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Transición de género y trastornos del desarrollo intelectual: reporte de un caso
Lorenzo Soldati1,2, Fabienne Gerber3, Sotiria Maria Iliopoulou3
1Sexual Medicine and Sexology Unit, Division of Psychiatric Specialties, Department of Psychiatry, University Hospital of Geneva, Geneva, Switzerland.
Sexual medicine
|December 17, 2025
Resumen
Este estudio de caso detalla un hombre transgénero con trastorno del desarrollo intelectual (TDI) y trastorno bipolar que se sometió con éxito a tratamientos de afirmación de género. Las intervenciones condujeron a una reducción significativa de la incongruencia de género y los síntomas psiquiátricos, mejorando su funcionamiento social.
Área de la Ciencia:
- Endocrinología
- Psiquiatría
- Genética
Sus antecedentes:
- La incongruencia de género (IG) se asocia frecuentemente con afecciones de salud mental.
- Existe una investigación limitada sobre la incongruencia de género en personas con trastorno del desarrollo intelectual (TDI).
- No hay datos previos disponibles sobre tratamientos de afirmación de género para personas con IG y TDI.
Objetivo del estudio:
- Reportar el primer caso de tratamiento de afirmación de género en un individuo con IG y TDI.
- Describir la evaluación y el curso del tratamiento para un hombre transgénero con TDI leve y trastorno bipolar.
- Destacar los resultados positivos de la atención integrada para esta población.
Principales métodos:
- Un hombre transgénero con TDI leve (CI 53) y trastorno bipolar recibió terapia hormonal de afirmación de género.
- Las intervenciones quirúrgicas incluyeron torsoplastia, mastectomía bilateral, histerectomía, ooforectomía, colpectomía, uretroplastia y faloplastia.
- El apoyo psicológico y los tratamientos de estabilización psiquiátrica fueron parte integral de la atención.
Principales resultados:
- Resolución completa de la incongruencia de género reportada dos años después de la faloplastia.
- Reducción significativa de los síntomas psiquiátricos, incluyendo ansiedad y cambios de humor, eliminando la necesidad de hospitalización psiquiátrica.
- Mejora del funcionamiento social observada tras el tratamiento.
Conclusiones:
- Enfatiza la necesidad crítica de colaboración multidisciplinaria entre especialistas en TDI e IG.
- Aborda las complejidades y vulnerabilidades de la exploración de la identidad de género en personas con TDI.
- Destaca el impacto positivo de la atención integral e individualizada, al tiempo que reconoce las limitaciones para generalizar los hallazgos.
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