380 results match your criteria Gender Identity Disorders Transsexualism


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

Horm Behav 2018 Sep 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
17 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
7 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
4 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 03 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
5 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
9 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
3 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
24 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
11 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
7 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
21 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
17 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
31 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
28 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
April 2017
34 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
6 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
3 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
15 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
29 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
6 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
3 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
10 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
19 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
11 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
11 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
9 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 10 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
18 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
20 Reads

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
4 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
9 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
26 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
9 Reads

WHOQOL-100 Before and After Sex Reassignment Surgery in Brazilian Male-to-Female Transsexual Individuals.

J Sex Med 2016 06 21;13(6):988-93. Epub 2016 Apr 21.

Gender Identity Program, Hospital de Clinicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil; Graduate Program in Medical Sciences: Psychiatry, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.

Introduction: The 100-item World Health Organization Quality of Life Assessment (WHOQOL-100) evaluates quality of life as a subjective and multidimensional construct. Currently, particularly in Brazil, there are controversies concerning quality of life after sex reassignment surgery (SRS).

Aim: To assess the impact of surgical interventions on quality of life of 47 Brazilian male-to-female transsexual individuals using the WHOQOL-100. Read More

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http://dx.doi.org/10.1016/j.jsxm.2016.03.370DOI Listing
June 2016
83 Reads
3 Citations
3.151 Impact Factor

Psychiatric Diagnoses and Comorbidities in a Diverse, Multicity Cohort of Young Transgender Women: Baseline Findings From Project LifeSkills.

JAMA Pediatr 2016 05;170(5):481-6

Department of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, Massachusetts3The Fenway Institute, Fenway Health, Boston, Massachusetts4Department of Epidemiology, Brown University School of Public Health, Providence, Rhode Island5Departm.

Importance: Transgender youth, including adolescent and young adult transgender women assigned a male sex at birth who identify as girls, women, transgender women, transfemale, male-to-female, or another diverse transfeminine gender identity, represent a vulnerable population at risk for negative mental health and substance use outcomes. Diagnostic clinical interviews to assess prevalence of mental health, substance dependence, and comorbid psychiatric disorders in young transgender women remain scarce.

Objective: To report the prevalence of mental health, substance dependence, and comorbid psychiatric disorders assessed via clinical diagnostic interview in a high-risk community-recruited sample of young transgender women. Read More

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http://dx.doi.org/10.1001/jamapediatrics.2016.0067DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4882090PMC
May 2016
9 Reads

Pharmacotherapy Considerations in the Management of Transgender Patients: An Alternative Viewpoint.

Pharmacotherapy 2016 Apr 6;36(4):e28-9. Epub 2016 Apr 6.

University of Toledo College of Pharmacy, Toledo, Ohio, USA.

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http://dx.doi.org/10.1002/phar.1735DOI Listing
April 2016
8 Reads

Long-Term Follow-Up of Individuals Undergoing Sex-Reassignment Surgery: Somatic Morbidity and Cause of Death.

Sex Med 2016 Mar;4(1):e60-8

Sexological Clinic, Psychiatric Center Copenhagen, Copenhagen, Denmark.

Introduction: Studies of mortality and somatic well-being after sex-reassignment surgery (SRS) of transsexual individuals are equivocal. Accordingly, the present study investigated mortality and somatic morbidity using a sample of transsexual individuals who comprised 98% (n = 104) of all surgically reassigned transsexual individuals in Denmark.

Aims: To investigate somatic morbidity before and after SRS and cause of death and its relation to somatic morbidity after SRS in Danish individuals who underwent SRS from 1978 through 2010. Read More

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http://dx.doi.org/10.1016/j.esxm.2016.01.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4822482PMC
March 2016
12 Reads

Transgender Surgery in Denmark From 1994 to 2015: 20-Year Follow-Up Study.

J Sex Med 2016 Apr 24;13(4):720-5. Epub 2016 Feb 24.

Department of Plastic Surgery, Breast Surgery and Burns Treatment, Rigshospitalet, University of Copenhagen, Denmark.

Introduction: Gender dysphoria is a mismatch between a person's biological sex and gender identity. The best treatment is believed to be hormonal therapy and gender-confirming surgery that will transition the individual toward the desired gender. Treatment in Denmark is covered by public health care, and gender-confirming surgery in Denmark is centralized at a single-center with few specialized plastic surgeons conducting top surgery (mastectomy or breast augmentation) and bottom surgery (vaginoplasty or phalloplasty and metoidioplasty). Read More

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http://dx.doi.org/10.1016/j.jsxm.2016.01.012DOI Listing
April 2016
44 Reads

Gender Dysphoria in Adults.

Annu Rev Clin Psychol 2016 18;12:217-47. Epub 2016 Jan 18.

Department of Medical Psychology, VU University Medical Center and EMGO Institute for Health and Care Research, Amsterdam 1081 HV, The Netherlands.

Gender dysphoria (GD), a term that denotes persistent discomfort with one's biologic sex or assigned gender, replaced the diagnosis of gender identity disorder in the Diagnostic and Statistical Manual of Mental Disorders in 2013. Subtypes of GD in adults, defined by sexual orientation and age of onset, have been described; these display different developmental trajectories and prognoses. Prevalence studies conclude that fewer than 1 in 10,000 adult natal males and 1 in 30,000 adult natal females experience GD, but such estimates vary widely. Read More

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http://dx.doi.org/10.1146/annurev-clinpsy-021815-093034DOI Listing
January 2017
16 Reads

Gender incongruence/gender dysphoria and its classification history.

Int Rev Psychiatry 2016 19;28(1):5-12. Epub 2015 Nov 19.

a Department of Medical Psychology & Center of Expertise on Gender Dysphoria , VU University Medical Center , Amsterdam , the Netherlands.

In this article we discuss the changes in the Diagnostic and Statistical Manual of Mental Disorders (DSM) classification of gender identity-related conditions over time, and indicate how these changes were associated with the changes in conceptualization. A diagnosis of 'transsexualism' appeared first in DSM-III in 1980. This version also included a childhood diagnosis: gender identity disorder of childhood. Read More

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http://dx.doi.org/10.3109/09540261.2015.1091293DOI Listing
October 2016
34 Reads

Non-binary or genderqueer genders.

Int Rev Psychiatry 2016 12;28(1):95-102. Epub 2016 Jan 12.

e Centre for Sexology and Gender, Department of Endocrinology , Ghent University , Belgium.

Some people have a gender which is neither male nor female and may identify as both male and female at one time, as different genders at different times, as no gender at all, or dispute the very idea of only two genders. The umbrella terms for such genders are 'genderqueer' or 'non-binary' genders. Such gender identities outside of the binary of female and male are increasingly being recognized in legal, medical and psychological systems and diagnostic classifications in line with the emerging presence and advocacy of these groups of people. Read More

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http://dx.doi.org/10.3109/09540261.2015.1106446DOI Listing
October 2016
15 Reads

Neural Correlates of Psychosis and Gender Dysphoria in an Adult Male.

Arch Sex Behav 2016 Apr 23;45(3):761-5. Epub 2015 Nov 23.

Graduate Program in Medical Sciences: Psychiatry, Universidade Federal do Rio Grande do Sul, Ramiro Barcelos, 2400, Porto Alegre, RS, 90035-003, Brazil.

Gender dysphoria (GD) (DSM-5) or transsexualism (ICD-10) refers to the marked incongruity between the experience of one's gender and the sex at birth. In this case report, we describe the use of LSD as a triggering factor of confusion in the gender identity of a 39-year-old male patient, with symptoms of psychosis and 25 years of substance abuse, who sought psychiatric care with the desire to undergo sex reassignment surgery. The symptoms of GD/psychosis were resolved by two therapeutic measures: withdrawal of psychoactive substances and use of a low-dose antipsychotic. Read More

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http://dx.doi.org/10.1007/s10508-015-0660-8DOI Listing
April 2016
13 Reads

A critical view of transgender health care in Germany: Psychopathologizing gender identity - Symptom of 'disordered' psychiatric/psychological diagnostics?

Int Rev Psychiatry 2015 ;27(5):427-34

a Clinic of Psychiatry, Psychotherapy and Psychosomatics , Westküstenklinikum Heide , Germany.

After explaining the essential trans* terminology, I offer a short historical overview of the way health care has dealt with the subject of gender, trans* and health in different times. In the third section, I compare the world's most important diagnostic manuals, namely the International statistical classification of diseases and related health problems (ICD) and the Diagnostic and statistical manual of mental disorders (DSM), i.e. Read More

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http://dx.doi.org/10.3109/09540261.2015.1083948DOI Listing
September 2016
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It is more than sex and clothes: Culturally safe services for older lesbian, gay, bisexual, transgender and intersex people.

Australas J Ageing 2015 Oct;34 Suppl 2:21-5

Sexual Health and Ageing Program, Australian Research Centre in Sex, Health and Society, La Trobe University, Melbourne, Victoria, Australia.

This paper outlines the development of culturally safe services for older lesbian, gay, bisexual, transgender and intersex people. It draws on a framework for cultural safety, developed in New Zealand which incorporates an understanding of how history, culture and power imbalances influence the relationship between service providers and Maori people. This has been adapted to the needs of older lesbian, gay, bisexual, transgender and intersex Australians. Read More

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http://doi.wiley.com/10.1111/ajag.12270
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http://dx.doi.org/10.1111/ajag.12270DOI Listing
October 2015
13 Reads

Appropriate bodies and other damn lies: Intersex ageing and aged care.

Australas J Ageing 2015 Oct;34 Suppl 2:19-20

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http://dx.doi.org/10.1111/ajag.12275DOI Listing
October 2015
6 Reads

Challenging cisgenderism in the ageing and aged care sector: Meeting the needs of older people of trans and/or non-binary experience.

Authors:
Y Gavriel Ansara

Australas J Ageing 2015 Oct;34 Suppl 2:14-8

National LGBTI Health Alliance, Newtown, NSW, Australia.

Recent Australian legislative and policy changes can benefit people of trans and/or non-binary experience (e.g. men assigned female with stereotypically 'female' bodies, women assigned male with stereotypically 'male' bodies, and people who identify as genderqueer, agender [having no gender], bi-gender [having two genders] or another gender option). Read More

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http://dx.doi.org/10.1111/ajag.12278DOI Listing
October 2015
7 Reads

Long-term follow-up of individuals undergoing sex reassignment surgery: Psychiatric morbidity and mortality.

Nord J Psychiatry 2016 19;70(4):241-7. Epub 2015 Oct 19.

c Department of Public Health , University of Copenhagen , Denmark.

Background: There is a lack of long-term register-based follow-up studies of sex-reassigned individuals concerning mortality and psychiatric morbidity. Accordingly, the present study investigated both mortality and psychiatric morbidity using a sample of individuals with transsexualism which comprised 98% (n = 104) of all individuals in Denmark.

Aims: (1) To investigate psychiatric morbidity before and after sex reassignment surgery (SRS) among Danish individuals who underwent SRS during the period of 1978-2010. Read More

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http://dx.doi.org/10.3109/08039488.2015.1081405DOI Listing
December 2016
19 Reads

Body Satisfaction and Physical Appearance in Gender Dysphoria.

Arch Sex Behav 2016 Apr 16;45(3):575-85. Epub 2015 Oct 16.

Department of Medical Psychology, Center of Expertise on Gender Dysphoria, EMGO Institute for Health and Care Research, VU University Medical Center, P.O. Box 7057, 1007 MB, Amsterdam, The Netherlands.

Gender dysphoria (GD) is often accompanied by dissatisfaction with physical appearance and body image problems. The aim of this study was to compare body satisfaction with perceived appearance by others in various GD subgroups. Data collection was part of the European Network for the Investigation of Gender Incongruence. Read More

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http://dx.doi.org/10.1007/s10508-015-0614-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4778147PMC
April 2016
18 Reads

[Body, rights and comprehensive health: Analysis of the parliamentary debates on the Gender Identity and Assisted Fertilization Laws (Argentina, 2011-2013)].

Salud Colect 2015 Sep;11(3):351-65

Instituto de Investigaciones Gino Germani, Universidad de Buenos Aires, Consejo Nacional de Investigaciones Científicas y Técnicas, Argentina.

In this paper we present an analysis of the parliamentary debates of the Gender Identity Law (No. 26743) and the Assisted Fertilization Law (No. 26862) carried out in the Argentine National Congress between 2011 and 2013. Read More

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http://dx.doi.org/10.1590/S1851-82652015000300004DOI Listing
September 2015
5 Reads

Syndemics and gender affirmation: HIV sexual risk in female-to-male trans masculine adults reporting sexual contact with cisgender males.

Int J STD AIDS 2016 10 18;27(11):955-66. Epub 2015 Sep 18.

Center of Excellence for Transgender Health, University of California, San Francisco, CA, USA.

Female-to-male trans masculine adults who have sex with cisgender (non-transgender) males (TMSM) represent an understudied population in relation to HIV/sexually transmitted infection (STI) risk. This study examined the role of syndemic conditions and social gender affirmation processes (living full-time in one's identified gender) in potentiating sexual risk among TMSM adults in Massachusetts, US. Cross-sectional data were restricted to TMSM who reported lifetime sexual behaviour with a cisgender male (n = 173; mean age = 29. Read More

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http://dx.doi.org/10.1177/0956462415602418DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4798921PMC
October 2016
8 Reads