Gender Issues

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ElderlyWoman ©Alexander Raths Shutterstock

To understand the experiences and needs of the aging LGBTQ population, it is important to consider the culture, politics, and social norms that existed when these elders came of age. Clinicians can play a vital role by creating a safe and open environment that allows people to be themselves.

Figure. The hypothalamic-pituitary-gonadal axis

The authors review basic neuroendocrine function and the evidence base of hormonal contribution to psychiatric symptoms in PCOS, PMDD, and perimenopause. They also offer strategies for psychiatrists for both clinical assessment and management of women with neuroendocrine dysfunction.