This review will inform radiologists about the evidence base regarding radiographic imaging for transgender individuals and considerations for providing culturally sensitive care for this population. Transgender individuals are increasingly referred for both screening and diagnostic breast imaging. It is important that the clinic environment is welcoming, the medical staff utilize accepted terminology and patients are able to designate their gender and personal history to ensure appropriate care. Hormone and surgical treatments used for transition by many transgender women and men may change the approach to imaging. The risk for breast cancer in transgender individuals is still being defined.

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Breast development is a key feature of feminization and therefore important to transwomen male-to-female transgender persons. It is not exactly known when breast development starts after initiating cross-sex hormone therapy CHT and how much growth may be expected. To investigate breast development in transwomen during their first year of CHT and whether clinical or laboratory parameters predict breast development. This study was performed as part of the European Network for the Investigation of Gender Incongruence, which is a prospective multicenter cohort study. The median age of the included transwomen was 28 years range, 18 to

I have been asked to update my previous post about breast development. A few more pieces of the basic biology are now available. There have been some big changes about getting hormone therapy HT for breast development from providers. I now have the benefit of more research and first-hand experience with breast augmentation.