Transgender and gender-diverse patients in the United States can have difficulty finding providers who are knowledgeable about their unique health-care needs. In many states, legislation limits the ability of physicians to provide gender-affirming and supportive care. Further awareness, advocacy and research is needed to help mitigate the discrimination and stigma endured by the transgender community.

中文翻译：

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美国的跨性别医疗保健：不断变化的形势下胃肠病学家面临的法律、伦理和实际问题

在美国，跨性别和性别多样化患者可能很难找到了解其独特医疗保健需求的提供者。在许多州，立法限制医生提供性别肯定和支持性护理的能力。需要进一步的认识、宣传和研究，以帮助减轻跨性别群体所遭受的歧视和耻辱。