[05.01] CMD - SOGIE 101_ Gender Sensitivity and Gender-Affirming Therapy Overview V2.1.pdf

Sexual Orientation, Gender Identity, and Gender Expression

What does the acronym SOGIE stand for?

Sex at birth / Anatomical Sex

In the Genderbread Person model, what component refers to physical sexual organs assigned at birth?

Gender Identity

In the Genderbread Person model, what component refers to the internal sense of being a man, woman, or non-binary/genderqueer (represented by the brain)?

Gender Expression

In the Genderbread Person model, what component refers to external manifestations such as clothing, hair, makeup, and behavior (represented by the dashed line)?

Sexual Attraction / Sexual Orientation

In the Genderbread Person model, what component refers to who an individual is drawn to emotionally and physically (represented by the heart)?

Identity ≠ Expression ≠ Sex

What core principle from the Genderbread Person highlights that how a person expresses themselves or their anatomical sex does not necessarily dictate their gender identity?

Gender ≠ Sexual Orientation

What core principle from the Genderbread Person clarifies that a person's gender identity does not determine who they are sexually attracted to?

Heteronormative

What term describes the assumption that everyone is cisgender and heterosexual?

Female

In biological sex categorization, what anatomical sex is associated with having a vagina?

Male

In biological sex categorization, what anatomical sex is associated with having a penis?

Intersex

What term describes individuals whose reproductive anatomy, genitalia, or hormones are not clearly or exclusively male or female at birth?

Congenital Adrenal Hyperplasia (CAH)

What disorders of sex development condition involves excessive adrenal androgen production leading to masculinization of female genitalia?

Androgen Insensitivity Syndrome (AIS)

What condition occurs when an individual with a male genotype (XY) produces testosterone but lacks responsive receptors, resulting in a female phenotype?

Genderqueer / Non-binary

What term refers to an individual who does not identify exclusively as a man/male or a woman/female?

Heterosexual

What sexual orientation describes someone who is romantically or sexually attracted to the opposite gender or sex?

Homosexual (Gay or Lesbian)

What sexual orientation describes someone who is romantically or sexually attracted to the same gender or sex?

Asexual

What sexual orientation describes someone who experiences little or no sexual attraction to others?

Bisexual

What sexual orientation describes someone who is attracted to both males and females?

Pansexual

What sexual orientation describes someone who is attracted to an individual regardless of their gender identity, based on personality or character?

Cisgender

What term describes an individual whose sex assigned at birth matches their gender identity?

Transgender

What term describes an individual whose gender identity differs from their assigned sex at birth?

Transgender Woman (MTF)

What term describes an individual assigned male at birth who identifies and lives as a woman?

Transgender Man (FTM)

What term describes an individual assigned female at birth who identifies and lives as a man?

Agender

What term refers to a person who identifies as having no gender?

Biological sex / Biological male / Biological female

What terms refer to physical aspects of maleness and femaleness, though often noted as imprecise?

Bigender

What term describes a person whose gender identity is a combination of two genders?

Coming out / Disclosure

What process involves accepting one's own gender identity/orientation and/or sharing it with others?

Disorders of Sex Development (DSD)

What medical category encompasses rare congenital conditions where reproductive organs and genitalia do not develop as expected?

Klinefelter Syndrome

What chromosomal DSD condition is characterized by an extra X chromosome (XXY) resulting in incomplete masculine features?

Gay

What term describes a man who is emotionally and sexually attracted to other men, or broadly used for same-gender attraction?

Gender reassignment

What term refers to the treatment procedure for those who want to adapt their body to their experience via hormones/surgery?

Gender nonconforming

What term describes anyone whose gender expression does not conventionally align with societal expectations for their assigned sex?

Gender dysphoria (DSM-5)

What diagnostic term refers to the distress and unease experienced when gender identity and assigned gender are not congruent?

Gender Incongruence of Childhood (ICD)

What diagnostic category in the ICD corresponds to marked mismatch between experienced gender and assigned sex in children?

Gender Identity Disorder (DSM-IV-TR)

What was the former DSM-IV diagnostic label previously used before being replaced by Gender Dysphoria in DSM-5?

Experienced gender

What term describes the gender that an individual internally feels and experiences themselves to be?

Gender incongruence

What general term describes a state where gender identity and/or expression differs from the designated assigned sex?

Gender variance / Gender variant

What term describes gender identity or expression that differs from normative cultural expectations?

Gender normative / Genderstraight

What term describes a person who conforms to mainstream gender social expectations?

Gender role

What term refers to behaviors, attitudes, and personality traits designated by society as masculine or feminine?

Genderqueer

What term describes an individual who blurs or bends the gender binary, identifying outside male/female categories?

Gender fluid

What term describes an individual whose gender identity is not fixed and shifts over time or between genders?

Lesbian

What term describes a woman who is sexually and emotionally attracted to other women?

LGBTQIA+

What acronym stands for Lesbian, Gay, Bisexual, Transgender, Queer/Questioning, Intersex, Asexual, and other identities?

Men who have sex with men (MSM) / Women who have sex with women (WSW)

What clinical and public health categories describe individuals engaging in same-sex behavior regardless of sexual orientation identity?

Outing

What term refers to the involuntary or unauthorized disclosure of another person's gender identity, sexual orientation, or intersex status?

Gaydars

What speculative notion about identifying someone's SOGIE is explicitly discouraged as rude and intrusive?

Pangender

What term describes a person whose gender identity is comprised of many genders?

Sexual and gender minority

What broader, patient-centered term encompasses LGBT/TGNC patients in healthcare settings?

Queer

What umbrella term is used by some people who think of their orientation or identity as outside societal norms, formerly derogatory?

Questioning

What term describes a person actively exploring their sexual orientation and/or gender identity?

Transition

What term describes the overall process during which transgender persons change physical, social, and/or legal characteristics?

Transsexual

What term refers to individuals who have permanently transitioned through medical interventions, typically used as an adjective?

Gender reconstructive surgery / Top surgery / Bottom surgery

What terms refer to surgical procedures adapting chest or genital anatomy to affirmed gender?

Intersex or Disorders of Sex Development

What is the recommended replacement for the outdated term 'Hermaphrodite'?

Gay or Lesbian

What is the recommended replacement for the outdated term 'Homosexual'?

Sexual orientation

What is the recommended replacement for the outdated term 'Sexual preference'?

Transgender

What is the recommended replacement for outdated terms like 'Transgendered' or 'a transgender'?

Gender affirmation surgery

What is the recommended replacement for the outdated term 'Sex change'?

She / Her / Hers

What are the objective and possessive pronouns corresponding to female subject pronouns?

He / Him / His

What are the objective and possessive pronouns corresponding to male subject pronouns?

They / Them / Theirs

What are the objective and possessive pronouns corresponding to gender-neutral plural/singular subject pronouns?

Ze / Hir / Hirs

What gender-neutral neopronouns correspond to the objective 'hir' and possessive 'hirs'?

Intersex individuals only

In the Philippines, who is legally permitted to change their legal gender marker?

Jen Cagandahan (2008)

What landmark 2008 Philippine case allowed an individual with congenital adrenal hyperplasia to legally change gender marker from female to male?

Republic Act / Legal status

Why can transgender individuals in the Philippines generally not change their legal sex marker on birth certificates?

Social transitioning

What form of transitioning includes coming out, changing name, dress, voice, pronouns, and legal documents?

Medical and surgical transitioning

What form of transitioning involves cross-sex hormone therapy and gender-affirming operations?

Gender-Affirming Hormone Therapy (GAHT)

What medical intervention uses hormones and medications to align physical features with affirmed gender identity?

Gender-Affirming Medical and Surgical Therapy (GAMST)

What comprehensive term covers both medical hormonal therapy and surgical gender procedures?

No (not all transgender people experience gender dysphoria)

Is gender dysphoria required for an individual to identify as transgender or non-binary?

At least 6 months

What is the minimum required duration of incongruence for diagnosing Gender Dysphoria in children under DSM-5?

At least 6 criteria

How many criteria must be present to diagnose Gender Dysphoria in children under DSM-5?

Criterion A1 (Strong desire to be of the other gender or insistence that one is the other gender)

Which specific criterion is mandatory among the 6 required indicators for diagnosing Gender Dysphoria in children?

Strong preference for cross-dressing or simulating female/male attire

What child behavior criterion involves resisting assigned clothing and preferring attire typical of the other gender?

Strong preference for cross-gender roles in make-believe or fantasy play

What child criterion involves preferring roles like 'mother' for assigned boys or 'father' for assigned girls in play?

Strong preference for toys, games, or activities stereotypically used by the other gender

What child criterion involves choosing action figures/cars for assigned girls or dolls/cooking items for assigned boys?

Strong preference for playmates of the other gender

What social criterion for children involves a marked selection of friends matching their experienced gender?

Strong rejection of typically assigned-gender toys and rough-and-tumble play

What criterion describes an assigned boy rejecting sports/rough play or an assigned girl rejecting feminine toys?

Strong dislike of one's sexual anatomy

What criterion describes extreme aversion toward one's natal genitalia in children?

Strong desire for primary and/or secondary sex characteristics that match experienced gender

What physical criterion in children involves wanting the body traits of the affirmed gender?

Clinically significant distress or impairment in social, school, or functioning areas

What essential DSM-5 Criterion B condition must accompany the incongruence in children and adults?

With a disorder of sex development

What specifier is added to a Gender Dysphoria diagnosis if the individual has a condition like CAH or AIS?

At least 6 months

What is the minimum duration required for diagnosing Gender Dysphoria in adolescents and adults?

At least 2 criteria

How many criteria must be met to diagnose Gender Dysphoria in adolescents and adults under DSM-5?

Incongruence between experienced gender and primary/secondary sex characteristics

What adolescent/adult criterion describes a mismatch between internal identity and physical sex traits?

Strong desire to be rid of primary/secondary sex characteristics

What adolescent/adult criterion involves wanting to remove or prevent natal sex characteristics?

Strong desire for primary/secondary sex characteristics of the other gender

What adolescent/adult criterion involves seeking physical traits of the affirmed gender?

Strong desire to be of the other (or alternative) gender

What adolescent/adult criterion involves a fundamental wish to belong to another gender?

Strong desire to be treated as the other (or alternative) gender

What social criterion in adults involves wanting society to perceive and treat them according to affirmed gender?

Strong conviction of having feelings and reactions typical of the other gender

What psychological criterion in adults involves believing one's emotional responses match the affirmed gender?

Post-transition

What specifier applies to adults who have transitioned to full-time living in desired gender and undergone medical/surgical procedures?

Young age (adolescents/early 20s), unsteadiness/uncertainty, active mental health issues/medications, or non-binary navigation

According to Dr. Lopez, when is a formal psychiatric referral necessary prior to starting hormone therapy?

Both an anti-androgen AND an estrogen

What combination of medications is required for transgender women who have NOT undergone orchidectomy/bottom surgery?

Estrogen alone

What single class of medication is sufficient for transgender women who HAVE undergone gonadectomy/orchidectomy?

Estradiol 2.0 - 6.0 mg/day

What is the standard oral/sublingual daily dosage range for Estradiol in feminizing therapy?

Estradiol transdermal patch 0.025 - 0.2 mg/day

What is the standard transdermal patch dosage range for Estradiol?

Estradiol valerate or cypionate 5 - 30 mg IM q2w or 2 - 10 mg IM weekly

What is the standard parenteral (injectable) dosage regimen for Estradiol?

Spironolactone 100 - 300 mg/day

What is the standard oral daily dosage range for Spironolactone as an anti-androgen?

Cyproterone acetate 10 mg/day

What is the standard daily dosage for Cyproterone acetate as an anti-androgen?