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Clinical considerations and endocrinological implications in the detransition process.

Laura Charlton1, Ruth Bond2

  • 1Gender Identity Service, Management Suite, The Newsam Centre, Seacroft Hospital, York Road, Leeds LS14 6UH, United Kingdom.

Best Practice & Research. Clinical Endocrinology & Metabolism
|September 7, 2024
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Summary

Detransition involves reverting to one's gender assigned at birth and presents unique healthcare challenges. Comprehensive patient-centered care, including ethical, psychological, and medical support, is crucial for individuals undergoing detransition.

Keywords:
detransitiongender dysphoriagender incongruencehair managementhormone managementpsychosocial needsretransitionsurgical revisions

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Area of Science:

  • Medical Ethics
  • Psychology
  • Endocrinology
  • Surgical Science

Background:

  • Detransition, the process of reverting to one's gender assigned at birth or altering transition goals, poses significant clinical challenges.
  • Existing healthcare frameworks may not adequately address the multifaceted needs of individuals seeking to detransition.

Purpose of the Study:

  • To introduce the clinical issue of detransition.
  • To provide a comprehensive overview of ethical, psychological, legal, surgical, and endocrinological considerations in detransition care.
  • To emphasize the need for patient-centered care, informed consent, and further research.

Main Methods:

  • Literature review and synthesis of existing clinical knowledge.
  • Identification of key ethical, psychological, legal, surgical, and endocrinological factors.
  • Discussion of psychotherapeutic interventions and support systems.

Main Results:

  • Detransition requires careful consideration of endocrine management, surgical reversals, and psychological support.
  • Trauma-focused Cognitive Behavioural Therapy (CBT), Eye Movement Desensitization and Reprocessing (EMDR), and Compassion-Focused Therapy (CFT) are recommended for managing trauma and shame.
  • Holistic support systems are essential for individuals navigating detransition.

Conclusions:

  • Healthcare providers must adopt a holistic and patient-centered approach to support individuals undergoing detransition.
  • Further research is necessary to fully understand and address the specific needs of the detransitioning population.
  • Integrating ethical, psychological, and medical expertise is vital for effective detransition care.