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Risks, rewards increase for older transgender adults
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When Olympic gold medalist and reality star Bruce Jenner came out as transgender in a high-profile television interview, a national audience was able to put a well-known face with a long-misunderstood gender identity. Jenner, who is 65, admitted he grapples with a number of health concerns, both physical and mental, including whether to undergo gender reassignment surgery and how to make the transition easier on his large family. Older transgender adults often face challenges when transitioning that younger transgender individuals do not. Hormone therapy, for example, may be less effective and carry more risk of side effects in certain older transgender adults, and surgery brings increasing risk with age. For many older transgender adults, simply making the decision to come forward to family and friends after decades identifying as a certain gender is a difficult and painful one, requiring the understanding and support of trained clinicians. People, I think rightfully so, are concerned that the rest of their life will fall apart around them. Once a patient decides to move forward with treatment, clinicians should monitor older transgender adults for specific risks associated with starting a hormone regimen, particularly in transgender women.
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A new must-see photo project, 'To Survive on This Shore,' offers moving portraits of a nearly invisible group: transgender elders. In the many years that Jess T. Dugan , a Boston-based trans photographer, has spent capturing images of gender-variant people, she says she's consistently noticed a striking absence in both art and social sciences: imagery of older trans folks.