. 2020 Aug 31;7(6):292–304. doi: 10.1089/lgbt.2019.0294

Table 5.

Patient–Provider Communication Experiences and Preferences for Terminology Related to Sexual and Reproductive Anatomy and Associated Examinations by Gender-Affirming Medical Intervention

	On testosterone		p	Top surgery		p	Hysterectomy and oophorectomy and/or genital surgery		p
	Yes	No		Yes	No		Yes	No
	(n = 1212, 67.9%)	(n = 576, 32.2%)		(n = 722; 40.4%)	(n = 1066; 59.6%)		(n = 289; 16.2%)	(n = 1499; 83.8%)
	n (%)	n (%)		n (%)	n (%)		n (%)	n (%)
Experiences—has a provider ever
Asked for your preferred language for body parts	415 (34.2)	66 (11.5)	<0.001	234 (32.4)	247 (23.2)	<0.001	107 (37.0)	374 (24.9)	<0.001
Preferences
Ask me what words I prefer to use for my body parts	951 (78.5)	439 (76.2)	0.285	579 (80.2)	811 (76.1)	0.040	229 (79.2)	1161 (77.4)	0.504
Use medical terminology as opposed to slang when talking about body	767 (63.3)	402 (69.8)	0.007	471 (65.2)	698 (65.5)	0.916	178 (61.6)	991 (66.1)	0.139
Preferred terminology (Examinations)
Chest/breast examination
Top examination	65 (5.4)^a	64 (11.1)^b	<0.001	33 (4.6)^a	96 (9.0)^b	0.001	17 (5.9)	112 (7.5)	0.141
Chest examination	964 (79.5)^a	418 (72.6)^a		584 (80.9)^a	798 (74.9)^b		219 (75.8)	1163 (77.6)
Chest tissue examination	150 (12.4)^a	79 (13.7)^a		83 (11.5)^a	146 (13.7)^a		40 (13.8)	189 (12.6)
Do not have a word	33 (2.7)^a	15 (2.6)^a		22 (3.0)^a	26 (2.4)^a		13 (4.5)	35 (2.3)
Gynecological examination
GYN examination	151 (12.5)^a	117 (20.3)^b	<0.001	75 (10.4)^a	193 (18.1)^b	<0.001
Pelvic examination	488 (40.3)^a	300 (52.1)^b		273 (37.8)^a	515 (48.3)^b
Bottom examination	91 (7.5)^a	45 (7.8)^a		35 (4.8)^a	101 (9.5)^b
Pap test	114 (9.4)^a	51 (8.9)^a		54 (7.5)^a	111 (10.4)^a
Do not have a word	114 (9.4)^a	28 (4.9)^b		49 (6.8)^a	93 (8.7)^b
Has had hysterectomy and oophorectomy and/or genital surgery	254 (21.0)^a	35 (6.1)^b		236 (32.7)^a	53 (5.0)^b
Preferred terminology (Anatomy)
Chest/breasts
Female-identified terminology	91 (7.5)^a	118 (20.5)^b	<0.001	35 (4.8)^a	174 (16.3)^b	<0.001	15 (5.2)	194 (12.9)	0.002
Male-identified terminology	29 (2.4)^a	15 (2.6)^a		7 (1.0)^a	37 (3.5)^b		6 (2.1)	38 (2.5)
Gender-neutral terminology	1050 (86.6)^a	405 (70.3)^b		648 (89.8)^a	807 (75.7)^b		256 (88.6)	1199 (80.0)
Do not refer to it or have a word	42 (3.5)^a	38 (6.6)^a		32 (4.4)^a	48 (4.5)^a		12 (4.2)	68 (4.5)
Clitoris or phallus
Female-identified terminology	399 (32.9)^a	371 (64.4)^b	<0.001	259 (35.9)^a	511 (47.9)^b	<0.001	75 (26.0)^a	695 (46.4)^b	<0.001
Male-identified terminology	651 (53.7)^a	103 (17.9)^b		353 (48.9)^a	401 (37.6)^b		174 (60.2)^a	580 (38.7)^b
Gender neutral terminology	20 (1.7)^a	13 (2.3)^a		17 (2.4)^a	16 (1.5)^a		3 (1.0)^a	30 (2.0)^a
Do not refer to it or have a word	142 (11.7)^a	89 (15.5)^a		93 (12.9)^a	138 (12.9)^a		37 (12.8)^a	194 (12.9)^a
Vaginal opening
Female-identified terminology	455 (37.5)^a	332 (57.6)^b	<0.001	287 (39.8)^a	500 (46.9)^a	<0.001	89 (30.8)^a	698 (46.6)^b	<0.001
Male-identified terminology	38 (3.1)^a	11 (1.9)^a		17 (2.4)^a	32 (3.0)^a		7 (2.4)^a	42 (2.8)^a
Gender-neutral terminology	409 (33.7)^a	109 (18.9)^b		228 (31.6)^a	290 (27.2)^a		90 (31.1)^a	428 (28.5)^a
Do not refer to it or have a word	282 (23.3)^a	124 (21.5)^a		166 (23.0)^a	240 (22.5)^a		75 (26.0)^a	331 (22.1)^a
Has had a vaginectomy	28 (2.3)^a	0 (0)		24 (3.3)^a	4 (0.4)^b		28 (9.7)^a	0 (0)
Ovaries/gonads
Female-identified terminology	625 (51.6)^a	390 (67.7)^b	<0.001	324 (44.9)^a	691 (64.8)^b	<0.001
Male-identified terminology	42 (3.5)^a	26 (4.5)^a		19 (2.6)^a	49 (4.6)^a
Gender-neutral terminology	41 (3.4)^a	22 (3.8)^a		16 (2.2)^a	47 (4.4)^a
Do not refer to it or have a word	254 (21.0)^a	110 (19.1)^a		128 (17.7)^a	236 (22.1)^a
Has had an oophorectomy	250 (20.6)^a	28 (4.9)^b		235 (32.5)^a	43 (4.0)^b
Uterus
Female-identified terminology	647 (53.4)^a	403 (70.0)^b	<0.001	331 (45.8)^a	719 (67.4)^b	<0.001
Male-identified terminology	52 (4.3)^a	27 (4.7)^a		22 (3.0)^a	57 (5.3)^a
Gender-neutral terminology	14 (1.2)^a	10 (1.7)^a		4 (0.6)^a	20 (1.9)^a
Do not refer to it or have a word	249 (20.5)^a	108 (18.8)^a		129 (17.9)^a	228 (21.4)^a
Had had a hysterectomy	250 (20.6)^a	28 (4.9)^b		235 (32.5)^a	43 (4.0)^b

Percentages are calculated by column. p-Values refer to the omnibus chi-square with Bonferroni correction; ^absuperscripts are used to denote differences in paired comparisons. Percentages with differing superscripts within rows are significantly different at p < 0.001.