Health care provider with stethoscope holding heart shape with transgender flag colors

Gender Affirming Care: Non-surgical

irming care (GAC) is an umbrella term for health care that aims to help a transgender or gender diverse person’s body better align with their gender identity. You might seek out GAC if you experience gender incongruence—the state in which the gender you identify with conflicts with the sex you were assigned at birth. There are many different forms of GAC, including both lifestyle changes and medical interventions. The World Professional Association for Transgender Health (WPATH)—the organization often recognized as the gold standard for GAC— outline guiding recommendations for GAC. Additionally, it’s helpful to keep in mind that medical transition isn’t necessary to identify as transgender or gender diverse.

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Group of friends laughing

Communicating and Relating

Many people agree that communicating with others is scary. In fact, enough books on communication and relationships have been published to fill a library. When it comes to relating with fellow humans, there are a number of important factors to keep in mind:

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Rubber gloves, speculum, and other medical devices for a pap smear

Cervical Cancer Screening (Pap Test)

Cervical cancer is a type of cancer that develops in either the cervix itself or on the walls of the cervix. Most cervical cancer cases are caused by the human papillomavirus (HPV) which is passed during sex. While penile-vaginal sex is the most common route of transmission, HPV can also be spread during oral and anal sex. Often the early stages of cervical cancer go unnoticed. However, as the cancer grows, other symptoms begin to appear such as:

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Internal and external condom

Birth Control Options – Barrier Methods

These methods attempt to block sperm from fertilizing an egg, either with a physical barrier or a substance that lowers the ability for sperm to swim and meet an egg. Some options can also reduce the chance of contracting or spreading STIs.

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Surgical tools

Birth Control Options – Surgical Methods

These methods are considered permanent birth control or voluntary sterilization options because they involve a surgical procedure that’s generally difficult or expensive to reverse. Additionally, reversing this procedure does not ensure that your fertility will return to pre-procedure levels. And it’s important to note that these options do not protect against STIs.

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Birth Control Options – Lifestyle Options

While lifestyle options are typically the least effective at preventing pregnancy—aside from abstinence—they are often the most cost effective. However, they might involve some planning or communication between sexual partners to prevent sperm from fertilizing an egg. Lifestyle methods of birth control do not prevent against STIs, so be sure to use a barrier method if you are looking for protection.

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Is there a connection between cortisol, depression, and weight loss?

I recently went to my doctor because I've been unable to lose weight. I've been on a successful diet, accompanied with a reasonable exercise plan, but I've seen no real results. A series of tests were run — I've got optimum blood pressure, low cholesterol, and I am not diabetic. But, when my cortisol levels were checked — they were very high. The doctor suspected there was a possibility that I might have Cushings' Syndrome — but another test was run and that came up negative.

I was doing research on the internet, and I found that there was a link between excessive cortisol and depression. I was diagnosed with clinical depression when I was 12 (I am now 21). And I am currently untreated. What is the link between cortisol levels and depression? Are excessive cortisol levels a physical manifestation of depression? Or does an excess of cortisol for some other reason cause depression? Does an excessive amount of cortisol cause weight gain, or in my case prohibit weight loss? And if there is a connection — will treatment for my clinical depression (in the form of prescription pills) help me?

I've been unable to find answers anywhere, or at least a good source to tell me to stop worrying — any help would be appreciated.