The diagnosis of transsexualism puts a psychiatrist. A doctor of any other specialty can only suspect his existence and send the patient to a psychiatrist to confirm or exclude transsexualism. 1) inversion of gender identity; 2) inversion of the […]
The essence of transsexualism
The essence of transsexualism is still not completely clear. Finding out its pathogenesis is not only of fundamental, but also of practical interest, since only with a full understanding of this problem it will be possible to conduct differential diagnostics […]
Differential diagnostics
Despite its brightness and demonstrativeness, manifestations of transsexualism are rather difficult to be diagnosed differentially with clinically similar conditions, such as: ● Transvestism – the desire to dress and wear the opposite sex. With transvestism, in contrast to transsexualism, there […]
Endocrinological aspects of transsexualism
Transsexualism is based on violations of the differentiation of brain structures responsible for sexual behavior, which are the biological origin of the so-called sex center responsible for the formation of a sense of gender (sexual autoidentification). Hormonal examinations showed that […]
Hormonal status in transsexual patients before treatment
We have 600 transsexual patients under our supervision: 450 with F / M transsexualism and 150 with M / F transsexualism. Earlier opinions were expressed that transsexualism is an endocrine disease associated with excessive secretion of sex hormones of the […]
Changes in the ovaries in patients with female transsexualism
In 48 patients with L / M-transsexualism, an ultrasound examination (ultrasound) of the pelvic organs was performed prior to the initiation of androgen testing. Small-cystic changes in ovarian tissue were found in 16 (25%) patients. All patients were prescribed androgen […]
Changes to spermatogenetic males with transsexualism
Interesting data was obtained by us in assessing the state of spermatogenesis. We were able to analyze semen in 17 patients. In addition, all patients underwent a cytogenetic examination, as a result of which all had a normal karyotype – […]
Basic principles of hormone therapy
Patients with transsexualism need to adapt the body to the opposite biological sex, to which they themselves belong. Hormone therapy plays an important role in this. Moreover, if before the operation you can still do without hormone therapy (although it […]
Modern approaches to estrogen therapy
Estrogens (female sex hormones) are produced mainly by the ovaries, as well as by the adrenal cortex, placenta and testes. By their chemical nature, estrogens are derived from estranes – C-18-steroids. The process of converting C-19 steroids (androgens) to C-18 […]
Estrogen therapy with M / G-transsexualism
Patients with M / W-transformation require estrogen therapy. Before starting this treatment, it is recommended to measure the level of testosterone, prolactin, determine the parameters of the general and biochemical (fasting glucose, liver enzymes, lipid spectrum) blood test, coagulogram. It […]