With few exceptions, a solution to any problem will bring new difficulties. These may or may not be worse than the original problem, and one must decide, not between problem and answer, but between degrees of difficulty. Is the new situation really going to be better than the last? This is undoubtedly the situation with the transsexual. It is undeniable that in the majority of cases the treated...

Transsexuality is an individual's unshakable conviction of belonging to the opposite sex, resulting in a request for sex-reassignment surgery. We have shown previously that the bed nucleus of the stria terminalis (BSTc) is female in size and neuron number in male-to-female transsexual people. In the present study we investigated the hypothalamic uncinate nucleus, which is composed of two subnuc...

The role of the gynaecologist in the treatment of female-to-male transsexual patients is largely confined to hysterectomy and vaginectomy. We showed that laparoscopic hysterectomy is feasible and safe in this group. When surgery is not performed completely, follow-up of the remaining organs is necessary. The major part of this thesis deals with the necessity and acceptability of gynaecological ...

One of the most important contributions made by Dreger’s article is her description of the extraordinary lengths to which some of Bailey’s male-to-female (MtF) transsexual opponents went in their attempts to discredit him, his book, and his ideas. By Dreger’s account, their campaign against Bailey continued for at least two years after the publication of The Man Who Would Be Queen (TMWWBQ; Bail...

Blanchard (1989b) proposed that there are two categorically distinct types of transsexual women (male-to-female transsexuals) and this typology isbasedonone of these types havingsexualattractiontooneselfasawoman.Helabeledthis typeofsexual attraction autogynephilia. Blanchard proposed that those who do not experience autogynephilia are sexually attracted only to men (androphilic) and those who e...

Ten (10) sets of siblings or parent-child pairs concordant for gender identity disorder (transsexualism) or gender identity disorder and transvestitism are reported. For concordant gender identity disorder, there is one set of male monozygotic twins; three sets of non-twin brothers; one brother-and-sister pair; one set of sisters; and one father and son. With gender identity disorder and transv...

In a previous paper (Fiumara and Di Mattia, 1973) a male transsexual patient was described with symptomatic gonococcal urethritis. Since then, after an interval offour years, a second patient has been found, who is asymptomatically infected. The incidence of surgical sex reassignment of the male transsexual in the United States is not available, but the operation is being performed at many univ...