2017 A Good Practice Guide to Gender-Affirmative Care Initiative by Sappho for Equality Kolkata, INDIA [1] A Good Practice Guide to Gender-Affirmative Care Initiative by 21 Jogendra Garden (S), Ground Floor Kolkata - 700 078, INDIA www.sapphokolkata.in
[email protected] +91 33 2441 9995 +91 9831518320 [2] CONTENTS Acronyms and Abbreviations 4 Preface 5 Introduction 16 Chapter 1: Indian Law, Transgender Identity and Gender Transition 21 Chapter 2: Therapeutic Approaches to Gender Affirmation 26 Chapter 3: Mental Health Services for Gender Affirmation 33 Chapter 4: Gender Affirmative Hormone Therapy 42 Chapter 5: Gender Affirmative Surgery 54 Chapter 6: Gender Affirmative Voice Transformation 63 Annexure 1 67 Annexure 2 68 Annexure 3 69 Annexure4 70 Annexure 5 72 [3] ACRONYMS AND ABBREVIATIONS DSM – Diagnostic and Statistical Manual of Mental Disorders FtoM / FtM – Female to Male GAT – Gender Affirmative Therapy GTRS – Gender-Transition Related Services HBV – Hepatitis B Virus HCP – Health Care Professional HIV – Human Immunodeficiency Virus ICD – International Classification of Diseases MHP – Mental Health Professional MtoF / MtF – Male to Female SRS – Sex Reassignment Surgery SRT – Sex Reassignment Therapy WPATH – The World Professional Association for Transgender Health [4] PREFACE Sappho for Equality, established in October 2003, is a queer feminist activist forum working for the rights and social justice of persons with non-normative gender-sexual identities/expressions, especially focusing on rights of lesbian, bisexual, queer women and trans* (transmasculine/ FtoM) persons. Some of its important activities are providing safe space for members of the sexually marginalized community, peer counseling, running helpline, providing mental health support, facilitating crisis intervention, interacting with researchers, students and faculty of academic institutions, running a resource center, Chetana etc.