Transgender Gynecology: The Construction of Medical Knowledge and Health Social Movements as Catalysts for Change

This thesis examines the current state of routine transgender gynecologic care, highlighting patient discomfort and distrust of healthcare providers, particularly during the gynecological exam. I discuss how the construction of medical knowledge, including the makeup of the medical field, sources of medical information, and provider uncertainty impact the care of sexual and gender minorities. The essay also explores health social movements as catalysts for change, including their impact on challenging the dominant epidemiological paradigm and reframing stigma. A case study of the American HIV/AIDS crisis of the late 20th century demonstrates the importance of paradigm shifts for LGBTQ+ health. The essay concludes by discussing how potential solutions for change, such as shifting medical curricula, increasing representation in the medical field, and the impact of alternative healthcare providers, can improve transgender gynecologic care.