Gender Re Assignment Surgery

Gender Re Assignment Surgery-29
The criterion noted above for some types of genital surgeries – i.e., that patients engage in 12 continuous months of living in a gender role that is congruent with their gender identity – is based on expert clinical consensus that this experience provides ample opportunity for patients to experience and socially adjust in their desired gender role, before undergoing irreversible surgery (Coleman, et al., 2011).In addition to hormone therapy and gender reassignment surgery, psychological adjustments are necessary in affirming sex.

The criterion noted above for some types of genital surgeries – i.e., that patients engage in 12 continuous months of living in a gender role that is congruent with their gender identity – is based on expert clinical consensus that this experience provides ample opportunity for patients to experience and socially adjust in their desired gender role, before undergoing irreversible surgery (Coleman, et al., 2011).In addition to hormone therapy and gender reassignment surgery, psychological adjustments are necessary in affirming sex.These treatments may prevent transgender adolescents from attempting suicide, suffering from depression, and refusing to attend school.

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Awareness of the condition appears to be increasing, probably because of greater societal acceptance and available hormonal treatment.

Therapeutic options include hormone and surgical treatments but may be limited by insurance coverage because costs are high.

The number of persons seeking treatment has increased substantially in recent years.

Cross-sex hormone therapy achieves very good results in FTM persons and is most successful in MTF persons when initiated at younger ages.

Mental health and psychiatric problems were inversely correlated with age at presentation.

The prevalence of gender reassignment surgery was low (31 % for MTF).

All patients considering treatment need counseling and medical monitoring.

Leinung and colleagues (2013) noted that the Endocrine Society's recently published clinical practice guidelines for the treatment of transgender persons acknowledged the need for further information on transgender health.

The overall success of treatment depends partly on the technical success of the surgery, but more crucially on the psychological adjustment of the trans identified person and the support from family, friends, employers and the medical profession.

Nakatsuka (2012) noted that the 3rd versions of the guideline for treatment of people with gender dysphoria (GD) of the Japanese Society of Psychiatry and Neurology recommends that feminizing/masculinizing hormone therapy and genital surgery should not be carried out until 18 years old and 20 years old, respectively.

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