785 results match your criteria Gender Identity Disorders Transsexualism


Assessment of the strength and electrical activity of the pelvic floor muscles of male-to-female transgender patients submitted to gender-affirming surgery: A case series.

Neurourol Urodyn 2021 Jun 19. Epub 2021 Jun 19.

Laboratory of Women's Health and Pelvic Floor, Department of Physiotherapy, Federal University of Pernambuco, Recife, Brazil.

Aims: To assess the strength and electrical activity of the pelvic floor muscles (PFMs) of male-to-female transgender individuals submitted to gender-affirming surgery (GAS).

Methods: A case series study was conducted from October 2016 to August 2018. Transgender women, who were scheduled for GAS, participated in the study. Read More

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Male-to-Female Gender-Affirming Surgery: 20-Year Review of Technique and Surgical Results.

Front Surg 2021 5;8:639430. Epub 2021 May 5.

Serviço de Urologia, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.

Gender dysphoria (GD) is an incompatibility between biological sex and personal gender identity; individuals harbor an unalterable conviction that they were born in the wrong body, which causes personal suffering. In this context, surgery is imperative to achieve a successful gender transition and plays a key role in alleviating the associated psychological discomfort. In the current study, a retrospective cohort, we report the 20-years outcomes of the gender-affirming surgery performed at a single Brazilian university center, examining demographic data, intra and postoperative complications. Read More

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Transsexualism or psychotic disorder? A case study.

Psychiatr Pol 2021 Feb 28;55(1):71-83. Epub 2021 Feb 28.

Instytut Psychologii, Uniwersytet Śląski w Katowicach.

The aim of the paper is to analyze the case of a man suffering from paranoid schizophrenia who experiences delusions and hallucinations concerning gender change, and to present ashort overview of the literature. The data presented in the case study were collected during a clinical interview, in the six-month diagnostic process. The interview was partly structured; the battery of tests were also used: MMPI-2, SCID-I, SCID-II, IPP, MoCA, and WAIS-R. Read More

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February 2021

Issues in Working with Transgender Individuals Who Sexually Harm.

Authors:
Shan Jumper

Curr Psychiatry Rep 2021 05 19;23(7):42. Epub 2021 May 19.

Liberty Healthcare Corporation, Bala Cynwyd, PA, USA.

Purpose Of Review: I review the recent literature related to the assessment, treatment, and management of transgender individuals who sexually harm.

Recent Findings: There are no empirical research studies directly focused on the care of this group of individuals that have only recently been identified as an important sub-population among people who sexually harm. Related empirical research and other important professional literature do exist to inform clinicians regarding treatment guidelines for transgender mental healthcare. Read More

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[Prosthetics after construction of the outer genitalia for transmen].

Urologe A 2021 Jun 30;60(6):722-731. Epub 2021 Apr 30.

Sektion für rekonstruktive Urologie und geschlechtsangleichende Operationen, Klinik für Urologie und Klinik für roboterassistierte Urologie und Uroonkologie, AGAPLESION Markus-Krankenhaus Frankfurt, Wilhelm-Epstein-Str. 4, 60431, Frankfurt, Deutschland.

Background: Growing awareness of gender identity issues and a rising prevalence of female-to-male transsexualism is increasing demand for surgical solutions that deliver both aesthetically and functionally satisfying outer genitalia for transmen.

Objective: This article summarizes the available prosthetic options, describes different surgical approaches and reviews the outcome of prosthetics for transmen with a focus on penile prosthesis in phalloplasty.

Methods: Current international standards of care, reviews and original publications are critically reviewed and correlated with our own experience with more than 400 transmen at two interdisciplinary referral centres in Frankfurt, Germany and London, UK. Read More

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Psychopathological symptoms in Spanish subjects with gender dysphoria. A cross-sectional study.

Gynecol Endocrinol 2021 Jun 27;37(6):534-540. Epub 2021 Apr 27.

Department of Clinical Psychology and Psychobiology, Section of Clinical Health Psychology, Clinical Institute of Neurosciences, Hospital Clinic., University of Barcelona, Barcelona, Spain.

Background: Most people with gender dysphoria have to face various stressful conditions, which make them more vulnerable to the development of psychopathological symptoms.

Aims: The main goal was to compare psychopathological symptoms between individuals with gender dysphoria and those from the general population. Other secondary aims were to determine if there were differences between gender [male to females (MtFs) and female to males (FtMs)] and also according to cross-sex hormone therapy. Read More

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[Clinical and phenomenological features of the formation of gender reassignment ideas in schizophrenia spectrum disorders].

Zh Nevrol Psikhiatr Im S S Korsakova 2021 ;121(3):18-23

Serbsky National Medical Research Center for Psychiatry and Narcology, Moscow, Russia.

Objective: To study the features of the formation of gender reassignment`s ideas in schizophrenia spectrum disorders and to differentiate diagnosis of these psychopathological formations with transsexualism.

Material And Methods: The study was carried out in the Department of Sexology and Therapy of Sexual Dysfunctions of the Moscow Research Institute of Psychiatry - a branch of the Serbsky National Medical Research Center for Psychiatry and Narcology in the period from October 2018 to May 2020. The study included 100 outpatients referred for gender reassignment. Read More

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Metoidioplasty With Implantation of a Specific Semirigid Prosthesis.

J Sex Med 2021 04 17;18(4):830-836. Epub 2021 Mar 17.

Hospices Civils de Lyon, Hôpital Lyon Sud, Service d'urologie, Chemin du Grand Revoyet, 69310 Pierre-Benite, France.

Background: Metoidioplasty is a possibility for penis reconstruction in transmen that could be enhanced by a semi-rigid prosthesis support.

Aim: Describe the surgical technique of metoidioplasty with implantation of a specifically designed semi-rigid prosthesis -the ZSI100D4- and analyze preliminary results.

Methods: Implantation of semi-rigid prosthesis was proposed to transmen who chose metoidioplasty for genital gender affirming surgery in a specialized university hospital. Read More

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[Gender dysphoria in the structure of psychosis].

Zh Nevrol Psikhiatr Im S S Korsakova 2021 ;121(2):92-98

Rostov State Medical University, Rostov-on-Don, Russia.

This article describes the case of a young man diagnosed with schizoaffective disorder mixed type. The patient expressed dissatisfaction with his gender and showed a desire to change it for two years. He has applied to psychiatrists twice for permission to change his gender, having received preliminary diagnoses of «Gender dysphoria» and «Transsexualism». Read More

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2D:4D Digit Ratios in Adults with Gender Dysphoria: A Comparison to Their Unaffected Same-Sex Heterosexual Siblings, Cisgender Heterosexual Men, and Cisgender Heterosexual Women.

Arch Sex Behav 2021 04 10;50(3):885-895. Epub 2021 Mar 10.

Department of Psychiatry, Cerrahpaşa School of Medicine, Istanbul University-Cerrahpaşa, Cerrahpaşa-Fatih, 34098, Istanbul, Turkey.

We compared gender dysphoria (GD) patients and their same-sex siblings in terms of their 2D:4D ratios, which may reflect prenatal exposure to androgen, one of the possible etiological mechanisms underlying GD. Sixty-eight GD patients (46 Female-to-Male [FtM]; 22 Male-to-Female [MtF]), 68 siblings (46 sisters of FtMs; 22 brothers of MtFs), and 118 heterosexual controls (62 female; 56 male) were included in the study. FtMs were gynephilic and MtFs were androphilic. Read More

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Body Image and Sexual Desire in the Context of Gender Affirming Therapy: Results of a Cross-sectional Multi-centered Transgender Study.

J Sex Marital Ther 2021 Feb 21:1-11. Epub 2021 Feb 21.

Institute for Sex Research, Sexual Medicine and Forensic Psychiatry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

It has been posited that gender-affirming treatment (GAT) can have an influence on body image and sexual desire in trans people. This study aims to examine associations between GAT and sexual desire as well as whether body image mediates the influences of gender-affirming hormone therapy (GAHT) or gender-affirming surgery (GAS) on sexual desire. A total of 210 individuals diagnosed with gender dysphoria (n = 105 of each gender) were assessed via self-assessment questionnaires in a cross-sectional study. Read More

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February 2021

Current Treatment Regimens for Transfeminine Individuals in the Nordic Countries.

J Sex Med 2021 03 10;18(3):656-663. Epub 2021 Feb 10.

Sexological Centre, Aalborg University Hospital, Aalborg, Denmark.

Background: The demand for gender-affirming hormone therapy is increasing worldwide prompting a growing requirement for solid evidence for efficacy and safety.

Aim: We aimed to report on the organization of transgender care and the current clinical practice of feminizing hormone therapy in specialized clinics in the Nordic countries.

Methods: This study was a cross-sectional study performed as a questionnaire survey. Read More

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Gender Dysphoria and Perceived Social Support: A Matched Case-Control Study.

J Sex Med 2021 04 8;18(4):812-820. Epub 2021 Feb 8.

Professor of Psychiatry, Private Practice, Istanbul, Turkey.

Background: In people diagnosed with Gender Dysphoria (GD), low perceived social support from their families and society has been suggested to be associated with poor quality of life and mental well-being.

Aim: To compare the perceived social support in individuals with GD with that in individuals without GD matched for age and gender.

Methods: The study group (n = 50) consisted of individuals diagnosed with GD via psychiatric evaluation. Read More

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Hormonal Gender Reassignment Treatment for Gender Dysphoria.

Dtsch Arztebl Int 2020 Oct;117(43):725-732

Medical Clinic I: Gastroenterology and Hepatology, Pneumology and Allergology, Endocrinology and Diabetology, Nutritional Medicine, University Hospital Frankfurt, Frankfurt, Germany.

Background: No data are available at present on the prevalence of gender dysphoria (trans-identity) in Germany. On the basis of estimates from the Netherlands, it can be calculated that approximately 15 000 to 25 000 persons in Germany are affected. Persons suffering from gender dysphoria often experience significant distress and have a strong desire for gender reassignment treatment. Read More

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October 2020

Insulin resistance in transgender individuals correlates with android fat mass.

Ther Adv Endocrinol Metab 2021 23;12:2042018820985681. Epub 2021 Jan 23.

Department of Endocrinology, Austin Health, 145 Studley Road, Heidelberg, Victoria, 3084, Australia.

Background: Transgender individuals receiving gender-affirming hormone therapy (GAHT) are at increased risk of adverse cardiovascular outcomes. This may be related to effects on body composition and insulin resistance.

Aims: To examine relationships between body fat distribution and insulin resistance in transgender individuals on established GAHT. Read More

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January 2021

Effect of gender-affirming hormone use on coagulation profiles in transmen and transwomen.

J Thromb Haemost 2021 04 22;19(4):1029-1037. Epub 2021 Feb 22.

Department of Clinical Epidemiology, Leiden University Medical Center, Leiden, the Netherlands.

Background: The transgender population that uses gender-affirming hormone therapy (GAHT) is rapidly growing. The (side) effects of GAHT are largely unknown. We examined the effect of GAHT on coagulation parameters associated with venous thromboembolism (VTE) risk. Read More

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Population-based HIV prevalence, stigma and HIV risk among trans women in Nepal.

BMC Infect Dis 2021 Jan 29;21(1):128. Epub 2021 Jan 29.

Baldwin Wallace University, 275 Eastland Rd., Berea, OH, 44017, USA.

Background: Transgender women (trans women) in Nepal are underserved in the HIV response. Data are needed to determine the HIV prevalence disaggregated from other key populations and to identify the particular risks faced by this community. Trans women are marginalized around the world and research is also needed to determine the impact of stigma on HIV risk to inform trans-specific interventions. Read More

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January 2021

Prevalence and minority-stress correlates of past 12-month prescription drug misuse in a national sample of transgender and gender nonbinary adults: Results from the U.S. Transgender Survey.

Drug Alcohol Depend 2021 02 21;219:108474. Epub 2020 Dec 21.

Columbia University Irving Medical Center, 622 W. 168(th) Street, New York, NY 10032, USA; New York State Psychiatric Institute, 1051 Riverside Drive, New York, NY 10032, USA. Electronic address:

Background: Prescription drug (PD) misuse, particularly opioid misuse, is a major US public health concern. While transgender and gender nonbinary (TGNB) individuals experience numerous health disparities, including substance use disparities, little research has focused on PD misuse in this population.

Methods: Data for this secondary analysis come from the US Transgender Survey (N = 26,689). Read More

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February 2021

Gender Diverse Children and Adolescents in Italy: A Qualitative Study on Specialized Centers' Model of Care and Network.

Int J Environ Res Public Health 2020 12 19;17(24). Epub 2020 Dec 19.

Department of Dynamic and Clinical Psychology, Sapienza University of Rome, 00185 Rome, Italy.

In recent years, Italy, similar to many other countries, has witnessed an increase in children and adolescents presenting gender incongruence. This trend has led to the development and implementation of specialized centers providing care and support for these youths and their families. The present study aimed at investigating the functioning of agencies specialized in working with transgender and gender non-conforming youths in the Italian territory. Read More

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December 2020

Maternal Health in the Transgender Population.

J Womens Health (Larchmt) 2021 02 4;30(2):253-259. Epub 2020 Dec 4.

Division of Endocrinology & Metabolism, Central Virginia VA Health Care System, Richmond, Virginia, USA.

Social acceptance and legal protections for transgender and gender nonconforming patients have increased over the past decade, but significant health care disparities still remain. Such an area of disparity is discussion with and interventions for fertility, contraception, pregnancy, and lactation in TGNC patients. Providing optimal care starts with creating a welcoming and safe environment. Read More

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February 2021

Sexual Experiences of Young Transgender Persons During and After Gender-Affirmative Treatment.

Pediatrics 2020 12;146(6)

Department of Child and Adolescent Psychiatry and Center of Expertise on Gender Dysphoria, Amsterdam University Centers, Location VUmc (Vrije Universiteit medical center), Amsterdam, Netherlands.

Objectives: Early gender-affirmative treatment (GAT) of adolescents may consist of puberty suppression, use of affirming hormones, and gender-affirmative surgeries. This treatment can potentially influence sexual development. In the current study, we describe sexual and romantic development during and after treatment. Read More

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December 2020

[New care models for transgender people in the Spanish Health System: demands, controversies and reflections.]

Rev Esp Salud Publica 2020 Nov 16;94. Epub 2020 Nov 16.

Grupo de Identidad y Diferenciación Sexual de la Sociedad Española de Endocrinología y Nutrición (SEEN). España.

Health care for transgender people in Spain has been progressively established since 1999 when the first multidisciplinary unit for the treatment of sex reassignment was created in Andalusia. In this document, the social changes, the demands and debates of users and professionals, the new models of health care for trans people, and reflections on the current situation, have been analysed. The social openness in Spain regarding sexual and gender diversity has evolved quite positively. Read More

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November 2020

[Diagnostics, counselling and treatment in the context of gender incongruence, gender dysphoria and trans health : Practical information regarding the S3 guideline].

Urologe A 2020 Nov;59(11):1312-1319

Institut für Psychosoziale Medizin und Psychotherapie, Universitätsklinikum Jena, Jena, Deutschland.

Introduction: This paper introduces the German S3-guideline Gender Incongruence, Gender Dysphoria and Trans Health: Diagnostics, Counselling and Treatment that was finalized in October 2018.

Objectives: The objective of the guideline group was to adapt the 1997 Standards for Treatment and Expert Opinion on Transsexuals to current scientific developments and research results and to make them applicable for appropriate health care in Germany.

Methods: The treatment recommendations of the guideline are based on empirical evidence which was systematically researched and evaluated. Read More

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November 2020

[Feminizing Genital Gender-affirmative Surgery in Centralized and Decentralized Health Care Settings - The Hamburg TransCare study].

Psychother Psychosom Med Psychol 2021 Mar 15;71(3-04):132-140. Epub 2020 Oct 15.

Institut für Sexualforschung, Sexualmedizin und Forensische Psychiatrie, Universitätsklinikum Hamburg-Eppendorf.

Background: Gender Dysphoria (GD, formerly known as transsexualism) describes distress and impairment in an individual caused by the incongruence between the experienced gender and the sex assigned at birth (Gender Incongruence: GI). Transgender health care focusses on gender-affirmative treatments (e. g. Read More

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A Review of Hand Feminization and Masculinization Techniques in Gender Affirming Therapy.

Aesthetic Plast Surg 2021 04 30;45(2):589-601. Epub 2020 Sep 30.

Division of Plastic Surgery, Department of Surgery, University of Washington School of Medicine, Seattle, WA, USA.

Introduction: Anatomical characteristics that are incongruent with an individual's gender identity can cause significant gender dysphoria. Hands exhibit prominent dimorphic sexual features, but despite their visibility, there are limited studies examining gender affirming procedures for the hands. This review is intended to cover the anatomical features that define masculine and feminine hands, the surgical and non-surgical approaches for feminization and masculinization of the hand, and to adapt established aesthetic hand techniques for gender affirming care. Read More

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[Gender affirmation female to male-metaidoioplasty].

Urologe A 2020 Nov;59(11):1331-1339

Zentrum für Rekonstruktive Urogenitalchirurgie, Urologische Klinik München-Planegg, Germeringer Straße 32, 82152, Planegg, Deutschland.

Background: Description of an improved technique of metaidoioplasty (clitoris penoid) and presentation of the follow-up of our own patients in comparison to results in the literature.

Patients And Methods: To reduce the complication rate of urethral strictures and urethrocutaneous fistula, the technique of metaidoioplasty was modified: After elongation of clitoris by incision of chorda the urethra-including the clitoral hood-was reconstructed by distally, broadly based flap of labia minora. In a retrospective follow-up study over 4 years, 75 patients completed questionnaires to assess complications and satisfaction/quality of life and urinary symptoms (ICIQ-FLUTS questionnaire). Read More

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November 2020

Transition Trajectories: Contexts, Difficulties and Consequences Reported by Young Transgender and Non-Binary Spaniards.

Int J Environ Res Public Health 2020 09 19;17(18). Epub 2020 Sep 19.

LGBTI Service of Madrid Community; C/ Alcalá, 22, 5° dcha, 28014 Madrid, Spain.

The transition process can have a significant impact on young transgender and non-binary individuals (TNBI), especially regarding their mental health. As such, this study aimed to explore the encountered difficulties and expectations of 225 young adults, between 14 and 25 years old, who identify themselves as TNBI. Four different aspects were analyzed: difficulties related to the transition process; main current difficulties; if the current difficulties are due to the participants' sexual orientation or gender identity; and if participants feel the need of changing something in their lives. Read More

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September 2020

Mental Health and Timing of Gender-Affirming Care.

Pediatrics 2020 10 21;146(4). Epub 2020 Sep 21.

Division of Endocrinology and.

Background: Gender-incongruent (GI) youth have high rates of mental health problems. Although gender-affirming medical care (GAMC) provides psychological benefit, some GI youth present to care at older ages. Whether a relationship exists between age of presentation to GAMC and mental health difficulties warrants study. Read More

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October 2020

[Gender reassignment from female to male : Phalloplasty].

Urologe A 2020 Nov;59(11):1340-1347

Urologische Klinik und Klinik für robotisch assistierte Urologie, Agaplesion Markus Krankenhaus, Wilhelm-Epstein-Str. 4, 60431, Frankfurt, Deutschland.

Background: The increasing prevalence of gender dysphoria necessitates an evaluation of the literature of phalloplasty techniques for female to male transgender individuals.

Objective: The following article provides an overview of the current surgical concepts and complications of phalloplasty, associated urethrogenitoplasty and the implantation of prostheses in phalloplasty.

Material And Methods: Current international reviews and original publications from 2010 to 2020 were reviewed and correlated with our referral center experience with more than 350 female to male transgender patients over the last 25 years. Read More

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November 2020

Bone Development in Transgender Adolescents Treated With GnRH Analogues and Subsequent Gender-Affirming Hormones.

J Clin Endocrinol Metab 2020 12;105(12)

Department of Pediatrics, Willem-Alexander Children Hospital, Leiden University Medical Center, ZA Leiden, the Netherlands.

Context: Hormonal interventions in adolescents with gender dysphoria may have adverse effects, such as reduced bone mineral accrual.

Objective: To describe bone mass development in adolescents with gender dysphoria treated with gonadotropin-releasing hormone analogues (GnRHa), subsequently combined with gender-affirming hormones.

Design: Observational prospective study. Read More

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December 2020