<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2182-5173</journal-id>
<journal-title><![CDATA[Revista Portuguesa de Medicina Geral e Familiar]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Port Med Geral Fam]]></abbrev-journal-title>
<issn>2182-5173</issn>
<publisher>
<publisher-name><![CDATA[Associação Portuguesa de Medicina Geral e Familiar]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2182-51732024000400363</article-id>
<article-id pub-id-type="doi">10.32385/rpmgf.v40i4.13937</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Transgender sexual and reproductive health: a systematic review]]></article-title>
<article-title xml:lang="pt"><![CDATA[Saúde sexual e reprodutiva na população transgénero: uma revisão sistemática]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández]]></surname>
<given-names><![CDATA[Sílvia Martins]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pimentel]]></surname>
<given-names><![CDATA[Alexandra Martins]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Almeida]]></surname>
<given-names><![CDATA[Raquel Araújo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,USF São Neutel  ]]></institution>
<addr-line><![CDATA[Chaves ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,USF Garcia de Orta  ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,USF Alves Martins  ]]></institution>
<addr-line><![CDATA[Viseu ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2024</year>
</pub-date>
<volume>40</volume>
<numero>4</numero>
<fpage>363</fpage>
<lpage>373</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2182-51732024000400363&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2182-51732024000400363&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2182-51732024000400363&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract   Background:  The right to access safe and high-quality sexual and reproductive healthcare is part of the well-being of all people. There is a scarcity of clinical guidelines regarding transgender (TG) specific family planning.  Objective:  This synthesis of information intends to describe the approach towards the TG population&#8217;s sexual health.  Methods:  A comprehensive search was conducted in the MEDLINE and Scopus databases, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement. The quality of retrieved studies was assessed using the Critical Appraisal Skills Programme Qualitative Checklist for qualitative studies and an adapted version of the Quality Assessment Tool for Cross-Sectional Studies. The protocol was registered on PROSPERO (CRD42022371962).  Results:  From the 671 articles retrieved, 13 fulfilled the predefined inclusion and exclusion criteria, and were selected to perform the in-depth analysis. Phenomena of interest were subdivided into patient and provider-level issues, contraception, fertility preservation, and cancer screening. Contraception can have many purposes, including the prevention of pregnancy, and frequently exerts an impact on gender dysphoria. A great percentage of TG patients believe that testosterone may be used as a contraceptive method, which prevents recognition of their pregnancy risk. Providers&#8217; lack of formal education plus the discrimination TG people face contribute to the rising of myths and misinformation among the population. Most TG people desire to be parents, but the question of whether biologically or not is mostly undefined. TG people do not routinely undertake pelvic examinations or PAP smears.  Conclusion:  The present review outlines the urge to develop guidelines for TG sexual and reproductive health. Primary care doctors are vital in managing TG people&#8217;s health concerns.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  O acesso a cuidados de saúde sexuais e reprodutivos seguros e de alta qualidade faz parte dos direitos e bem-estar de todas as pessoas. Há uma escassez de diretrizes clínicas específicas para a população transgénero (TG).  Objetivo:  Esta revisão sistemática pretende descrever a abordagem da saúde sexual da população TG.  Métodos:  Foi realizada uma revisão sistematizada em duas bases de dados, MEDLINE e Scopus, seguindo os Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement. A qualidade dos estudos foi avaliada utilizando o Critical Appraisal Skills Programme Qualitative Checklist para estudos qualitativos e uma versão adaptada do Quality Assessment Tool for Cross-Sectional Studies. O protocolo foi registado na plataforma PROSPERO (CRD42022371962).  Resultados:  Dos 671 artigos recuperados através da pesquisa, 13 cumpriram os critérios de inclusão e exclusão e foram selecionados para análise. Os fenómenos de interesse foram subdivididos em problemas relativos ao paciente e ao prestador de cuidados, contraceção, preservação da fertilidade e rastreio de cancro cervical. Os métodos contracetivos podem ser usados com vista à prevenção da gravidez, tendo também impacto na disforia de género. Uma percentagem significativa dos utentes TG acredita que a testosterona pode ser usada como método contracetivo, o que os impede de reconhecer o seu risco de engravidar. A escassez de educação formal dos profissionais de saúde neste tema, aliada à discriminação da população TG, contribui para o aumento dos mitos em saúde. A maioria dos TG deseja a parentalidade, não definindo preferência relativamente a filhos biológicos ou não. A realização de exame pélvico e rastreio do cancro cervical não é rotineira na população TG.  Conclusão:  A presente revisão reforça a relevância e necessidade de desenvolver guidelines no âmbito da saúde sexual e reprodutiva da população TG. Os cuidados de saúde primários são de vital importância na gestão dos problemas de saúde desta população.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Family planning]]></kwd>
<kwd lng="en"><![CDATA[Reproductive health]]></kwd>
<kwd lng="en"><![CDATA[Primary health care]]></kwd>
<kwd lng="en"><![CDATA[Transgender persons]]></kwd>
<kwd lng="pt"><![CDATA[Planeamento familiar]]></kwd>
<kwd lng="pt"><![CDATA[Saúde reprodutiva]]></kwd>
<kwd lng="pt"><![CDATA[Cuidados de saúde primários]]></kwd>
<kwd lng="pt"><![CDATA[População transgénero]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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