Care Considerations and Management of Transgender Individuals After Kidney Transplantation: A Single Institution Experience and Literature Review

This document discusses the care considerations and management of transgender individuals after kidney transplantation, based on two case studies and a literature review. The first case involves a 48-year-old trans-female who experienced gender dysphoria post-transplant and began gender-affirming care, which improved her mental health and medication adherence while maintaining stable renal function. The second case is a 57-year-old trans-male who also pursued gender-affirming care post-transplant, resulting in stable renal function but complications like polycythemia and osteoporosis. The discussion highlights the potential risks associated with hormone therapy, such as thromboembolic events and hyperkalemia, and emphasizes the importance of regular health screenings and psychotherapeutic support for transgender patients undergoing kidney transplantation.