Care of the Transgender Patient

Feb 20, 2026Sleep medicine clinics

Healthcare for Transgender People

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Circadian Biology on OpenScience ↗PubMed ↗DOI ↗

Abstract

Sleep disturbances affect transgender individuals due to factors such as minority stress and gender dysphoria.

Minority stress and gender dysphoria are linked to increased insomnia and obstructive sleep apnea in transgender individuals.
Comorbid medical and psychiatric conditions may further exacerbate sleep disorders in this population.
Gender-affirming hormone therapy could impact sleep quality and circadian rhythm disruption.
Inclusive care strategies emphasize the importance of communication and individualized assessment for supporting sleep health.

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This article explores the factors contributing to sleep disturbances and sleep disorders in transgender individuals, including minority stress, gender dysphoria, comorbid medical and psychiatric conditions, and the impact of gender-affirming hormone therapy. It discusses how these factors affect insomnia, obstructive sleep apnea, and circadian rhythm disruption. Practical strategies are provided to support inclusive, affirming care, focusing on communication, individualized assessment, and coexisting conditions. Addressing sleep health in transgender individuals is crucial for advancing equitable care and enhancing both physical and mental health outcomes in this population.

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Care of the Transgender Patient

Abstract

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