Neovagina: Care and Service at the Siriraj Female STD Clinic

Main Article Content

Chenchit Chayachinda
Chanakan Kerdklinhom
Kittipoom Chinhiran
Ammarin Suwan
Chanon Neungton

Abstract

Transsexual women are the transgender women who underwent a few operations in order to have female sex characteristics, including lower genital tract. The neovagina can be made of either skin or colonic mucosa and becomes the main route of sexual intercourse. As time passes, the epithelial lining as well as commensal bacteria will be more closely adapted to that of cisgender women. This results in compatible pattern of reproductive tract infections which is apparently a challenge in the present day. More data regarding this issue are required. The Unit of Gynaecologic Infectious Diseases and Female STD are aware of the global trend of freedom on gender expression albeit the lacking specific health-care service. Little is known that all facilities for female STD patients can be applied to transsexual women. Preparation of multidisciplinary care team, which also includes basic understandings of psycho-bio-social aspects of transsexual women, is thus a pivotal part. This article aims to summarize basic knowledge regarding neovagina as well as reproductive tract infections and the provided service at Siriraj Hospital; and to officially welcome all potential clients to experience our service. Last but not least, this article may ease the process of opening clinics for transsexual women in other area.

Article Details

How to Cite
1.
Chayachinda C, Kerdklinhom C, Chinhiran K, Suwan A, Neungton C. Neovagina: Care and Service at the Siriraj Female STD Clinic. Siriraj Med Bull [Internet]. 2023 Jan. 1 [cited 2024 Mar. 28];16(1):40-6. Available from: https://he02.tci-thaijo.org/index.php/simedbull/article/view/257535
Section
Review Article

References

Meeting Report: Consultation on HIV, STI and other health needs of transgender people in Asia and the Pacific, 11-13 September 2012.

Winter S. Counting Kathoey. Transgender Asia Papers [Internet]. 2002

World Health Organization. Guidelines: prevention and treatment of HIV and other sexually transmitted infections among men who have sex with men and transgender people: recommendations for a public health approach 2011. Geneva2011.

Simon PA, Reback CJ, Bemis CC. HIV prevalence and incidence among male-to-female transsexuals receiving HIV prevention services in Los Angeles County. Aids. 2000;14:2953-5.

Kellogg TA, Clements-Nolle K, Dilley J, Katz MH, McFarland W. Incidence of human immunodeficiency virus among male-to-female transgendered persons in San Francisco. J Acquir Immune Defic Syndr. 2001;28:380-4. 6. Clements-Nolle K, Marx R, Guzman R, Katz M. HIV prevalence, risk behaviors, health care use, and mental health status of transgender persons: implications for public health intervention. Am J Public Health. 2001;91:915-21.

Nemoto T, Operario D, Keatley J, Han L, Soma T. HIV risk behaviors among male-to-female transgender persons of color in San Francisco. Am J Public Health. 2004;94:1193-9.

Nuttbrock L, Hwahng S, Bockting W, Rosenblum A, Mason M, Macri M, et al. Lifetime risk factors for HIV/sexually transmitted infections among male-to-female transgender persons. J Acquir Immune Defic Syndr. 2009;52:417-21.

Baral SD, Poteat T, Stromdahl S, Wirtz AL, Guadamuz TE, Beyrer C. Worldwide burden of HIV in transgender women: a systematic review and meta-analysis. Lancet Infect Dis. 2013;13:214-22.

Chariyalertsak S, Kosachunhanan N, Saokhieo P, Songsupa R, Wongthanee A, Chariyalertsak C, et al. HIV incidence, risk factors, and motivation for biomedical intervention among gay, bisexual men, and transgender persons in Northern Thailand. PLoS One. 2011;6:e24295.

Nemoto T, Iwamoto M, Perngparn U, Areesantichai C, Kamitani E, Sakata M. HIV-related risk behaviors among kathoey (male-to-female transgender) sex workers in Bangkok, Thailand. AIDS Care. 2012;24:210-9.

Guadamuz TE, Wimonsate W, Varangrat A, Phanuphak P, Jommaroeng R, McNicholl JM, et al. HIV prevalence, risk behavior, hormone use and surgical history among transgender persons in Thailand. AIDS Behav.2011;15:650-8.

อติวุทธ กมุทมาศ. นรีเวชวิทยาในหญิงที่เปลี่ยนจากชาย (Female transsexual Gynecology). กรุงเทพมหานคร: บริษัท ยูเนี่ยน ครีเอชั่น จำกัด 2555.

Djordjevic ML, Stanojevic DS, Bizic MR. Rectosigmoid vaginoplasty: clinical experience and outcomes in 86 cases. J Sex Med. 2011;8:3487-94.

Weyers S, Elaut E, De Sutter P, Gerris J, T'Sjoen G, Heylens G, et al. Long-term assessment of the physical, mental, and sexual health among transsexual women. J Sex Med. 2009;6:752-60.

ABC of Sexually transmitted infections. 6th ed. Rogstad K, editor. Singapore: Ho Printing Singapore Pte Ltd; 2011.

อังคณา เจริญวัฒนาโชคชัย, เอกจิตรา สุขกุล, นภาพร วิบูลยานนท์, ปริศนา บัวสกุล. แนวทางการรักษาโรคติดต่อทางเพศสัมพันธ์. กรุงเทพมหานคร โรงพิมพ์สำนักงานพระพุทธศาสนาแห่งชาติ; 2553.

ศูนย์พัฒนาระบบบริการยาต้านไวรัสสำหรับผู้ติดเชื้อเอชไอวี และผู้ป่วยเอดส์ในประเทศไทย. แนวทางการตรวจวินิจฉัยและการดูแลรักษาผู้ติดเชื้อเอชไอวีและผู้ป่วยเอดส์ ระดับชาติ ปี พ.ศ. 2553. กรุงเทพมหานคร: โรงพิมพ์ชุมนุมสหกรณ์การเกษตรแห่งประเทศไทย จำกัด; 2553.