Avaliação dos pacientes transgênero em tratamento hormonal assistidos por um ambulatório recentemente credenciado no processo transexualizador do Sistema Único de Saúde

Abstract

Transgender populations face structural barriers to accessing health care, marked by stigma, unsupervised hormone use, and fragile clinical follow-up. This study aimed to analyze the sociodemographic profile, health conditions, and multiprofessional followup of transgender individuals assisted at the Gender Diversity Outpatient Clinic of HUUFJF/EBSERH, accredited as a regional referral service. This is an observational, descriptive, cross-sectional study with a quantitative approach, based on the analysis of 72 medical records of users assisted between February 2024 and February 2025. The variables analyzed included sociodemographic characteristics, hormone use, data related to gender incongruence, comprehensive clinical assessment, mental health, and access to the service. The results showed a predominance of young adults, single individuals, and people of mixed race, with secondary education and informal labor ties; 65.3% reported experiences of transphobia, and symptoms of anxiety and depression were frequent. Initiation of hormone therapy without medical supervision was observed, particularly among transgender women. It is concluded that the outpatient clinic is essential for reducing unsupervised hormone use and promoting comprehensive care, with findings consistent with the current scientific literature. As a product of this study, the Standardized Anamnesis Form contributes to the standardization of clinical records and to the qualification of care within the Brazilian Unified Health System’s Gender-Affirming Care Process.