There has been greater societal awareness of differences in gender identity and sexual orientation in recent years. The rates of identifying as transgender or gender non-conforming (TGNC) are increasing and are known to be higher in the younger population and will therefore be over-represented in the inflammatory bowel disease (IBD) subpopulation. However, despite this there is very little in the literature with regards to those who identify as TGNC and are diagnosed with IBD (TGNC-IBD). Many TGNC individuals have poor experiences when seeking healthcare and many physicians find it a challenging and daunting clinical situation to be faced with. We reviewed the available literature with regards to TGNC-IBD population demographics, physical, mental and sexual health considerations, medication interactions and implications for surgery in this heterogenous group. We have identified areas that need further research and suggested simple and practical steps that can be adopted in order to help healthcare providers improve the experience for TGNC individuals diagnosed with IBD and the quality of care they provide.

中文翻译：

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性别认同对炎症性肠病人群的影响：胃肠病学家的证据审查和实践步骤


近年来，社会对性别认同和性取向差异的认识有所提高。跨性别者或性别不合格 (TGNC) 的识别率正在增加，并且已知在年轻人群中更高，因此在炎症性肠病 (IBD) 亚人群中的比例过高。然而，尽管如此，关于 TGNC 并被诊断为 IBD (TGNC-IBD) 的文献却很少。许多 TGNC 个人在寻求医疗保健时的经历很差，许多医生发现这是一个充满挑战和令人畏惧的临床情况。我们回顾了有关 TGNC-IBD 人群人口统计、身体、心理和性健康考虑因素、药物相互作用以及该异质群体手术影响的现有文献。我们确定了需要进一步研究的领域，并提出了可以采取的简单实用的步骤，以帮助医疗保健提供者改善诊断为 IBD 的 TGNC 个体的体验以及他们提供的护理质量。