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A body neutral and gender neutral modified Ferriman-Gallwey (mFG) diagram.
Journal of Pediatric and Adolescent Gynecology 2021 November 6
BACKGROUND: The modified Ferriman-Gallwey (mFG) diagram for scoring hirsutism uses images with traditionally Eurocentric feminine features. No reports have documented its utility in patients with other gender identities.
CASE: A 16-year-old non-binary masculine patient, sex assigned female at birth, was seen for hyperandrogenism and irregular menses. They declined an exam citing body dysphoria, and declined self-documenting on the mFG diagram, expressing anxiety with gendered images. We subsequently developed a novel, gender-inclusive mFG diagram, which the patient was then comfortable using to document their hair pattern.
SUMMARY AND CONCLUSION: This case documents how the binary gendered characteristics of the mFG diagram can impact the care of patients. As gender expression is highly individual, we created the first gender-inclusive version of the mFG diagram to enhance care for all patients.
CASE: A 16-year-old non-binary masculine patient, sex assigned female at birth, was seen for hyperandrogenism and irregular menses. They declined an exam citing body dysphoria, and declined self-documenting on the mFG diagram, expressing anxiety with gendered images. We subsequently developed a novel, gender-inclusive mFG diagram, which the patient was then comfortable using to document their hair pattern.
SUMMARY AND CONCLUSION: This case documents how the binary gendered characteristics of the mFG diagram can impact the care of patients. As gender expression is highly individual, we created the first gender-inclusive version of the mFG diagram to enhance care for all patients.
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