397 results match your criteria Gender Identity Disorders Transsexualism


The ICD-11 classification of gender incongruence of adolescence and adulthood: adequacy among transgender people in Lebanon.

Cult Health Sex 2020 Feb 7:1-12. Epub 2020 Feb 7.

Department of Models of Attention, Direction of Epidemiological and Psychosocial Research, National Institute of Psychiatry Ramón de la Fuente Muñíz, Ministry of Health, Mexico City, Mexico.

The aim of this study was to evaluate the adequacy of the then proposed International Classification of Diseases version 11 (ICD-11) diagnostic guidelines for Gender Incongruence of Adolescence and Adulthood in a sample of transgender people accessing multi-disciplinary health care services at specialised organisations in Lebanon. The cross-sectional study reported here was part of the ICD-11 field test studies that took place in several countries. Twenty-eight Arab transgender adults residing in Lebanon were recruited after giving consent to participate in a structured interview with a mental health professional. Read More

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http://dx.doi.org/10.1080/13691058.2019.1692907DOI Listing
February 2020

Psychiatric disorders in individuals diagnosed with gender dysphoria: A systematic review.

Psychiatry Clin Neurosci 2020 Feb 25;74(2):99-104. Epub 2019 Nov 25.

Mood and Anxiety Disorders Program (CETHA), University Hospital, Federal University of Bahia, Salvador, Brazil.

Aim: Although there has been an increase in the social acceptance of the gender dysphoria (GD) population, these individuals still suffer a high degree of emotional stress, which highlights the importance of knowing their mental illness diagnosis.

Methods: A systematic review was conducted to identify the frequency of lifetime Axis I mental disorders in this population, using the MEDLINE/PubMed, SciELO, Cochrane, EMBASE, and PsychINFO databases and manual searching, examining articles published after 1980. The search used the key words: ('transgender' OR 'gender identity disorder' OR 'gender dysphoria' OR 'transsexualism' OR 'gender dysphoric patients' OR 'gender incongruence') AND ('mental disorder' OR 'axis I' OR 'psychiatric disorders') AND ('comorbidity' OR 'comorbid' OR 'prevalence'). Read More

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http://dx.doi.org/10.1111/pcn.12947DOI Listing
February 2020
3 Reads

Psychosocial Resources and Quality of Life in Transgender Women following Gender-Affirming Surgery.

J Sex Med 2019 10;16(10):1672-1680

Department of Psychosomatic Medicine and Psychotherapy, University of Duisburg-Essen, Essen, Germany.

Introduction: Psychosocial resources like social support or intrapersonal coping skills play an important role in resilience and quality of life (QOL), yet research systematically investigating the availability of different resources and QOL in transgender (trans) women is missing.

Aim: The present study aimed to systematically investigate the existence of different psychosocial resources and QOL in trans women following gender-affirming surgery (GAS).

Methods: Using a cross-sectional design, 557 trans women who had received GAS at the local urological department were invited to study participation. Read More

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http://dx.doi.org/10.1016/j.jsxm.2019.08.007DOI Listing
October 2019
2 Reads

The HIV-Related Risk Factors of the Cisgender Male Sexual Partners of Transgender Women (MSTW) in the United States: A Systematic Review of the Literature.

AIDS Educ Prev 2019 10;31(5):463-478

Brown University School of Public Health, Providence, Rhode Island.

Cisgender male sexual partners of transgender women (MSTW) may be at risk for HIV infection. We performed a review of HIV risk factors among MSTW. We searched PubMed database for empirical quantitative U. Read More

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http://dx.doi.org/10.1521/aeap.2019.31.5.463DOI Listing
October 2019

Cardiovascular implications of gender-affirming hormone treatment in the transgender population.

Maturitas 2019 Nov 20;129:45-49. Epub 2019 Aug 20.

Barbra Streisand Women's Heart Center, Cedars-Sinai Heart Institute, Cedars-Sinai Medical Center, Los Angeles, CA, United States. Electronic address:

Transgender men and women represent a growing population in the United States and Europe, with 0.5% of adults and 3% of youth identifying as transgender. Globally, an estimated 0. Read More

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http://dx.doi.org/10.1016/j.maturitas.2019.08.010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6761990PMC
November 2019
1 Read

In Support of Research Into Rapid-Onset Gender Dysphoria.

Arch Sex Behav 2020 01 17;49(1):79-80. Epub 2019 Jul 17.

Maudsley Centre for Child and Adolescent Eating Disorders, Maudsley Hospital, London, UK.

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http://dx.doi.org/10.1007/s10508-019-01517-9DOI Listing
January 2020

Sex reassignement with or without surgery. New ethical and juridical pathways.

Ann Ital Chir 2019 ;90:95-99

Introduction: The access to sex-reassignment surgery is based on the existence of an unequivocal dyscrasia between the morphological sex and the objective evidence that emerges from in-depth analysis of the individual's personality. In Italy, such type of surgical intervention is subject to the authorization of a judge.

Material Of Study: Authors examine the recent Italian Constitutional judgement which has addressed the right to change legal sex status without the need for sex-reassignment surgery. Read More

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January 2020
10 Reads

[Approach to the causes of discharge and health needs of transgender people through the National Hospital Discharge Survey in Spain during the period 2001 to 2013].

Rev Esp Salud Publica 2019 05 29;93. Epub 2019 May 29.

Iniciativa Sociosanitaria para la Cooperación y Equidad LGBT en España (ISOSCELES). Madrid. España.

Objective: The health of transgender people is a little studied topic and hospital records can be an opportunity to make an approach. The aim of this study was to describe the cause for admission and the associated comorbidities of transgender people in Spain between 2001 and 2013.

Methods: Retrospective observational study with population-based administrative records (Minimum Basic Data Set). Read More

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May 2019
15 Reads

Development of a Social Network-Based Intervention to Overcome Multilevel Barriers to ART Adherence Among Adolescents in Brazil.

AIDS Educ Prev 2019 04;31(2):111-126

Brown University School of Public Health, Providence, Rhode Island.

Brazil's comprehensive HIV treatment program does not specifically address ART adherence challenges for adolescents-a group accounting for the largest number of incident HIV infections in Brazil. We conducted three focus groups with 24 adolescents (age 15-24) living with HIV in Rio de Janeiro, separately for cisgender men who have sex with men, heterosexual-identified cisgender men and women, and transgender women of any sexual orientation, and key informant interviews (n = 7) with infectious disease specialists and HIV/AIDS service organization staff. Content analysis identified socioecological barriers and facilitators to adherence, including individual (e. Read More

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http://dx.doi.org/10.1521/aeap.2019.31.2.111DOI Listing
April 2019
3 Reads

Psychological distress among transgender people in Brazil: frequency, intensity and social causation - an ICD-11 field study.

Braz J Psychiatry 2019 Jul-Aug;41(4):310-315. Epub 2019 Mar 7.

Departamento de Modelos de Intervención, Dirección de Investigaciones Epidemiológicas y Psicosociales, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Ciudad de México, Mexico.

Objective: To describe self-reported experiences of gender incongruence related to discomfort and body changes to be more congruent to the desired gender, and to examine whether experiences of psychological distress related to gender identity were more strongly related to the experience of gender incongruence per se or to experiences of social rejection.

Methods: This field study used a structured interview design in a purposive sample of transgender adults (aged >18 years or older) receiving health-care services in two main reference centers in Brazil.

Results: A high proportion of participants (90. Read More

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http://dx.doi.org/10.1590/1516-4446-2018-0052DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6804302PMC
September 2019
5 Reads
1.638 Impact Factor

Sexual preferences and associated disorders: toward an extended model for description.

Psychiatr Pol 2018 Dec 29;52(6):1063-1073. Epub 2018 Dec 29.

Uniwersytet im. Adama Mickiewicza w Poznaniu, Instytut Psychologii.

The notion of human sexual preferences relates to relatively stable patterns of sexual response and to directing sexual behaviors toward specific arousing stimuli, which are also important for sexual satisfaction. The preferences may pertain to the properties of the object or the sexual activity itself. Diagnosing sexual preferences, in its basic form, is conducted with the use of disorder criteria defined in diagnostic classifications (ICD-10, DSM-5). Read More

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http://dx.doi.org/10.12740/PP/82193DOI Listing
December 2018
5 Reads

Gender dysphoria symptoms in schizophrenia.

Psychiatr Pol 2018 Dec 29;52(6):1053-1062. Epub 2018 Dec 29.

Instytut Psychiatrii i Neurologii w Warszawie, III Klinika Psychiatryczna.

Gender dysphoria in individuals with schizophrenia may result from the delusionally changed gender identity or appear regardless of psychotic process. Distinguishing between these situations is not only a diagnostic challenge, but also affects the therapeutic decisionmaking. The review of the literature shows that different delusional beliefs regarding belonging to another gender, anatomy or changes within the genitals affect about one-fourth of patients with schizophrenia. Read More

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http://dx.doi.org/10.12740/PP/80013DOI Listing
December 2018
10 Reads

Revisiting the Link: Evidence of the Rates of Autism in Studies of Gender Diverse Individuals.

J Am Acad Child Adolesc Psychiatry 2018 Nov;57(11):885-887

Pediatric Mental Health Institute, Children's Hospital of Colorado and University of Colorado, Denver.

Turban and van Schalkwyk assert in their Translations article, "'Gender Dysphoria' and Autism Spectrum Disorder: Is the Link Real?" that an over-representation of autism spectrum disorder (ASD) in gender dysphoria is unsupported based on current evidence. Turban and van Schalkwyk discuss 7 of the currently 19 available empirical studies (excluding reviews and case reports) of the over-occurrence of ASD and/or autism traits with gender dysphoria/diversity. They are correct to note that some ASD screeners may lack specificity; that is, a clinical-range total score could indicate non-ASD-related mental health conditions or other developmental difference. Read More

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http://dx.doi.org/10.1016/j.jaac.2018.04.023DOI Listing
November 2018
6 Reads

Gender incongruence and the brain - Behavioral and neural correlates of voice gender perception in transgender people.

Horm Behav 2018 09 21;105:11-21. Epub 2018 Jul 21.

Department of Psychiatry, Psychotherapy and Psychosomatics, Medical School, RWTH Aachen University, Aachen, Germany; JARA-BRAIN Institute, Brain Structure-Function Relationships, Forschungszentrum Jülich GmbH and RWTH Aachen University, Aachen, Germany.

The phenomenon of gender incongruence is hypothesized to arise from a discrepant sexual development of the brain and the genitals, contingent on genetic and hormonal mechanisms. We aimed at visualizing transgender identity on a neurobiological level, assuming a higher functional similarity to individuals of the aspired rather than assigned sex. Implementing a gender perception paradigm featuring male and female voice stimuli, behavioral and functional imaging data of transmen were compared to men and women, and to transwomen, respectively. Read More

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http://dx.doi.org/10.1016/j.yhbeh.2018.07.001DOI Listing
September 2018
47 Reads

A Qualitative Study of the Acceptability of the Proposed ICD-11 Gender Incongruence of Childhood Diagnosis Among Transgender Adults Who Were Labeled Due to Their Gender Identity Since Childhood.

Arch Sex Behav 2018 11 3;47(8):2363-2374. Epub 2018 Jul 3.

Office of the Director General, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico.

For the forthcoming ICD-11, the ICD-10 category of Gender Identity Disorder of Childhood has been reformulated as Gender Incongruence of Childhood (GIC) and moved out of the mental disorders chapter. Proponents of eliminating the GIC diagnosis altogether claim that it is unnecessary and inherently harmful, although they do not eschew the diagnosis for adolescents and adults. Using a qualitative methodology, this study examined the impact of receiving a diagnosis related to gender identity as a child among transgender people who had had this experience, and evaluated participants' views of the acceptability and usefulness of the ICD-11 GIC proposal. Read More

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http://dx.doi.org/10.1007/s10508-018-1241-4DOI Listing
November 2018
10 Reads

Recommendations for the Use of Testosterone in Male Transgender.

Rev Bras Ginecol Obstet 2018 May 18;40(5):275-280. Epub 2018 Jun 18.

Department of Obstetrics and Gynecology, Faculdade de Medicina, Universidade Federal do Rio Grande do Norte, Natal, RN, Brazil.

Gender incongruence is defined as a condition in which an individual self-identifies and desires to have physical characteristics and social roles that connote the opposite biological sex. Gender dysphoria is when an individual displays the anxiety and/or depression disorders that result from the incongruity between the gender identity and the biological sex. The gender affirmation process must be performed by a multidisciplinary team. Read More

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http://dx.doi.org/10.1055/s-0038-1657788DOI Listing
May 2018
12 Reads

Individuals seeking gender reassignment: marked increase in demand for services.

BJPsych Bull 2018 Oct 12;42(5):206-210. Epub 2018 Jun 12.

Oxford Health NHS Foundation Trust.

Aims and methodTo describe the pattern of referrals and characteristics of people aged over 18 seeking gender reassignment in Oxfordshire over a 6-year period (2011-2016).

Results: A total of 153 individuals attended for assessment (of 162 referred); 97 (63.4%) were natal males and 56 (36. Read More

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http://dx.doi.org/10.1192/bjb.2018.30DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6189985PMC
October 2018
15 Reads

[THE MEDICAL CARE OF TRANSGENDER PEOPLE].

Harefuah 2018 Apr;157(4):245-248

Helen Schneider's Hospital for Women, Rabin Medical Center, Petach-Tikva.

Introduction: The phenomenon of the discrepancy between a person's sexual self-perception and his/her genetic sex has been known to medicine since the mid-19th century. Initially, this discrepancy was considered to be a mental disorder. Over time, advances in medical abilities in surgery, hormonal treatment and infertility, have enabled physicians to help those who are affected to fulfill their wish. Read More

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April 2018
11 Reads

Risk Factors for Eating Disorder Psychopathology within the Treatment Seeking Transgender Population: The Role of Cross-Sex Hormone Treatment.

Eur Eat Disord Rev 2018 Mar 10;26(2):120-128. Epub 2018 Jan 10.

Nottingham Centre for Transgender Health, Nottingham, UK.

Many transgender people experience high levels of body dissatisfaction, which is one of the numerous factors known to increase vulnerability to eating disorder symptoms in the cisgender (non-trans) population. Cross-sex hormones can alleviate body dissatisfaction so might also alleviate eating disorder symptoms. This study aimed to explore risk factors for eating disorder symptoms in transgender people and the role of cross-sex hormones. Read More

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http://dx.doi.org/10.1002/erv.2576DOI Listing
March 2018
12 Reads

Do Transmasculine Speakers Present With Gender-Related Voice Problems? Insights From a Participant-Centered Mixed-Methods Study.

J Speech Lang Hear Res 2018 01;61(1):25-39

Clinic of Phoniatrics, Pedaudiology and Communication Disorders, Medical Faculty and University Hospital of the RWTH Aachen University, Germany.

Purpose: The purpose of this study was to investigate whether there are indications of gender-related voice problems in our transmasculine participants and to analyze how discrepancies between participant self-evaluations and researcher-led examinations can be best negotiated to ensure a participant-centered interpretation.

Method: We conducted a participant-centered mixed-methods study combining qualitative content analyses of semistructured interviews, acoustical voice analyses, and an examination of gender attributions to voice. Fourteen German-speaking transmasculine people, 14 cisfemale control persons, and 7 cismale control persons participated. Read More

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http://dx.doi.org/10.1044/2017_JSLHR-S-16-0410DOI Listing
January 2018
9 Reads

The Impact of Using Non-Birth Sex on the Interpretation of Spirometry Data in Subjects With Air-Flow Obstruction.

Respir Care 2018 Feb 28;63(2):215-218. Epub 2017 Nov 28.

Departments of Pulmonary, Sleep, and Critical Care Medicine, Kaiser Permanente, Tacoma, Washington.

Background: Sex is an important determinant of lung capacity and function. This study examined the impact of using non-birth sex on the interpretation of spirometry data in transgender subjects with air-flow obstruction.

Methods: This study was a retrospective analysis of anonymous spirometry data. Read More

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http://dx.doi.org/10.4187/respcare.05586DOI Listing
February 2018
23 Reads

Does Testosterone Treatment Increase Anger Expression in a Population of Transgender Men?

J Sex Med 2018 Jan 27;15(1):94-101. Epub 2017 Nov 27.

Division of Endocrinology, Diabetology and Metabolism, Department of Medical Sciences, University of Turin, Turin, Italy.

Background: The acquisition of phenotypic male features in transmen with gender dysphoria requires testosterone treatment. The suppression of menses is 1 of the most desired effects. The relation between testosterone levels and human aggressive behavior has been described. Read More

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http://dx.doi.org/10.1016/j.jsxm.2017.11.004DOI Listing
January 2018
5 Reads

Transgender Medicare Beneficiaries and Chronic Conditions: Exploring Fee-for-Service Claims Data.

LGBT Health 2017 12 10;4(6):404-411. Epub 2017 Nov 10.

2 Health Care Department, NORC at the University of Chicago , Bethesda, Maryland.

Purpose: Data on the health and well-being of the transgender population are limited. However, using claims data we can identify transgender Medicare beneficiaries (TMBs) with high confidence. We seek to describe the TMB population and provide comparisons of chronic disease burden between TMBs and cisgender Medicare beneficiaries (CMBs), thus laying a foundation for national level TMB health disparity research. Read More

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http://dx.doi.org/10.1089/lgbt.2016.0208DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5731542PMC
December 2017
6 Reads

[Is Sexual Identity Optional? A Study of The Genetics of Transsexuality].

Cuad Bioet 2017 Sep-Dec;28(94):343-353

Área Psicobiología. Universidade da Coruña Departamento de Psicología, Facultad Ciencias de la Educación, Campus Elviña s/n. 15181 A Coruña.

Transsexualism in the ICD-10 (International Classification of Diseases, Tenth Revision), Gender Dysphoria in adolescents and adults in the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition), is characterized by a marked incongruence between one's experienced gender and biological sex. The etiology is complex, but some hypotheses suggest that Gender Dysphoria (GD) arises from discrepant cerebral and biological sexual differentiation. Increasing evidence supports the idea of genetic vulnerability. Read More

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April 2018
58 Reads

Identifying the Transgender Population in the Medicare Program.

Transgend Health 2016 1;1(1):250-265. Epub 2016 Dec 1.

Office of Minority Health, U.S. Centers for Medicare & Medicaid Services, Baltimore, Maryland.

To identify and describe the transgender population in the Medicare program using administrative data. Using a combination of International Classification of Diseases ninth edition (ICD-9) codes relating to transsexualism and gender identity disorder, we analyzed 100% of the 2013 Centers for Medicare & Medicaid Services (CMS) Medicare Fee-For-Service (FFS) "final action" claims from both institutional and noninstitutional providers (∼1 billion claims) to identify individuals who may be transgender Medicare beneficiaries. To confirm, we developed and applied a multistage validation process. Read More

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http://dx.doi.org/10.1089/trgh.2016.0031DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5367475PMC
December 2016
17 Reads

How Should Physicians Help Gender-Transitioning Adolescents Consider Potential Iatrogenic Harms of Hormone Therapy?

AMA J Ethics 2017 Aug 1;19(8):762-770. Epub 2017 Aug 1.

Holds a research position at the Center of Expertise on Gender Dysphoria at the VU University Medical Center in Amsterdam, the Netherlands, where he is a pediatric endocrinologist specializing in transgender health care.

Counseling and treatment of transgender youth can be challenging for mental health practitioners, as increased availability of gender-affirming treatments in recent years raises ethical and clinical questions. Is a gender identity diagnosis helpful? What is the right time to treat, and should the adolescent's age matter in decision making? In this article, we discuss these questions in light of a case in which an adolescent wishes to pursue hormone therapy. Our analysis focuses on the importance of balanced decision making when counseling and treating adolescents with nonconforming gender identities. Read More

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http://dx.doi.org/10.1001/journalofethics.2017.19.8.ecas3-1708DOI Listing
August 2017
14 Reads

Caring for transgender patients with epilepsy.

Epilepsia 2017 10 3;58(10):1667-1672. Epub 2017 Aug 3.

Department of Neurology, Johns Hopkins School of Medicine, Baltimore, Maryland, U.S.A.

Objective: Approximately 25 million individuals older than age 15 identify as transgender, representing about 0.3-0.9% of the world's population. Read More

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http://dx.doi.org/10.1111/epi.13864DOI Listing
October 2017
43 Reads

[In-patient hospital care of selected sexual disorders : An analysis of data from the German Federal Statistical Office from 2000 to 2014].

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2017 Sep;60(9):987-998

Institut für Sexualforschung und Forensische Psychiatrie, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, Gebäude West 38, 20246, Hamburg, Deutschland.

Background: Patients with the ICD-10 sexual disorders F52, F64, F65, and F66 are treated by a variety of medical disciplines. Until now, there has been a paucity of data regarding which sexual disorders are treated by means of in-patient hospital care and whether changes have occurred over time.

Objectives: The aim of this study is to examine how many patients with sexual disorders that are classified by ICD-10 chapter V (F) as "mental" are treated as in-patients. Read More

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http://dx.doi.org/10.1007/s00103-017-2592-zDOI Listing
September 2017
48 Reads

A Historical Review of Gender-Affirming Medicine: Focus on Genital Reconstruction Surgery.

J Sex Med 2017 08;14(8):991-1002

Hansjörg Wyss Department of Plastic Surgery, NYU Langone Medical Center, New York, NY, USA. Electronic address:

Gender dysphoria (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition) is characterized by a marked discrepancy between one's birth-assigned sex and one's gender identity and is sometimes addressed by gender-affirming surgery. As public visibility and institutional support for the transgender and gender non-conforming population continue to increase, the demand for competent multidisciplinary teams of medical professionals equipped to care for this population is expected to rise-including plastic surgeons, urologists, gynecologists, endocrinologists, and breast surgeons, among others. Genital reconstruction procedures for the male-to-female and female-to-male transgender patient present unique surgical challenges that continue to evolve from their respective origins in the 19th and 20th centuries. Read More

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http://dx.doi.org/10.1016/j.jsxm.2017.06.007DOI Listing
August 2017
56 Reads

Male-to-female gender dysphoria: Gender-specific differences in resting-state networks.

Brain Behav 2017 05 5;7(5):e00691. Epub 2017 Apr 5.

Department of Psychiatry, Psychotherapy and Psychosomatics Medical School RWTH Aachen University Aachen Germany.

Introduction: Recent research found gender-related differences in resting-state functional connectivity (rs-FC) measured by functional magnetic resonance imaging (fMRI). To the best of our knowledge, there are no studies examining the differences in rs-FC between men, women, and individuals who report a discrepancy between their anatomical sex and their gender identity, i.e. Read More

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http://dx.doi.org/10.1002/brb3.691DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5434195PMC
May 2017
54 Reads

Gender identity and the management of the transgender patient: a guide for non-specialists.

J R Soc Med 2017 Apr 6;110(4):144-152. Epub 2017 Apr 6.

1 Department of Primary Care and Public Health, Imperial College London, London W6 8RP, UK.

In this review, we introduce the topic of transgender medicine, aimed at the non-specialist clinician working in the UK. Appropriate terminology is provided alongside practical advice on how to appropriately care for transgender people. We offer a brief theoretical discussion on transgenderism and consider how it relates to broader understandings of both gender and disease. Read More

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http://dx.doi.org/10.1177/0141076817696054DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5407520PMC
April 2017
67 Reads

[Trans healthcare : Between depsychopathologization and a needs-based treatment of accompanying mental disorders].

Nervenarzt 2017 May;88(5):466-471

Institut für Sexualforschung und Forensische Psychiatrie, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland.

Background: Historically, the function of psychiatry and psychotherapy in the healthcare treatment of transsexualism has been impaired by the basic assumption that non-conforming gender experiences and behavior are automatically considered as expressions of psychopathology.

Objective: In line with revision of the diagnostic criteria and changing standards of care and treatment recommendations, the therapeutic relationship between mental healthcare professionals and transgender individuals is critically discussed aiming at providing a needs-based psychiatric and psychotherapeutic treatment and a patient-centered approach for trans persons.

Material And Methods: Literature search focusing on the prevalence of trans persons and the presence of accompanying mental disorders. Read More

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http://dx.doi.org/10.1007/s00115-017-0308-0DOI Listing
May 2017
11 Reads

Challenges in assessing personality of individuals with Gender Dysphoria with the SWAP-200.

J Endocrinol Invest 2017 Jul 25;40(7):693-703. Epub 2017 Feb 25.

Department of Dynamic and Clinic Psychology, Faculty of Medicine and Psychology, Sapienza University of Rome, Via dei Marsi 78, 00185, Rome, Italy.

Background: Personality assessment can be useful to better understand the complexity of transgender and transsexual people. In particular, the Shedler Westen Assessment Procedure-200 (SWAP-200) is a measure that provides an accurate dimensional evaluation of personality. When assessing gender non-conforming people, however, clinicians can encounter some difficulties in giving appropriate ratings to all the items. Read More

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http://dx.doi.org/10.1007/s40618-017-0629-7DOI Listing
July 2017
8 Reads

Personality and Attachment in Transsexual Adults.

Arch Sex Behav 2017 Jul 16;46(5):1313-1323. Epub 2017 Feb 16.

Department of Dynamic and Clinic Psychology, Faculty of Medicine and Psychology, Sapienza University of Rome, Via dei Marsi 86, 00185, Rome, Italy.

The main aim of this study was to investigate the associations between personality features and attachment patterns in transsexual adults. We explored mental representations of attachment, assessed personality traits, and possible personality disorders. Forty-four individuals diagnosed with gender identity disorder (now gender dysphoria), 28 male-to-female and 16 female-to-male, were evaluated using the Shedler-Westen assessment procedure-200 (SWAP-200) to assess personality traits and disorders; the adult attachment interview was used to evaluate their attachment state-of-mind. Read More

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http://dx.doi.org/10.1007/s10508-017-0946-0DOI Listing
July 2017
24 Reads

Gender Dysphoria and Co-Existing Psychosis: Review and Four Case Examples of Successful Gender Affirmative Treatment.

LGBT Health 2017 04 7;4(2):106-114. Epub 2017 Feb 7.

3 Department of Child and Adolescent Psychiatry, Center of Expertise on Gender Dysphoria, VU University Medical Center , Amsterdam, The Netherlands .

Purpose: Controversy exists as to if, and when, gender affirmative (GA) treatment should be offered to individuals with gender dysphoria (GD) and co-existing psychosis. Concerns exist regarding a high risk of misdiagnosis, regret afterward due to impulsive decision making, and deterioration of psychotic symptoms. This case series aims at extending the sparse literature on GA treatment in this population by identifying challenges in diagnosis and treatment and offering recommendations to overcome them. Read More

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http://dx.doi.org/10.1089/lgbt.2016.0133DOI Listing
April 2017
75 Reads

Diagnosed HIV Infection in Transgender Adults and Adolescents: Results from the National HIV Surveillance System, 2009-2014.

AIDS Behav 2017 Sep;21(9):2774-2783

National Center for HIV, Viral Hepatitis, STD and TB Prevention, Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, 1600 Clifton Rd., NE, MS-E46, Atlanta, GA, 30333, USA.

Publications on diagnosed HIV infection among transgender people have been limited to state- or local-level data. We analyzed data from the National HIV Surveillance System and present results from the first national-level analysis of transgender people with diagnosed HIV infection. From 2009 to 2014, HIV surveillance jurisdictions from 45 states plus the District of Columbia identified and reported at least one case of newly diagnosed HIV infection for transgender people; jurisdictions from 5 states reported no cases for transgender people. Read More

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http://dx.doi.org/10.1007/s10461-016-1656-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5491368PMC
September 2017
44 Reads

Caring for gender variant young people.

Authors:
Karen Blair

J Fam Health 2016 Nov;26(6):14-18

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November 2016
9 Reads

Clinical Management of Gender in Egypt: Intersexuality and Transsexualism.

Authors:
Inas A Mazen

Arch Sex Behav 2017 Feb 20;46(2):369-372. Epub 2016 Sep 20.

Human Genetic and Genome Division, Department of Clinical Genetics, National Research Center, El Bohouth St., Dokki, Guiza, Egypt.

This article reviews the literature on intersexuality (disorders of sex development [DSD]) and transsexuality in Egypt. Egypt's resources for the diagnosis and treatment of rare conditions, such as DSD and transsexualism, are quite limited. The birth of a child with a DSD is likely to be stressful, especially in regard to decisions on gender assignment, and genital abnormalities are associated with stigma and shame. Read More

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http://dx.doi.org/10.1007/s10508-016-0842-zDOI Listing
February 2017
17 Reads

The Proposed ICD-11 Gender Incongruence of Childhood Diagnosis: A World Professional Association for Transgender Health Membership Survey.

Arch Sex Behav 2016 10 4;45(7):1605-14. Epub 2016 Aug 4.

Faculty of Medicine, University of British Columbia, #201 - 1770 Fort Street, Victoria, BC, V8R 1J5, Canada.

ICD-11 (the eleventh edition of the World Health Organization International Statistical Classification of Diseases and Related Health Problems) is due for approval in 2018. For transgender health care, the most important proposals for ICD-11 are as follows: (1) the five ICD-10 diagnoses (most notably Transsexualism and Gender Identity Disorder of Childhood) currently in Chapter 5 (Mental and Behavioural Disorders) will be replaced by two Gender Incongruence diagnoses, one of Adolescence and Adulthood and the other of Childhood (GIC), and (2) these two diagnoses will be located in a new chapter provisionally named Conditions Related to Sexual Health. Debate on the GIC proposal has focused on whether there should be a diagnosis for young children exploring their identity and has drawn on a number of arguments for and against the proposal. Read More

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http://dx.doi.org/10.1007/s10508-016-0811-6DOI Listing
October 2016
45 Reads

A Structural Magnetic Resonance Imaging Study in Transgender Persons on Cross-Sex Hormone Therapy.

Neuroendocrinology 2017 5;105(2):123-130. Epub 2016 Aug 5.

Department of Experimental Clinical and Health Psychology, Ghent University, Ghent, Belgium.

Background: To date, research findings are inconsistent about whether the neuroanatomy in transgender persons resembles that of their natal sex or their gender identity. Moreover, few studies have examined the effects of long-term cross-sex hormonal treatment on neuroanatomy in this cohort. The purpose of the present study was to examine neuroanatomical differences in transgender persons after prolonged cross-sex hormone therapy. Read More

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http://dx.doi.org/10.1159/000448787DOI Listing
April 2018
17 Reads

Sex-Reassignment Rules in Shiite Jurisprudence.

J Reprod Infertil 2016 Jul-Sep;17(3):169-76

Payame Noor University, Tehran, Iran.

Background: The "Sex-Reassignment Surgery" is a solution that besides behavioral therapy has been suggested to people suffering from gender identity disorders in recent years. In Iran, this trend has become more popular over the past years due to the inclination to reach to the goal rapidly with less effort and also the surgery has attracted many patients with the problem. Religious clerics have tried to determine the religious doctrines for this practice and as a result a group of them favor an absolute permission while others choose prohibition and some of them favor a middle path. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4947205PMC
August 2016
18 Reads

Transmasculine People's Voice Function: A Review of the Currently Available Evidence.

J Voice 2017 Mar 16;31(2):261.e9-261.e23. Epub 2016 Jun 16.

Clinic of Phoniatrics, Pedaudiology and Communication Disorders, Medical Faculty and University Hospital of the RWTH Aachen University, Aachen, Germany.

Objectives: This study aims to evaluate the currently available discursive and empirical data relating to those aspects of transmasculine people's vocal situations that are not primarily gender-related, to identify restrictions to voice function that have been observed in this population, and to make suggestions for future voice research and clinical practice.

Methods: We conducted a comprehensive review of the voice literature. Publications were identified by searching six electronic databases and bibliographies of relevant articles. Read More

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http://dx.doi.org/10.1016/j.jvoice.2016.05.005DOI Listing
March 2017
15 Reads

A cross-sectional study of associations between casual partner, friend discrimination, social support and anxiety symptoms among Chinese transgender women.

J Affect Disord 2016 Oct 28;203:22-29. Epub 2016 May 28.

Department of Social Medicine, School of Public Health, China Medical University, No. 77 Puhe Road, Shenyang North New Area, Shenyang, Liaoning Province 110013, PR China. Electronic address:

Anxiety symptoms are the prevalent mental disorders for transgender women. However, only a few studies are available pertaining to this problem among Chinese Transgender women. Chinese Transgender women are a vulnerable population which is exposed to discrimination and loss of social support due to their gender identity and transition. Read More

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http://dx.doi.org/10.1016/j.jad.2016.05.051DOI Listing
October 2016
47 Reads

The Mental Health of Older LGBT Adults.

Curr Psychiatry Rep 2016 Jun;18(6):60

University of California, San Diego, 200 West Arbor Drive, San Diego, CA, 92103-8631, USA.

There are approximately one million older lesbian, gay, bisexual, and transgender (LGBT) adults in the USA. Their mental health issues result from interactions between genetic factors and stress associated with membership in a sexual minority group. Although advancements in acceptance and equal treatment of LGBT individuals have been occurring, sexual minority status remains associated with risks to physical and mental well-being. Read More

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http://dx.doi.org/10.1007/s11920-016-0697-yDOI Listing
June 2016
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An ICF Perspective on Voice-related Quality of Life of American Transgender Women.

J Voice 2017 Jan 25;31(1):115.e1-115.e8. Epub 2016 Apr 25.

Department of Speech and Hearing Sciences, The George Washington University, 2115 G St NW, Washington DC 20052.. Electronic address:

Purpose: The factors and correlates of voice-related quality of life (vQOL) in American transgender women (ie, male-to-female) were examined using two questionnaires and were reviewed in the context of the International Classification of Functioning, Disability, and Health (ICF) model. This information will assist clinicians to be culturally and clinically competent providers of voice and communication feminization services.

Methods: A diverse group of 81 transgender women completed a survey to report relevant demographic information, as well as the Voice Handicap Index and the Transgender Self-evaluation Questionnaire (TSEQ). Read More

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http://dx.doi.org/10.1016/j.jvoice.2016.03.013DOI Listing
January 2017
12 Reads

Ophthalmic Disparities in Transgender Patients.

Semin Ophthalmol 2016 29;31(4):426-31. Epub 2016 Apr 29.

a Department of Ophthalmology and Visual Sciences , Vanderbilt University Medical Center , Nashville , TN , USA.

Transgender individuals experience unique challenges with regards to discrimination and access to health care. Further, their unique health-care needs and challenges lead to greater rates of morbidity. This article seeks to review the unique biology of transgender patients and the effects of cross-sex hormone therapy on ophthalmic and non-ophthalmic pathology. Read More

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http://dx.doi.org/10.3109/08820538.2016.1154167DOI Listing
February 2017
31 Reads

[Transsexualism: a Brain Disorder that Begins to Known].

Cuad Bioet 2016 Jan-Apr;27(89):81-92

Clínica Universidad de Navarra

Transsexualism describes the condition when a person's psychological gender differs from his or her biological sex. People with gender identity disorder suffer persistently from this incongruence and they search hormonal and surgical sex reassignment to the desired anatomical sex. This review, from an ethical perspective, intends to give an overview of structural and functional neurobiological correlations of transsexualism and their course under cross-sex hormonal administration. Read More

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March 2018
40 Reads

[Assessment and management of gender dysphoria in children and adolescents].

Arch Pediatr 2016 Jun 23;23(6):668-73. Epub 2016 Apr 23.

Service de psychiatrie de l'enfant et de l'adolescent, hôpital Robert-Debré, 48, boulevard Sérurier, 75019 Paris, France.

Gender dysphoria, originally called gender identity disorder, is characterized by the dissociation between one's expressed gender and the gender of rearing as assigned at birth, which generates significant clinical distress and social, academic, and other important forms of isolation. This state is also known as transgender or transsexualism and is recognized as a medical disease. Adults with gender dysphoria can benefit from psychological, medical, and surgical care. Read More

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http://dx.doi.org/10.1016/j.arcped.2016.03.002DOI Listing
June 2016
14 Reads