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Disorders of gender identity: what to do and who should do it?
1James Barrett, MBBS, MSc, FRCPsych, Charing Cross Gender Identity Clinic, West London Mental Health NHS Trust, London.
Abstract:
Transsexualism is not usually indicative of psychopathology. In carefully selected individuals, with multidisciplinary support, a change of social gender role and cross-sex hormone treatment greatly improves the psychological and social state. Sustained improvement merits gender reassignment surgery. The key is early referral with subsequent primary care cooperation in the treatment plan.
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