He points out that NHS England's guidance «makes it clear that GPs are expected to care for
people with gender dysphoria just as for any other group with an uncommon condition easily managed with a joint care model.»
For
patients with gender dysphoria undergoing male - to - female transformation, a stepwise approach to facial feminization surgery (FFS) leads to good cosmetic outcomes along with psychological, social, and functional benefits, according to a study in the February issue of Plastic and Reconstructive Surgery ®, the official medical journal of the American Society of Plastic Surgeons (ASPS).
Our team follows the World Professional Association of Transgender Health (WPATH) guidelines, designed to help
adolescents with gender dysphoria with transition, including use of puberty suppression (blockers) and cross-sex hormones (such as testosterone and estrogen).
«Expensive, lifelong hormone treatments and irreversible surgeries
associated with gender dysphoria would negatively affect personal deployability and mission readiness, without resolving underlying psychological problems, including high risks of suicide,» said Donnelly, president of the Center for Military Readiness.
«There needs to be not only greater awareness and acceptance of this minority group but also improved accessibility to care for
youth with gender dysphoria, to decrease the problems often seen in patients who are transgender,» she said.
Yet in the experience of those of us who work at gender identity clinics, «as many as one in five GPs won't prescribe for
people with gender dysphoria, even after expert advice from an NHS clinic,» he writes.
Facial feminization surgery — along with psychotherapy, hormone treatment, and gender reassignment surgery — is an important part of the treatment plan for some
patients with gender dysphoria.
Currently, an adult who has been
diagnosed with gender dysphoria and lived for two years as a person of the opposite sex can apply for a gender recognition certificate, before being issued with a new birth certificate.
In a sensitive and deeply reported cover story that begins on page 26, journalist Francine Russo examines the latest research and an ongoing debate among clinicians about how best to help children and
adolescents with gender dysphoria — what experts describe as the «insistent, consistent and persistent» sense that one's sex is not what was written on the birth certificate.
Only four patients (10 percent)
with gender dysphoria had no additional mental health problem.
Patients
with gender dysphoria have unique health care concerns, Grotzke said.
«Doctors are failing to help people
with gender dysphoria.»
«People
with gender dysphoria aren't freaks,» argues Barrett.
The DSM - V has removed Gender Identity Disorder and replaced
it with Gender Dysphoria for children, adolescents and adults.