- N Engl J Med 2022; 387:584-585
For professionals who work with children and adolescents, policies like Florida’s “Don’t Say Gay” law have outsized cruelty — even beyond the enormous harm they will do to the young people we serve.
- N Engl J Med 2022; 387:294-297
With policymakers targeting members of sexual and gender minority groups, the health care sector can mitigate resulting harm and advocate for evidence-based policies protecting health and well-being.
- N Engl J Med 2022; 386:2161-2164
State efforts to prohibit gender-affirming care place physicians’ duties to avoid discrimination, protect privacy, meet standards of care, fulfill reporting requirements, and avoid committing crimes in direct conflict with one another.
- N Engl J Med 2022; 386:2067-2069
Black girls in America are harmed by intersecting racism and sexism, which manifest in biases, stereotypes, and practices that render them vulnerable to abuse, dehumanization, and death. Our silence about Black girls has clinical consequences throughout their life span.
Criminalization of Gender-Affirming Care — Interfering with Essential Treatment for Transgender Children and AdolescentsN Engl J Med 2021; 385:579-581
Arkansas recently passed a law making it illegal for clinicians to provide gender-affirming treatment to children and adolescents with gender dysphoria. This legislation and similar bills could threaten the health, well-being, and survival of transgender young people.
- N Engl J Med 2020; 383:e116
In June, the Department of Health and Human Services published a rule rescinding health care protections for transgender and gender-diverse Americans, who already faced disparities fueled by pervasive structural, interpersonal, and individual-level stigma.
- N Engl J Med 2019; 381:500-502
Despite long-standing opposition among professional medical organizations and documented harms, most states have not banned conversion therapy — efforts to change people’s sexual orientation — for minors.
- N Engl J Med 2019; 380:111-113
A proposed redefinition of gender as a “biological, immutable condition determined by a person’s genitalia at birth” would have damaging repercussions for vulnerable communities that have faced discrimination from health care providers, hospitals, insurers, and others.
- N Engl J Med 2018; 379:2388-2391
The focus of sexual and gender minority health education has shifted to cover training for all clinicians, and training has been increasingly mandated by health centers, health departments, and hospital leaders. This change has created new challenges and opportunities.
- N Engl J Med 2018; 379:2391-2393
As our society’s concept of gender evolves, so does the visibility of contemporary nonbinary people. Yet many members of the medical community may not know how to interact with nonbinary patients respectfully or recognize their unique needs and barriers to care.
- N Engl J Med 2018; 379:2094-2095
Stories of abuse, of trauma inflicted by people with power, have permeated a primary care physician’s sessions with patients over recent weeks. Many patients name the Kavanaugh hearings as a source of dread: the news has brought back memories of their own experiences.
- N Engl J Med 2017; 376:301-303
The way we structure our intimate lives — through decisions about partnering, parenting, gender identification, or acknowledgment of our sexual orientation — affects our health and well-being. What will Trump’s presidency mean for our freedom to make these decisions?
- N Engl J Med 2015; 373:854-862
Primary care for men who have sex with men should include a detailed sexual history to assess the risk of infection with HIV, the use of preexposure prophylaxis for those at high risk, and appropriate vaccinations and regular testing for sexually transmitted infections.
- N Engl J Med 2015; 372:1852-1853
Eleven years ago, Massachusetts became the first state in the country to give same-sex marriages full legal recognition. Today, same-sex marriage is legal, through legislative or judicial action or by popular vote, in more than 35 states and the District of Columbia. It is recognized by the federal government. And...
- N Engl J Med 2015; 372:1872-1874
This longitudinal study involving surveys of fifth-, seventh-, and tenth-graders showed increased risks of bullying among gay, lesbian, or bisexual girls and boys.
- N Engl J Med 2013; 368:2152-2154
Despite high rates of sexual violence in conflict-affected countries, reconstruction efforts after armed conflicts traditionally focus on security, health, physical infrastructure, and economic development and are less equipped to address the effects of sexual violence.
- N Engl J Med 2013; 368:2182-2191
In this study of women who had experienced sexual violence in the Democratic Republic of Congo, group therapy led by psychosocial assistants improved functioning and reduced symptoms of depression, anxiety, and post-traumatic stress disorder.
- N Engl J Med 2012; 366:443-453
Puberty is considered delayed when it has not yet occurred at an age that is 2 to 2.5 SD later than average (traditionally, 14 years in boys and 13 years in girls). Constitutional delay of growth and puberty (CDGP) is the most common cause. Management of CDGP is discussed.
- N Engl J Med 2011; 364:1251-1257
A healthy and successful 40-year-old man finds it increasingly difficult to live as a male. In childhood, he preferred playing with girls and felt that he should have been one. After much agonizing, he has concluded that only sex reassignment can offer the peace of mind he craves.
- N Engl J Med 2010; 363:189-191
It is now clear that men have gradual declines in average serum testosterone levels as they age. These decreases begin by middle age and continue into old age.1,2 Although the decreases are substantial in many men, they are quite variable. Some men, even in old age,...