Transsexualism is not a sexual perversion but
rather a gender identity disorder. The patient claim for his personal and
public image and condition.
The diagnosis problems arise from the lack
of clinical, biological or hormonal typical signs. The pathogenesis is
unclear but works in progress suggest somatic alterations. These alterations
might be pre or perinatal hormonal changes and/or alterations in cerebral
structures involved in sexual differentiation.
Transsexualism is not a treatable disease
using currently available treatments. Only hormonal and surgical treatments
with sex reassignment might answer to the patient's request and improve his
mental condition. Hormonal treatment might only prescribed after a consensus
statement of about the sex reassignment of the patient and under medical
follow-up.
An early and strict medical follow-up of
the patients by a multi specialist medical team is required and have to
warrant the etic aspects. This is mostly important for the approval for sex
reassignment from the authorities.
Citation:
Bull Acad Natl Med 1996 Jun-Jul;180(6):1403-7 an
article published on the Internet by PubMed <http://www.ncbi.nlm.nih.gov/>
