Male Prison Inmates With Gender Dysphoria: When Is Sex Reassignment Surgery Appropriate?

AbstractAimThe Belgian medical world has acknowledged the diagnosis of transsexualism and accepted Sex Reassignment Surgery (SRS) as one of the steps in the treatment of choice since 1985. This prevalence and demographic study analyses data on all Belgian individuals who have undergone SRS since that year.MethodsAll (188) plastic surgeons as well as all gender teams (Antwerp, Bruges, Ghent, and Liège) in Belgium were sent demographic questionnaires to be completed for each of their transsexual patients.ResultsThe results show an overall prevalence of 1:12,900 for male-to-female and 1:33,800 for female-to-male transsexuals in Belgium. In Wallonia (the French-speaking region of Belgium) the prevalence is significantly lower than in Flanders (the Dutch-speaking region) and in Brussels (the bilingual capital region). In the total Belgian population the male/female sex ratio is 2.43:1, again with a substantial difference between Wallonia on the one hand and Flanders on the other.Discussion and ConclusionWhile in Flanders and in Brussels the prevalence is comparable to that in other Western European countries, in Wallonia it is markedly lower. Transsexualism in Wallonia appears to be socially less acceptable: persons suffering from gender dysphoria in that part of Belgium encounter more problems accessing gender clinics and receiving treatment.

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The Principle of Totality Does Not Justify Sex Reassignment Surgery

Ethics & Medics ◽

10.5840/em2016411121 ◽

2016 ◽

Vol 41 (11) ◽

pp. 1-2

Author(s):

Travis Stephens ◽

Keyword(s):

Gender Dysphoria ◽

Hormone Replacement ◽

Human Person ◽

The Body ◽

Sex Reassignment Surgery ◽

Sex Reassignment ◽

Expert Opinions ◽

Course Of Action ◽

Appropriate Treatment ◽

The Individual

Expert opinions diverge on appropriate treatment for gender dysphoria. Some encourage the pursuit of counseling that helps one to identify with one’s natal sex. Others encourage people struggling with gender dysphoria to change the body to match the so-called inside. The latter advocate the use of hormone replacement therapies and sex reassignment surgeries to facilitate the transition. Such procedures are not only immoral because they render the patient sterile, but also because they reject the God-given personhood that is manifest through one’s sexuality. Since sexuality constitutes so much more than genitalia, sex reassignment surgery does not actually change one’s sexuality. Rather, it merely maims the individual, limiting her ability to love authentically as a sexual person. Out of respect for the human person, the only appropriate course of action is to counsel these individuals and encourage them to overcome the inhibitions that prevent them from embracing their natal sex.

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Psychiatric Axis I Comorbidities among Patients with Gender Dysphoria

Psychiatry Journal ◽

10.1155/2014/971814 ◽

2014 ◽

Vol 2014 ◽

pp. 1-5 ◽

Cited By ~ 11

Author(s):

Azadeh Mazaheri Meybodi ◽

Ahmad Hajebi ◽

Atefeh Ghanbari Jolfaei

Keyword(s):

Gender Dysphoria ◽

Psychiatric Comorbidity ◽

Adjustment Disorder ◽

Specific Phobia ◽

Sex Reassignment Surgery ◽

Sex Reassignment ◽

Major Depressive ◽

Axis I Disorders ◽

Axis I ◽

Dsm Iv

Objectives. Cooccurring psychiatric disorders influence the outcome and prognosis of gender dysphoria. The aim of this study is to assess psychiatric comorbidities in a group of patients.Methods. Eighty-three patients requesting sex reassignment surgery (SRS) were recruited and assessed through the Persian Structured Clinical Interview for DSM-IV Axis I disorders (SCID-I).Results. Fifty-seven (62.7%) patients had at least one psychiatric comorbidity. Major depressive disorder (33.7%), specific phobia (20.5%), and adjustment disorder (15.7%) were the three most prevalent disorders.Conclusion. Consistent with most earlier researches, the majority of patients with gender dysphoria had psychiatric Axis I comorbidity.

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