Dermatologic care of the lesbian, gay, bisexual and transgender community of India

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Brief Report

89 (

3

); 416-420

doi:

10.25259/IJDVL_687_20

pmid:

36331854

Department of Dermatology, Amala Institute of Medical Sciences, Thrissur, Kerala, India

Corresponding author: Dr. Surya Ravindran, Cosmohome Skin Clinic Nilambur, Kerala, India. surya_ravi2011@hotmail.com

© 2023 Indian Journal of Dermatology, Venereology and Leprology - Published by Scientific Scholar

Licence
This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

How to cite this article: Ravindran S, Nazeer M, Criton S. Dermatologic care of the lesbian, gay, bisexual and transgender community of India. Indian J Dermatol Venereol Leprol 2023;89:416-20.

Abstract

Background

In the Indian subcontinent, the lesbian, gay, bisexual, transgender, and queer community, commonly referred to as the third gender or transgender, is expected to exceed one million by 2030. Data on dermatologic conditions of the transgender population is deficient.

Aims

This study aimed to identify the common dermatological concerns and dermatologic procedures of the lesbian, gay, bisexual, transgender, and queer community of India.

Methods

This cross-sectional survey analysed the transgender participants of a non-institutionalised population in India via health camps that included 51 adult participants who self-identified as trans men and trans women.

Results

This study included 51 participants aged 20-49 years, of which the majority (94%) were trans women. The common dermatological problems were terminal hairs over the face, beard distribution, androgenetic alopecia, scars of gender-affirming surgeries, facial melanosis with topical steroid damaged skin and the need for facial feminisation procedures among trans women, while trans men had testosterone-related acne, androgenetic alopecia. Overall, 40.6% of participants reported dissatisfaction with one or more of their body parts. Laser hair removal was the most common gender-affirming dermatologic procedure.

Conclusion

This study provides an essential overview of the common dermatological conditions and procedures in the Indian lesbian, gay, bisexual, transgender, and queer community. Lesbian, gay, bisexual, transgender, and queer persons have insufficient access to dermatological services due to inadequate exposure and fear of discrimination. Even though transgender patients also present with similar dermatologic conditions as the general population, they have distinct cosmetic and treatment concerns during the period of transition owing to hormone-related or surgery-related changes. Addressing these challenges through enhancing dermatology residency training programs should be the focus of tomorrow.

Limitations

Considering convenience sampling and representative bias, further studies need to be conducted involving multiple study locations and larger sample sizes.

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