A gender classification in SUS has recently undergone important changes. The Ministry of Health changed the gender classification for more than 200 procedures in the Unified Health System (SUS) with the aim of broadening transgender people's access to treatments in the public network. This change aims to promote greater inclusion and accessibility, allowing trans men and women to undergo various treatments and exams that were previously restricted by gender. This is a significant step forward for the transgender community, bringing more equal access to healthcare.
New Procedures Available
The new ordinance covers a wide range of procedures. The list includes 271 treatments, such as vasectomy, uterine cancer treatments, childbirth and specific female and male health exams. Before this change, the Ministry of Health's table of procedures imposed gender restrictions, making it difficult for trans people to access appropriate treatments. For example, a person with a female identity could not undergo prostate exams. A trans man who had not had his uterus removed faced difficulties in accessing reproductive treatments.
This new gender classification at SUS complies with an injunction issued by the Federal Supreme Court (STF), requested by the Workers' Party (PT) in 2021. At the time, the party argued that the restrictions prevented trans people from accessing SUS treatments. With the repeal of these barriers, it is hoped that there will be a significant positive impact on the health and well-being of transgender people.
Main Changes to the Table of Procedures
Among the 271 procedures now accessible without distinction as to gender, there are some that were previously restricted to cisgender men or women. Vasectomy, for example, is now available to people who identify as men, regardless of the gender assigned at birth. Similarly, procedures such as treatments for uterine cancer and childbirth are now available to those who identify as women, regardless of their initial biological configuration.
Other significant procedures included in the new table are prostate exams for trans women and reproductive treatments for trans men who still have a uterus. The new gender classification in the SUS, therefore, seeks to fit each patient within their specific needs, without the limitations previously imposed.
Impact of the New Classification on the Lives of Transsexuals
The inclusion of trans people in these procedures is not only a legislative victory, but also a social and personal achievement for many individuals. The changes provide not only better healthcare, but also recognition of these people's gender identity within one of the country's most important healthcare systems.
For many, the possibility of having tests and treatments tailored to their needs means a significant improvement in their quality of life. Furthermore, these changes are a reflection of the Ministry of Health's commitment to equality and human rights. The recognition of gender identity in health care is essential to reducing marginalization and discrimination against the transgender community.
Surgical procedures and follow-up
The Unified Health System (SUS) offers a variety of specific procedures for trans people. These procedures are fundamental to meeting their health needs and supporting the transition process. Among these are some surgical procedures such as:
- Vaginoplasty
- Breast augmentation
- Mastectomy (breast removal)
- Metalloidoplasty
- Phalloplasty
- Hysterectomy (removal of the uterus)
- Oophorectomy (removal of the ovaries)
As well as surgery, SUS also offers hormone therapy and psychological and psychiatric support to help with the transition process. These services are fundamental to providing ongoing support and ensuring that trans people receive adequate care throughout their lives.
Sex reassignment surgeries
Sex reassignment procedures are also part of the options available on the SUS. Since 2008, SUS has covered sexual reassignment surgeries, such as vagina construction for trans women and penile amputation for trans men. This important milestone in the provision of health services represents a significant recognition of the need for specialized care for the transgender population in Brazil.
The inclusion of these procedures demonstrates the health system's ongoing commitment to diversity and inclusion. Free and widespread access to these services is essential to ensure that all transgender people can live according to their gender identity, with dignity and respect.
Final Thoughts
The changes to the SUS gender classification are an important milestone for the inclusion and accessibility of trans people in the Brazilian public health system. Increased access to specific treatments and tests represents a significant step forward in the fight for equality and rights for this population.
These changes not only improve the quality of life of trans people, but also reaffirm the Ministry of Health's commitment to diversity and respect for human rights. It is hoped that, with these measures, the SUS will continue to advance towards a more inclusive and accessible health system for all citizens, regardless of their gender identity.
Frequently Asked Questions
When will the new changes to the SUS gender classification come into effect?
The changes are already in force and can be consulted directly in the Ministry of Health's new table of procedures.
What are the main procedures now available to trans people?
Procedures such as vasectomy, uterine cancer treatments, childbirth, prostate exams and reproductive treatments are included in the new gender classification at SUS.
What criteria must be met to access these procedures?
The criteria vary according to the procedure. It is important to consult the specific Ministry of Health ordinance or the local SUS service for detailed information.
Are sex reassignment procedures covered by SUS?
Yes, since 2008, sexual reassignment procedures such as vaginoplasty and penile amputation have been included in SUS coverage.
How can I keep up to date with the changes to the SUS?
We recommend following updates from the Ministry of Health and following news on trusted portals to keep abreast of new changes and procedures.
Who should I contact if I have difficulty accessing the new procedures?
In the event of difficulties, contact the SUS ombudsman or a health professional for appropriate guidance and support.
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