Addressing the Needs of a Transgender Patient With HIV Who Was Not Feeling Heard

Monica Gandhi, MD, MPH


October 26, 2021

Monica Gandhi, MD, MPH, describes an experience with a transgender patient who came into her care unwilling to start HIV medication. Dr Gandhi details the work that went into putting together a gender-affirming plan that focused on the patient's needs before her acceptance of antiretroviral therapy to control her HIV. Because cobicistat-containing regimens can increase testosterone levels and decrease levels of estradiol, a dolutegravir/abacavir/3TC regimen was chosen since it had very few drug-drug interactions. As a result of these efforts, the clinic was able to overcome 5 years of the patient not feeling heard to successfully implement HIV care.


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