O CUIDADO FISIOTERAPÊUTICO NA ATENÇÃO À SAÚDE DA POPULAÇÃO TRANSVESTIGÊNERE – RASTREAMENTO DE NECESSIDADES TRSNS ESPECÍFICAS.

Abstract

Introduction: Transvestigenerity goes beyond the norms of compatibility with bodies and goes beyond the expectations of psychic and behavioral attributes considered adequate for the identity designated by sex, having health needs within its multiplicity, and carrying stigmas surrounded by pathologization. The transsexualization process can bring health changes, making it necessary to provide quality multiprofessional monitoring, including a professional physical therapist, to guarantee and improve the quality of life. Methodology: Public opinion survey study, carried out with an electronic questionnaire from October 10, 2021, to January 30, 2022, aimed at transvestigenere people, disseminated through social networks and made available to the Brazilian territory. The survey was divided into four sections with questions aimed at identification, social spheres, corporeality, and quality of life. Data analysis was performed by description with absolute and relative frequencies. Results: The survey had 62 participants, all transvestigenere people, with the majority identifying with the male gender (54.6%), of different age groups and sexual orientation. The majority (58.1%) declared to use a social name, of which the same percentage declared to have this name respected in the health services. Most also report having stopped seeking health services out of fear, having suffered transphobia and not having medical follow-up. Many participants declare that they want to perform some surgical procedure, presenting the high cost as the main difficulty. The most reported palliative measure for body changes was hiding the breasts and 77.4% reported self-perception of postural change. Conclusions: Despite the important achievements of public policies, there is still much to be discussed, studied and planned to improve the quality of life of the transvestigenere population, considering its specificities and multiplicity in the biopsychosocial scope. Multidisciplinary follow-up, including physical therapy, still needs to improve in terms of access and quality of care, and they are extremely important in the transsexualization process, surgical or not, to guarantee quality of life and health.