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https://www.readbyqxmd.com/read/28914501/andrology-of-male-to-female-transsexuals-influence-of-cross-sex-hormone-therapy-on-testicular-function
#1
REVIEW
F Schneider, S Kliesch, S Schlatt, N Neuhaus
Patients with gender dysphoria are offered cross-sex hormone therapy and sex reassignment surgery to achieve the transition between the sex assigned at birth and gender identity. According to international guidelines, cross-sex hormone therapy in trans-women should lead to a psychologically and physiologically healthy body with feminized serum hormone levels, resulting in suppression of spermatogenesis. However, in a recently published multi-center study, we discovered a high proportion of patients with male serum hormone levels and qualitatively intact spermatogenesis on the day of sex reassignment surgery...
September 2017: Andrology
https://www.readbyqxmd.com/read/28914080/gender-identity-and-sexual-orientation-in-autism-spectrum-disorder
#2
Rita George, Mark A Stokes
Clinical impressions indicate that there is an overrepresentation of gender-dysphoria within the autism spectrum disorder. However, little is presently known about the demographics of gender-identity issues in autism spectrum disorder. Based upon what little is known, we hypothesized that there would be an increased prevalence of gender-dysphoria among those with autism spectrum disorder compared to a typically developing population. We surveyed gender-dysphoria with the Gender-Identity/Gender-Dysphoria Questionnaire among 90 males and 219 females with autism spectrum disorder and compared these rates to those of 103 males and 158 females without autism spectrum disorder...
September 1, 2017: Autism: the International Journal of Research and Practice
https://www.readbyqxmd.com/read/28894664/aesthetic-female-to-male-chest-transformation-power-of-combining-modified-mastectomy-with-a-pectoral-implant
#3
Turkia Abbed, David A Shifrin
Gender reassignment surgery has gained in popularity with increased media exposure and society's recognition of gender dysphoria. Female-to-male gender reassignment often begins with the "top" or chest surgery. Mastectomy with free nipple grafting is the most frequently described technique in the literature. This technique is reliable yet lacks the ability to provide a true male chest shape. We discuss our technique for female-to-male "top" surgery combining traditional mastectomy techniques with a lower pole pedicle vascularized areola and a pectoral implant...
August 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/28861549/overrepresentation-of-adopted-adolescents-at-a-hospital-based-gender-dysphoria-clinic
#4
Daniel E Shumer, Aser Abrha, Henry A Feldman, Jeremi Carswell
Purpose: We have noted a greater than expected prevalence of adopted children presenting to our multidisciplinary gender program for evaluation of gender dysphoria. Methods: A retrospective review of 184 patient charts was conducted to assess the prevalence of adopted children presenting to gender clinic. Results: Fifteen of 184 patients seen were living with adoptive families (8.2%). This is significantly higher than expected based on U.S. census data. Conclusion: Adopted children are referred to our gender program more than would be expected based on the percentage of adopted children in our state and the United States at large...
2017: Transgender Health
https://www.readbyqxmd.com/read/28858881/online-patient-resources-for-gender-affirmation-surgery-an-analysis-of-readability
#5
Elizabeth Kiwanuka, Raman Mehrzad, Adnan Prsic, Daniel Kwan
BACKGROUND: Gender affirmation surgery is an important treatment for patient with gender dysphoria. It consists of a series of complex procedures, and well-informed patients have been shown to have better outcomes. However, there are no published data regarding the readability of currently available online patient recourses for gender affirmation surgery. This study aims at identifying the most popular online resources and evaluating the readability of these documents in the context of average literacy within the United States...
October 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28846715/needs-and-concerns-of-transgender-individuals-regarding-interdisciplinary-transgender-healthcare-a-non-clinical-online-survey
#6
Jana Eyssel, Andreas Koehler, Arne Dekker, Susanne Sehner, Timo O Nieder
This study investigates the needs and concerns transgender (short: trans) individuals have concerning trans healthcare (THC) in interdisciplinary THC centres. Trans individuals' gender does not (fully/constantly) match their sex assigned at birth. To be able to live in their gender role and to prevent or minimise gender dysphoria, they might require a multidisciplinary set of transition related healthcare services. The current shift from the traditionally highly regulated, hierarchical and pathologising approach to THC towards a more patient-centred approach has highlighted the importance of trans patients' satisfaction with treatment processes and results...
2017: PloS One
https://www.readbyqxmd.com/read/28841608/surgical-indications-and-outcomes-of-mastectomy-in-transmen-a-prospective-study-of-technical-and-self-reported-measures
#7
Tim C van de Grift, Lian Elfering, Mark-Bram Bouman, Marlon E Buncamper, Margriet G Mullender
BACKGROUND: Although transgender surgery constitutes a growing field within plastic surgery, prospective studies on masculinizing mastectomies are lacking. The objectives of the present study were to prospectively follow a cohort of transmen undergoing mastectomy to assess technical and self-reported outcomes and to evaluate surgical decision-making. METHODS: Fifty-four transmen were recruited during a 10-month period at the Department of Plastic Surgery of the Centre of Expertise on Gender Dysphoria...
September 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28838353/epidemiology-of-gender-dysphoria-and-transgender-identity
#8
Kenneth J Zucker
This review provides an update on the epidemiology of gender dysphoria and transgender identity in children, adolescents and adults. Although the prevalence of gender dysphoria, as it is operationalised in the fifth edtion of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), remains a relatively 'rare' or 'uncommon' diagnosis, there is evidence that it has increased in the past couple of decades, perhaps reflected in the large increase in referral rates to specialised gender identity clinics...
August 25, 2017: Sexual Health
https://www.readbyqxmd.com/read/28836906/the-medical-underwriting-of-transgender-individuals
#9
Timothy Meagher, Karsten Filzmaier
As more transgender individuals apply for life insurance, it is important to understand the many health issues that are particular to this population. This article reviews the pathophysiology, diagnosis and treatment of gender dysphoria- the dominant medical problem of transgender individuals. It also reviews the frequent co-morbidities in the transgender population and finishes with a review of the small number of studies that have examined long-term mortality.
2017: Journal of Insurance Medicine
https://www.readbyqxmd.com/read/28827537/genomic-characteristics-of-gender-dysphoria-patients-and-identification-of-rare-mutations-in-ryr3-gene
#10
Fu Yang, Xiao-Hai Zhu, Qing Zhang, Ning-Xia Sun, Yi-Xuan Ji, Jin-Zhao Ma, Bang Xiao, Hai-Xia Ding, Shu-Han Sun, Wen Li
Gender dysphoria (GD) is characterized by an incongruence between the gender assigned at birth and the gender with which one identifies. The biological mechanisms of GD are unclear. While common genetic variants are associated with GD, positive findings have not always been replicated. To explore the role of rare variants in GD susceptibility within the Han Chinese population, whole-genome sequencing of 9 Han female-to-male transsexuals (FtMs) and whole-exome sequencing of 4 Han male-to-female transsexuals (MtFs) were analyzed using a pathway burden analysis in which variants are first collapsed at the gene level and then by Gene Ontology terms...
August 21, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28825954/the-lifetime-prevalence-of-psychiatric-diagnoses-in-an-academic-gender-reassignment-service
#11
Gerhard P Grobler
PURPOSE OF REVIEW: To review the literature regarding the prevalence of mental health concerns, including psychiatric diagnoses in the TGNC community. RECENT FINDINGS: Gender dysphoria is not the only mental health concern experienced by some members of TGNC people. Stigma and discrimination play a role in the development of mental health concerns. Even after reassignment surgery some members of the TGNC community is almost five times more likely to attempt suicide...
August 18, 2017: Current Opinion in Psychiatry
https://www.readbyqxmd.com/read/28825592/the-evaluation-of-cases-with-y-chromosome-gonadal-dysgenesis-clinical-experience-for-18-years
#12
Merih Berberoğlu, Zeynep Şıklar
OBJECTIVE: Y-chromosome gonadal dysgenesis (GD) is a rare subgroup of disorders of sexual development (DSD) which results from underdeveloped testis, which may consist heterogenous symptoms. They are phenotypically classified into 2 groups as complete and partial; while karyotypic description was as 46,XY GD and 45,X/46,XY GD. METHODS: Thirty eight cases were followed-up between 1998 and 2016. The age of admission were within 0 to 17,16 decimal years. Clinical and laboratory findings as well as follow-up characteristics of cases were evaluated retrospectively from the patient reports...
August 21, 2017: Journal of Clinical Research in Pediatric Endocrinology
https://www.readbyqxmd.com/read/28805149/contestation-instrumental-resistance-and-strategic-conformation-within-the-diagnostic-process-of-gender-dysphoria-in-portugal
#13
Ana Patrícia Hilário
This article aims to provide insights into the ways in which trans people (i.e. those whose gender identity or expression do not align with their assigned sex at birth) in Portugal make sense of the diagnosis of gender dysphoria. Drawing upon in-depth interviews with 10 trans men and 9 trans women carried out by the TRANSRIGHTS team, we identified three major themes: (a) contestation of gender dysphoria as a (mental) illness, (b) instrumental resistance to complete demedicalisation of gender dysphoria and (c) strategic conformation to gender essentialism within the diagnostic process of gender dysphoria...
September 2017: Health (London)
https://www.readbyqxmd.com/read/28771690/caring-for-transgender-patients-with-epilepsy
#14
REVIEW
Emily L Johnson, Peter W Kaplan
OBJECTIVE: Approximately 25 million individuals older than age 15 identify as transgender, representing about 0.3-0.9% of the world's population. The aim of this paper is to identify and describe important medical and social considerations facing transgender persons with epilepsy. METHODS: We performed literature searches on the following terms: transgender AND epilepsy, transgender AND neurology, gender dysphoria AND epilepsy, gender dysphoria AND neurology. We also performed literature searches for common feminizing or masculinizing treatment regimens, and searched for interactions of those treatment regimens with antiepileptic drugs (AEDs) and with seizures...
August 3, 2017: Epilepsia
https://www.readbyqxmd.com/read/28760257/a-historical-review-of-gender-affirming-medicine-focus-on-genital-reconstruction-surgery
#15
REVIEW
Jordan D Frey, Grace Poudrier, Jennifer E Thomson, Alexes Hazen
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...
August 2017: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/28716082/efficacy-of-hormonal-and-mental-treatments-with-mmpi-in-ftm-individuals-cross-sectional-and-longitudinal-studies
#16
Hiroyuki Oda, Toshihiko Kinoshita
BACKGROUND: Cross-sex hormone treatment (CSHT) is an important option for gender dysphoria (GD) individuals to improve the quality of life. However, in Japan, sex reassignment surgery (SRS) and CSHT for GD had been discontinued until 1998 (over 30 years). After resumption, the number of GD individuals wishing treatment rapidly increased. On the other hand, the number of medical institutions available for evaluation was limited. For this reason, hormonal treatment has been administered to GD individuals requiring the prompt start of CSHT in the absence of mental health assessment by specialists...
July 17, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28696129/gender-dysphoria-in-klinefelter-s-syndrome-three-cases
#17
Gordon W Davies, John Parkinson
BACKGROUND: Previous reports have found the incidence of gender dysphoria in Klinefelter's patients greater than in the general male population. METHODS: A cohort of patients with gender dysphoria was reviewed. RESULTS: Of the 220 patients with gender dysphoria, three had Klinefelter's syndrome. CONCLUSIONS: These three reports are further examples of gender dysphoria in Klinefelter's syndrome. The role of biological factors in gender identity is affirmed...
July 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28688011/separation-anxiety-among-birth-assigned-male-children-in-a-specialty-gender-identity-service
#18
Doug P VanderLaan, Alanna Santarossa, A Natisha Nabbijohn, Hayley Wood, Allison Owen-Anderson, Kenneth J Zucker
Previous research suggested that separation anxiety disorder (SAD) is overrepresented among birth-assigned male children clinic-referred for gender dysphoria (GD). The present study examined maternally reported separation anxiety of birth-assigned male children assessed in a specialty gender identity service (N = 360). SAD was determined in relation to DSM-III and DSM-IV criteria, respectively. A dimensional metric of separation anxiety was examined in relation to several additional factors: age, ethnicity, parental marital status and social class, IQ, gender nonconformity, behavioral and emotional problems, and poor peer relations...
July 7, 2017: European Child & Adolescent Psychiatry
https://www.readbyqxmd.com/read/28679645/when-gender-identity-doesn-t-equal-sex-recorded-at-birth-the-role-of-the-laboratory-in-providing-effective-healthcare-to-the-transgender-community
#19
REVIEW
Zil Goldstein, Trevor A Corneil, Dina N Greene
BACKGROUND: Transgender is an umbrella term used to describe individuals who identify with a gender incongruent to or variant from their sex recorded at birth. Affirming gender identity through a variety of social, medical, and surgical interventions is critical to the mental health of transgender individuals. In recent years, awareness surrounding transgender identities has increased, which has highlighted the health disparities that parallel this demographic. These disparities are reflected in the experience of transgender patients and their providers when seeking clinical laboratory services...
August 2017: Clinical Chemistry
https://www.readbyqxmd.com/read/28678450/-care-network-for-patients-with-gender-dysphoria
#20
Lorenzo Soldati, Marion Hischier, Jean-Michel Aubry
Gender dysphoria refers to the distress caused by the discrepancy between a person's gender identity and his or her sex assignment at birth. It can be alleviated by specialized multidisciplinary care, which is summarized in this article.Unfortunately, this disorder is still not widely known in the medical world and this can cause a discriminatory attitude on the part of caregivers and can lead to detrimental patient care.Faced with this finding and the complaints of some patients, we have decided to create a care network which includes healthcare professionals from various disciplines...
September 21, 2016: Revue Médicale Suisse
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