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[Transsexuality--standards of care]
1Frauenklinik am Diakonissenkrankenhaus, Universität Heidelberg.
Zentralblatt Fur Gynakologie
|January 1, 1995
Summary
This study outlines the established medical and surgical standards for gender affirmation, focusing on diagnosis, hormonal preparation, and surgical procedures for both female-to-male and male-to-female transitions. It emphasizes expert confirmation and post-operative care for transgender individuals.
Area of Science:
- Endocrinology
- Surgical Procedures
- Psychiatry
Context:
- The Harry Benjamin Standards of Care provide a framework for diagnosing and treating gender identity incongruence.
- Established protocols are essential for the safety and efficacy of gender affirmation treatments.
Purpose:
- To detail the diagnostic criteria for gender identity transposition.
- To outline the established surgical standards for female-to-male and male-to-female gender affirmation surgeries.
- To emphasize the importance of hormonal preparation and psychological support.
Summary:
- Diagnosis requires confirmation of an irreversible gender identity transposition by a qualified expert.
- Hormonal therapy, initiated at least six months prior to surgery, induces desired physical changes (virilization or effeminization).
- Standard female-to-male surgeries include breast transformation and removal of reproductive organs. Standard male-to-female surgeries involve castration, penile resection, neovagina creation, and labiaplasty, with breast augmentation if needed.
Impact:
- Provides a clear guideline for medical professionals involved in transgender healthcare.
- Ensures patient safety and optimal outcomes through standardized procedures.
- Highlights the necessity of comprehensive care, including psychological support and long-term hormonal management.