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Article detail · 2025

Navigating Gender-Affirming Healthcare in Adverse Political Climates: Experience from a University-Based Transgender Clinic in Türkiye

Healthcare

YÖKSİS OpenAlex Open access · gold SJR Q1 JCR Q1 Citations 2 Percentile 89.3% FWCI 2.33
Year
2025
ISSN
2227-9032
Type
article

Data source split

  • YÖKSİS YÖKSİS article record
  • OpenAlex OpenAlex enrichment (abstract, citations, topics)

Abstract

English (OpenAlex)

BACKGROUND/OBJECTIVES: Gender-affirming care is a complex, multidisciplinary process that has gained increasing recognition worldwide. This practice report presents the unique clinical model developed at the Kocaeli University Hospital Gender Dysphoria Clinic, one of the pioneering centers in Türkiye. METHODS: An experience-based descriptive approach was adopted to capture two decades of clinical experience, institutional processes, and socio-political challenges not fully reflected in systematic reviews. The article reflects on the authors' direct practice in a university-based transgender health clinic in Türkiye, structured around the multidisciplinary team model, patient pathways, institutional processes, and the sociopolitical context of care. RESULTS: The Kocaeli University model integrates psychiatry, endocrinology, surgery, nursing, social work, and legal consultation. Since 2004, the clinic has evaluated and treated hundreds of transgender individuals and produced numerous theses and peer-reviewed publications. Key strengths include a structured board system, the training of psychiatry residents, and close interdepartmental collaboration. CONCLUSIONS: This model illustrates how gender-affirming care can be effectively implemented in a challenging sociopolitical context. Sharing this experience may inform global practices and support the dissemination of multidisciplinary approaches to transgender health.

Topics

  • LGBTQ Health, Identity, and Policy
  • Sex and Gender in Healthcare
  • Feminist Theory and Gender Studies

Primary topic LGBTQ Health, Identity, and Policy

Authors

  1. ASLIHAN ÖZLEM POLAT IŞIK KOCAELİ ÜNİVERSİTESİ
  2. HANİFE YILMAZ ABAYLI
  3. iLAY DALKIRAN
  4. AILA GAREAYAGHI
  5. NEZİHE GÜL
  6. ZEYNEP BÜYÜKKARACA
  7. EZGİ ŞİŞMAN
  8. FATMA SEHER KOCAAYAN
  9. BERRİN ÇETİNASLAN
  10. ZEYNEP CANTÜRK
  11. ALEV SELEK
  12. EMRE GEZER
  13. MEHMET SÖZEN
  14. MUSTAFA MELİH ÇULHA
  15. NACİ BURAK ÇINAR
  16. EMRAH YAŞAR
  17. MURAT ŞAHİN ALAGÖZ
  18. ŞENER GEZER
  19. ÖZGE SENEM YÜCEL ÇİÇEK
  20. SEHER ŞİRİN
  21. BERRİN ARSLAN KOCAELİ ÜNİVERSİTESİ
  22. PROF.DR. NUH ZAFER CANTÜRK KOCAELİ ÜNİVERSİTESİ