation d\u00e9finitive de la personne trans.
\n
Les recommandations fran\u00e7aises (HAS 2009<\/a>) et internationales (WPATH 2013<\/a>) pr\u00e9conisent l’information de la personne trans quant aux possibilit\u00e9s de pr\u00e9servation de sa fertilit\u00e9.<\/p>\n

Conservation des gam\u00e8tes<\/b> : possible en France dans un Conservation des gam\u00e8tes<\/b> : possible en France dans un centre CECOS\u00a0\u00bb>centre CECOS<\/a><\/p>\n

PMA<\/b> : les couples femme cis \/ homme trans et femme cis \/ femme trans (dont le changement d’\u00e9tat-civil a \u00e9t\u00e9 effectu\u00e9) peuvent avoir acc\u00e8s \u00e0 la PMA <\/p>\n

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

Ameli.fr<\/a>, Trans Pos\u00e9\u00b7e\u00b7s<\/a>, Transidentit\u00e9<\/a>, Ouest Trans<\/a>, Wikitrans (1)<\/a> \/ (2)<\/a> \/ (3)<\/a> \/ (4)<\/a>, Chrysalide (1)<\/a> et (2)<\/a>, WPATH<\/a>, Protocole de sant\u00e9 trans de la Maison Dispers\u00e9e de Sant\u00e9 de Lille-Moulins, CECOS.org<\/a>, HAS<\/a>, Code la Sant\u00e9 Publique<\/a>, Outrans<\/a>, Soci\u00e9t\u00e9 canadienne du cancer (1)<\/a> et (2)<\/a><\/a><\/p>\n

Derni\u00e8re modification le 11 septembre 2023<\/p><\/i><\/h6>\n","protected":false},"excerpt":{"rendered":"

Pr\u00e9ambule Il est primordial que les personnes trans puissent avoir le libre choix de leur parcours. Il n’existe pas de parcours type, mais un parcours adapt\u00e9 \u00e0 chaque personne trans et pas forc\u00e9ment lin\u00e9aire ! Lettre d’attestation de suivi psychiatrique N’est pas obligatoire afin de pouvoir d\u00e9buter un THS… … mais parfois exig\u00e9e par certain\u00b7es […]<\/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 du suivi m\u00e9dical 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-9","page","type-page","status-publish","hentry","entry"],"_links":{"self":[{"href":"https:\/\/transidenticlic.com\/index.php\/wp-json\/wp\/v2\/pages\/9","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=9"}],"version-history":[{"count":261,"href":"https:\/\/transidenticlic.com\/index.php\/wp-json\/wp\/v2\/pages\/9\/revisions"}],"predecessor-version":[{"id":2522,"href":"https:\/\/transidenticlic.com\/index.php\/wp-json\/wp\/v2\/pages\/9\/revisions\/2522"}],"wp:attachment":[{"href":"https:\/\/transidenticlic.com\/index.php\/wp-json\/wp\/v2\/media?parent=9"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}