Daniel E. Shumer
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View article: Limited health insurance coverage of injectable neurotoxins and fillers for gender affirmation: a cross-sectional study of Affordable Care Act silver and Medicaid plans
Limited health insurance coverage of injectable neurotoxins and fillers for gender affirmation: a cross-sectional study of Affordable Care Act silver and Medicaid plans Open
Background: Injectable neurotoxins and fillers are potential options for facial gender affirmation for transgender/nonbinary patients. However, the largest barrier to access is cost/insurance coverage. Objective: The purpose of this articl…
View article: Understanding cytomorphologic changes in Pap tests of transgender men on testosterone therapy
Understanding cytomorphologic changes in Pap tests of transgender men on testosterone therapy Open
Introduction/Objective Pap test findings in transgender men on testosterone therapy can often lead to misdiagnosis of dysplasia, especially in the setting of a positive HPV test. We reviewed relevant literature to analyze the cytomorpholog…
View article: Endocrine Health and Health Care Disparities in the Pediatric and Sexual and Gender Minority Populations: An Endocrine Society Scientific Statement
Endocrine Health and Health Care Disparities in the Pediatric and Sexual and Gender Minority Populations: An Endocrine Society Scientific Statement Open
Endocrine care of pediatric and adult patients continues to be plagued by health and health care disparities that are perpetuated by the basic structures of our health systems and research modalities, as well as policies that impact access…
View article: Developing an LGBT curriculum and evaluating its impact on Dermatology Residents
Developing an LGBT curriculum and evaluating its impact on Dermatology Residents Open
Peer Reviewed
View article: Childhood adiposity and adolescent sex steroids in the Exploring Perinatal Outcomes among Children study
Childhood adiposity and adolescent sex steroids in the Exploring Perinatal Outcomes among Children study Open
Objective It is unclear how childhood adipose tissue deposition influences sex hormone profiles in later adolescence. Design Prospective cohort study. Participants Children (n = 418) with a mean age of 10.5 (1.5) years at visit 1 and 16.7 …
View article: Prenatal diagnosis of 17-hydroxylase/17,20-lyase deficiency (17OHD) in a case of 46,XY sex discordance and low maternal serum estriol
Prenatal diagnosis of 17-hydroxylase/17,20-lyase deficiency (17OHD) in a case of 46,XY sex discordance and low maternal serum estriol Open
Background A discrepancy between the fetal karyotype and the appearance of genitalia on ultrasound can be a diagnostic challenge. In these cases, it is difficult to shorten the extensive list of differential diagnoses without information o…
View article: Overrepresentation of Adopted Adolescents at a Hospital-Based Gender Dysphoria Clinic
Overrepresentation of Adopted Adolescents at a Hospital-Based Gender Dysphoria Clinic Open
Purpose: We have noted a greater than expected prevalence of adopted children presenting to our multidisciplinary gender program for evaluation of gender dysphoria. Methods: A retrospective review of 184 patient charts was conducted to ass…
View article: Initial Clinical Guidelines for Co-Occurring Autism Spectrum Disorder and Gender Dysphoria or Incongruence in Adolescents
Initial Clinical Guidelines for Co-Occurring Autism Spectrum Disorder and Gender Dysphoria or Incongruence in Adolescents Open
Evidence indicates an overrepresentation of youth with co-occurring autism spectrum disorders (ASD) and gender dysphoria (GD). The clinical assessment and treatment of adolescents with this co-occurrence is often complex, related to the de…
View article: Disorders of Sex Development: Pediatric Psychology and the Genital Exam: Table I.
Disorders of Sex Development: Pediatric Psychology and the Genital Exam: Table I. Open
Psychological findings in the CSA pediatric population suggest that fears and anxieties are not universal and can be linked to a number of variables. Based on this review, we make a number of recommendations for potential interventions for…