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Transgender Health Concerns

  • Chapter
The Health of Sexual Minorities

Abstract

Transgender persons are those who live full-time or part-time in the gender role of the opposite biologic sex (Lawrence et al., 1996). Transgender persons share the same health concerns as nontransgender persons; as members of a minority group characterized by complex identities and often by visibly gender-variant social presentations, transgender persons also have special health concerns related to the delivery of health services in a manner that recognizes and takes account of their identities and presentations (see Chapter 26).

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References

  • American Academy of Family Physicians. (2004) Summary of policy recommendations for periodic health examinations. AAFP, Leawood, KS.

    Google Scholar 

  • American Psychiatric Association. (1987) Diagnostic and Statistical Manual of Mental Disorders, 3rd ed., revised. APA, Washington, DC.

    Google Scholar 

  • American Psychiatric Association. (2000) Diagnostic and Statistical Manual of Mental Disorders, 4th ed., text revision. APA, Washington, DC.

    Google Scholar 

  • Asscheman, H., and Gooren, L.J.G. (1992) Hormone treatment in transsexuals. Journal of Psychology and Human Sexuality 5(4):39–54.

    Google Scholar 

  • Asscheman, H., Gooren, L.J.G., Assies, J., Smits, J.P.H., and de Slegte, R. (1988) Prolactin levels and pituitary enlargement in hormone-treated male-tofemale transsexuals. Clinical Endocrinology (Oxford) 28:583–588.

    CAS  Google Scholar 

  • Asscheman, H., Gooren, L.J.G., and Eklund, P.L. (1989) Mortality and morbidity in transsexual patients with cross-gender hormone treatment. Metabolism 38:869–873.

    PubMed  CAS  Google Scholar 

  • Bakker, A., van Kesteren, P.J., Gooren, L.J.G., and Bezemer, P.D. (1993) The prevalence of transsexualism in The Netherlands. Acta Psychiatrica Scandinavica 87:237–238.

    PubMed  CAS  Google Scholar 

  • Balen, A.H., Schachter, M.E., Montgomery, D., Reid, R.W., and Jacobs, H.S. (1993) Polycystic ovaries are a common finding in untreated female to male transsexuals. Clinical Endocrinology (Oxford) 38:325–329.

    CAS  Google Scholar 

  • Baltieri, D.A., and de Andrade, A.G. (2005) Transsexual genital self-mutilation. American Journal of Forensic Medicine and Pathology 26:268–270.

    PubMed  Google Scholar 

  • Banks, E., Reeves, G., Beral, V., Bull, D., Crossley, B., Simmonds, M., Hilton, E., Bailey, S., Barrett, N., Briers, P., English, R., Jackson, A., Kutt, E., Lavelle, J., Rockall, L., Wallis, M.G., Wilson, M., and Patnick, J. (2004) Impact of use of hormone replacement therapy on false positive recall in the NHS breast screening programme: results from the Million Women Study. BMJ 328:1291–1292.

    PubMed  Google Scholar 

  • Beatrice, J. (1985) A psychological comparison of heterosexuals, transvestites, preoperative transsexuals, and postoperative transsexuals. Journal of Nervous and Mental Disease 173:358–365.

    PubMed  CAS  Google Scholar 

  • Bigatà, X., Ribera, M., Bielsa, I., and Ferrándiz, C. (2001) Adverse granulomatous reaction after cosmetic dermal silicone injection. Dermatologic Surgery 27:198–200.

    PubMed  Google Scholar 

  • Block, N.L., and Tessler, A.N. (1971) Transsexualism and surgical procedures. Surgery, Gynecology & Obstetrics 132:517–525.

    CAS  Google Scholar 

  • Bodlund, O., and Armelius, K. (1994) Self-image and personality traits in gender identity disorders: an empirical study. Journal of Sex and Marital Therapy 20:303–317.

    PubMed  CAS  Google Scholar 

  • Bosinski, H.A.G., Peter, M., Bonatz, G., Arndt, R., Heidenreich, M., Sippell, W.G., and Wille, R. (1997) A higher rate of hyperandrogenic disorders in female-to-male transsexuals. Psychoneuroendocrinology 22:361–380.

    PubMed  CAS  Google Scholar 

  • Brown, G.R., Wise, T.N., Costa, P.T., Jr., Herbst, J.H., Fagan, P.J., and Schmidt, C.W., Jr. (1996) Personality characteristics and sexual functioning of 188 cross-dressing men. Journal of Nervous and Mental Disease 184:265–273.

    PubMed  CAS  Google Scholar 

  • Brown, S.L., Todd, J.F., and Luu, H.M. (2004) Breast implant adverse events during mammography: reports to the Food and Drug Administration. Journal of Womens Health 13:371–378.

    Google Scholar 

  • Burcombe, R.J., Makris, A., Pittam, M., and Finer, N. (2003) Breast cancer after bilateral subcutaneous mastectomy in a female-to-male trans-sexual. Breast 12:290–293.

    PubMed  CAS  Google Scholar 

  • Burgess, H.E., and Shousha, S. (1993) An immunohistochemical study of the long-term effects of androgen administration on female-to-male transsexual breast: a comparison with normal female breast and male breast showing gynaecomastia. Journal of Pathology 170:37–43.

    PubMed  CAS  Google Scholar 

  • Centers for Disease Control and Prevention. (2004) HIV/AIDS surveillance report. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, Atlanta.

    Google Scholar 

  • Chadha, S., Pache, T.D., Huikeshoven, J.M., Brinkmann, A.O., and van der Kwast, T.H. (1994) Androgen receptor expression in human ovarian and uterine tissue of long-term androgen-treated transsexual women. Human Pathology 25:1198–1204.

    PubMed  CAS  Google Scholar 

  • Chastre, J., Brun, P., Soler, P., Basset, F., Trouillet, J.L., Fagon, J.Y., Gibert, C., and Hance, A.J. (1987) Acute and latent pneumonitis after subcutaneous injections of silicone in transsexual men. American Review of Respiratory Disease 135:236–240.

    PubMed  CAS  Google Scholar 

  • Clements-Nolle, K., Marx, R., Guzman, R., and Katz, M. (2001) HIV prevalence, risk behaviors, health care use, and mental health status of transgender persons: implications for public health intervention. American Journal of Public Health 91:915–921.

    PubMed  CAS  Google Scholar 

  • Cohen-Kettenis, P.T., and Gooren, L.J.G. (1992) The influence of hormone treatment on psychosexual functioning in transsexuals. Journal of Psychology and Human Sexuality 5(4):55–67.

    Google Scholar 

  • Cohen-Kettenis, P.T., and Pfäfflin, F. (2003) Transgenderism and intersexuality in childhood and adolescence. Sage, Thousand Oaks, CA.

    Google Scholar 

  • Cohen-Kettenis, P.T., and van Goozen, S.H. (1997) Sex reassignment of adolescent transsexuals: a follow-up study. Journal of the American Academy of Child and Adolescent Psychiatry 36:263–271.

    PubMed  CAS  Google Scholar 

  • Cohen-Kettenis, P.T., and van Goozen, S.H. (1998) Pubertal delay as an aid in diagnosis and treatment of a transsexual adolescent. European Child & Adolescent Psychiatry 7:246–248.

    CAS  Google Scholar 

  • Cole, C.M., O’Boyle, M., Emory, L.E., and Meyer, W.J., III. (1997) Comorbidity of gender dysphoria and other major psychiatric diagnoses. Archives of Sexual Behavior 26:13–26.

    PubMed  CAS  Google Scholar 

  • Coronary Drug Project Research Group. (1970) The Coronary Drug Project: initial findings leading to modifications of its research protocol. JAMA 214:1303–1313.

    Google Scholar 

  • Dahl, M., Feldman, J.L., Goldberg, J., and Jaberi, A. (2006) Endocrine therapy for transgender adults in British Columbia: suggested guidelines. Retrieved April 10, 2006, from http://www.vch.ca/transhealth/resources/library/tcpdocs/guidelines-endocrine.pdf.

    Google Scholar 

  • Damewood, M.D., Bellantoni, J.J., Bachorik, P.S., Kimball, A.W., Jr., and Rock, J.A. (1989) Exogenous estrogen effect on lipid/lipoprotein cholesterol in transsexual males. Journal of Endocrinological Investigation 12:449–454.

    PubMed  CAS  Google Scholar 

  • De Cuypere, G., Jannes, C., and Rubens, R. (1995) Psychosocial functioning of transsexuals in Belgium. Acta Psychiatrica Scandinavica 91:180–184.

    PubMed  Google Scholar 

  • De Cuypere, G., T’Sjoen, G., Beerten, R., Selvaggi, G., De Sutter, P., Hoebeke, P., Monstrey, S., Vansteenwegen, A., and Rubens, R. (2005) Sexual and physical health after sex reassignment surgery. Archives of Sexual Behavior 34:679–690.

    PubMed  Google Scholar 

  • Derogatis, L.R., Meyer, J.K., and Boland, P. (1981) Apsychological profile of the transsexual. II. The female. Journal of Nervous and Mental Disease 169:157–168.

    PubMed  CAS  Google Scholar 

  • Derogatis, L.R., Meyer, J.K., and Vazquez, N. (1978) Apsychological profile of the transsexual. I. The male. Journal of Nervous and Mental Disease 166:234–254.

    PubMed  CAS  Google Scholar 

  • De Sutter, P. (2001) Gender reassignment and assisted reproduction: present and future reproductive options for transsexual people. Human Reproduction 16:612–614.

    PubMed  Google Scholar 

  • De Sutter, P., Kira, K., Verschoor, A., and Hotimsky, A. (2003) The desire to have children and the preservation of fertility in transsexual women: a survey. International Journal of Transgenderism 6(3). Retrieved August 18, 2004 from http://www.symposion.com/ijt/ijtvo06no03_02.htm.

    Google Scholar 

  • Dittrich, R., Binder, H., Cupisti, S., Hoffmann, I., Beckmann, M.W., and Mueller, A. (2005) Endocrine treatment of male-to-female transsexuals using gonadotropin-releasing hormone agonist. Experimental and Clinical Endocrinology & Diabetes 113:586–592.

    CAS  Google Scholar 

  • Dixen, J.M., Maddever, H., Van Maasdam, J., and Edwards, P.W. (1984) Psychosocial characteristics of applicants evaluated for surgical gender reassignment. Archives of Sexual Behavior 13:269–276.

    PubMed  CAS  Google Scholar 

  • Dizon, D.S., Tejada-Berges, T., Koelliker, S., Steinhoff, M., and Granai, C.O. (2006) Ovarian cancer associated with testosterone supplementation in a female-tomale transsexual patient. Gynecologic and Obstetric Investigation 62:226–228.

    PubMed  Google Scholar 

  • Docter, R.F., and Fleming, J.S. (1992) Dimensions of transvestism and transsexualism: the validation and factorial structure of the Cross-Gender Questionnaire. Journal of Psychology and Human Sexuality 5(4):15–37.

    Google Scholar 

  • Docter, R.F., and Fleming, J.S. (2001) Measures of transgender behavior. Archives of Sexual Behavior 30:255–271.

    PubMed  CAS  Google Scholar 

  • Docter, R.F., and Prince, V. (1997) Transvestism: a survey of 1032 cross-dressers. Archives of Sexual Behavior 26:589–605.

    PubMed  CAS  Google Scholar 

  • Driak, D., and Samudovsky, M. (2004) Cervical cancer in a female-to-male trans-sexual [letter to the editor]. European Journal of Cancer 40:1795.

    PubMed  CAS  Google Scholar 

  • Dunn, B.K., Wickerham, D.L., and Ford, L.G. (2005) Prevention of hormonerelated cancers: breast cancer. Journal of Clinical Oncology 23:357–367.

    PubMed  Google Scholar 

  • Duong, T., Schonfeld, A.J., Yungbluth, M., and Slotten, R. (1998) Acute pneumopathy in a nonsurgical transsexual. Chest 113:1127–1129.

    PubMed  CAS  Google Scholar 

  • Elbers, J.M., Asscheman, H., Seidell, J.C., Frolich, M., Meinders, A.E., and Gooren, L.J.G. (1997) Reversal of the sex difference in serum leptin levels upon cross-sex hormone administration in transsexuals. Journal of Clinical Endocrinology and Metabolism 82:3267–3270.

    PubMed  CAS  Google Scholar 

  • Elbers, J.M., Asscheman, H., Seidell, J.C., and Gooren, L.J.G. (1999) Effects of sex steroid hormones on regional fat depots as assessed by magnetic resonance imaging in transsexuals. American Journal of Physiology 276(2, Pt. 1): E317–325.

    PubMed  CAS  Google Scholar 

  • Elbers, J.M., Giltay, E.J., Teerlink, T., Scheffer, P.G., Asscheman, H., Seidell, J.C., and Gooren, L.J.G. (2003) Effects of sex steroids on components of the insulin resistance syndrome in transsexual subjects. Clinical Endocrinology (Oxford) 58:562–571.

    CAS  Google Scholar 

  • Elifson, K.W., Boles, J., Posey, E., Sweat, M., Darrow, W., and Elsea, W. (1993) Male transvestite prostitutes and HIV risk. American Journal of Public Health 83:260–262.

    PubMed  CAS  Google Scholar 

  • Ellenbogen, R., and Rubin, L. (1975) Injectable fluid silicone therapy: human morbidity and mortality. JAMA 234:308–309.

    PubMed  CAS  Google Scholar 

  • Feldman, J. (2002) New onset of type 2 diabetes mellitus with feminizing hormone therapy: case series. International Journal of Transgenderism 6(2). Retrieved August 18, 2004 from http://www.symposion.com/ijt/ijtvo06no02_01.htm.

    Google Scholar 

  • Feldman, J., and Bockting, W. (2003) Transgender health. Minnesota Medicine 86(7):25–32.

    PubMed  Google Scholar 

  • Fleming, M., Cohen, D., Salt, P., Jones, D., and Jenkins, S. (1981) Astudy of preand postsurgical transsexuals: MMPI characteristics. Archives of Sexual Behavior 10:161–170.

    PubMed  CAS  Google Scholar 

  • Fox, L.P., Geyer, A.S., Husain, S., Della-Latta, P., and Grossman, M.E. (2004) Mycobacterium abscessus cellulitis and multifocal abscesses of the breasts in a transsexual from illicit intramammary injections of silicone. Journal of the American Academy of Dermatology 50:450–454.

    PubMed  Google Scholar 

  • Futterweit, W. (1998) Endocrine therapy of transsexualism and potential complications of long-term treatment. Archives of Sexual Behavior 27:209–226.

    PubMed  CAS  Google Scholar 

  • Futterweit, W., and Deligdisch, L. (1986) Histopathological effects of exogenously administered testosterone in 19 female to male transsexuals. Journal of Clinical Endocrinology and Metabolism 62:16–21.

    PubMed  CAS  Google Scholar 

  • Futterweit, W., Gabrilove, J.L., and Smith, H., Jr. (1984) Testicular steroidogenic response to human chorionic gonadotropin of fifteen male transsexuals on chronic estrogen treatment. Metabolism 33:936–942.

    PubMed  CAS  Google Scholar 

  • Futterweit, W., Weiss, R.A., and Fagerstrom, R.M. (1986) Endocrine evaluation of forty female-to-male transsexuals: increased frequency of polycystic ovarian disease in female transsexualism. Archives of Sexual Behavior 15:69–78.

    PubMed  CAS  Google Scholar 

  • Gaber, Y. (2004) Secondary lymphoedema of the lower leg as an unusual sideeffect of a liquid silicone injection in the hips and buttocks. Dermatology 208:342–344.

    PubMed  Google Scholar 

  • Ganly, I., and Taylor, E.W. (1995) Breast cancer in a trans-sexual man receiving hormone replacement therapy. British Journal of Surgery 82:341.

    PubMed  CAS  Google Scholar 

  • Giltay, E.J., and Gooren, L.J.G. (2000) Effects of sex steroid deprivation/administration on hair growth and skin sebum production in transsexual males and females. Journal of Clinical Endocrinology and Metabolism 85:2913–2921.

    PubMed  CAS  Google Scholar 

  • Giltay, E.J., Hoogeveen, E.K., Elbers, J.M., Gooren, L.J.G., Asscheman, H., and Stehouwer, C.D. (1998) Effects of sex steroids on plasma total homocysteine levels: a study in transsexual males and females. Journal of Clinical Endocrinology and Metabolism 83:550–553.

    PubMed  CAS  Google Scholar 

  • Giltay, E.J., Toorians, A.W., Sarabdjitsingh, A.R., de Vries, N.A., and Gooren, L.J.G. (2004) Established risk factors for coronary heart disease are unrelated to androgen-induced baldness in female-to-male transsexuals. Journal of Endocrinology 180:107–112.

    PubMed  CAS  Google Scholar 

  • Giraldo, F., Mora, M.J., Solano, A., Gonzáles, C., and Smith-Fernández, V. (2002) Male perineogenital anatomy and clinical applications in genital reconstructions and male-to-female sex reassignment surgery. Plastic and Reconstructive Surgery 109:1301–1310.

    PubMed  Google Scholar 

  • Goh, H.H., and Ratnam, S.S. (1997) Effects of hormone deficiency, androgen therapy and calcium supplementation on bone mineral density in female transsexuals. Maturitas 26:45–52.

    PubMed  CAS  Google Scholar 

  • Gooren, L.J.G. (1999) Hormonal sex reassignment. International Journal of Transgender 3(3). Retrieved August 18, 2004 from http://www.symposion.com/ijt/ijt990301.htm.

    Google Scholar 

  • Gooren, L. (2005) Hormone treatment of the adult transsexual patient. Hormone Research 64(Suppl. 2):31–36.

    PubMed  CAS  Google Scholar 

  • Gooren, L., and Delemarre-van de Waal, H. (1996) The feasibility of endocrine interventions in juvenile transsexuals. Journal of Psychology and Human Sexuality 8(4):69–74.

    Google Scholar 

  • Gooren, L., Asscheman, H., and Newling, D. (1997) Prostate cancer in male-tofemale transsexual. Presented at the XV Harry Benjamin International Gender Dysphoria Association Symposium, Vancouver, BC, Canada.

    Google Scholar 

  • Gooren, L.J.G., Assies, J., Asscheman, H., de Slegte, R., and van Kessel, H. (1988) Estrogen-induced prolactinoma in a man. Journal of Clinical Endocrinology and Metabolism 66:444–446.

    PubMed  CAS  Google Scholar 

  • Gooren, L.J.G., Harmsen-Louman, W., and van Kessel, H. (1985) Follow-up of prolactin levels in long-term oestrogen-treated male-to-female transsexuals with regard to prolactinoma induction. Clinical Endocrinology (Oxford) 22:201–207.

    CAS  Google Scholar 

  • Gottlieb, L.J., Levine, L.A., and Zachary, L.S. (1999) Radial forearm free flap for phallic reconstruction. In: Ehrlich, R., and Alter, G. (eds) Reconstructive and plastic surgery of the external genitalia. Saunders, Philadelphia, pp. 294–300.

    Google Scholar 

  • Grabellus, F., Worm, K., Willruth, A., Schmitz, K.J., Otterbach, F., Baba, H.A., Kimmig, R., and Metz, K.A. (2005) ETV6-NTRK3 gene fusion in a secretory carcinoma of the breast of a male-to-female transsexual. Breast 14:71–74.

    PubMed  CAS  Google Scholar 

  • Grant, B.F., Hasin, D.S., Stinson, F.S., Dawson, D.A., Chou, S.P., Ruan, W.J., and Pickering, R.P. (2004a) Prevalence, correlates, and disability of personality disorders in the United States: results from the national epidemiologic survey on alcohol and related conditions. Journal of Clinical Psychiatry 65:948–958.

    PubMed  Google Scholar 

  • Grant, B.F., Stinson, F.S., Dawson, D.A., Chou, S.P., Dufour, M.C., Compton, W., Pickering, R.P., and Kaplan, K. (2004b) Prevalence and co-occurrence of substance use disorders and independent mood and anxiety disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Archives of General Psychiatry 61:807–816.

    PubMed  Google Scholar 

  • Green, R., and Fleming, D.T. (1990) Transsexual surgery follow-up: status in the 1990s. Annual Review of Sex Research 1:163–174.

    Google Scholar 

  • Greenman, Y. (2004) The endocrine care of transsexual people [letter to the editor]. Journal of Clinical Endocrinology and Metabolism 89:1014.

    PubMed  CAS  Google Scholar 

  • Hage, J.J. (1996) Metaidoioplasty: an alternative phalloplasty technique in transsexuals. Plastic and Reconstructive Surgery 97:161–167.

    PubMed  CAS  Google Scholar 

  • Hage, J.J., and Karim, R.B. (2000) Ought GIDNOS get nought? Treatment options for nontranssexual gender dysphoria. Plastic and Reconstructive Surgery 105:1222–1227.

    PubMed  CAS  Google Scholar 

  • Hage, J.J., and van Kesteren, P.J. (1995) Chest-wall contouring in female-to-male transsexuals: basic considerations and review of the literature. Plastic and Reconstructive Surgery 96:386–391.

    PubMed  CAS  Google Scholar 

  • Hage, J.J., Dekker, J.J., Karim, R.B., Verheijen, R.H., and Bloemena, E. (2000) Ovarian cancer in female-to-male transsexuals: report of two cases. Gynecologic Oncology 76:413–415.

    PubMed  CAS  Google Scholar 

  • Hage, J.J., Kanhai, R.C., Oen, A.L., van Diest, P.J., and Karim, R.B. (2001) The devastating outcome of massive subcutaneous injection of highly viscous fluids in male-to-female transsexuals. Plastic and Reconstructive Surgery 107:734–741.

    PubMed  CAS  Google Scholar 

  • Haraldsen, I.R., and Dahl, A.A. (2000) Symptom profiles of gender dysphoric patients of transsexual type compared to patients with personality disorders and healthy adults. Acta Psychiatrica Scandinavica 102:276–281.

    PubMed  CAS  Google Scholar 

  • Harder, Y., Erni, D., and Banic, A. (2002) Squamous cell carcinoma of the penile skin in a neovagina 20 years after male-to-female reassignment. British Journal of Plastic Surgery 55:449–451.

    PubMed  CAS  Google Scholar 

  • Harris, R., and Lohr, K.N. (2002) Screening for prostate cancer: an update of the evidence for the U.S. Preventive Services Task Force. Annals of Internal Medicine 137:917–929.

    PubMed  Google Scholar 

  • Hepp, U., Kraemer, B., Schnyder, U., Miller, N., and Delsignore, A. (2005) Psychiatric comorbidity in gender identity disorder. Journal of Psychosomatic Research 58:259–261.

    PubMed  CAS  Google Scholar 

  • Hoebeke, P., de Cuypere, G., Ceulemans, P., and Monstrey, S. (2003) Obtaining rigidity in total phalloplasty: experience with 35 patients. Journal of Urology 169:221–223.

    PubMed  CAS  Google Scholar 

  • Hoenig, J., and Kenna, J.C. (1974) The nosological position of transsexualism. Archives of Sexual Behavior 3:273–287.

    PubMed  CAS  Google Scholar 

  • Hunt, D.D., Carr, J.E., and Hampson, J.L. (1981) Cognitive correlates of biologic sex and gender identity in transsexualism. Archives of Sexual Behavior 10:65–77.

    PubMed  CAS  Google Scholar 

  • Israel, G.E., and Tarver, D.E., II. (1997) Transgender care: recommended guidelines, practical information, and personal accounts. Temple University Press, Philadelphia.

    Google Scholar 

  • Jequier, A.M., Bullimore, N.J., and Bishop, M.J. (1989) Cyproterone acetate and a small dose of oestrogen in the pre-operative management of male transsexuals: a report of three cases. Andrologia 21:456–461.

    PubMed  CAS  Google Scholar 

  • Jin, B., Turner, L., Walters, W.A., and Handelsman, D.J. (1996) The effects of chronic high dose androgen or estrogen treatment on the human prostate. Journal of Clinical Endocrinology and Metabolism 81:4290–4295.

    PubMed  CAS  Google Scholar 

  • Kanhai, R.C., Hage, J.J., and Karim, R.B. (2001) Augmentation mammaplasty in male-to-female trans-sexuals: facts and figures from Amsterdam. Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery 35:203–206.

    PubMed  CAS  Google Scholar 

  • Kanhai, R.C., Hage, J.J., and Mulder, J.W. (2000a) Long-term outcome of augmentation mammaplasty in male-to-female transsexuals: a questionnaire survey of 107 patients. British Journal of Plastic Surgery 53:209–211.

    PubMed  CAS  Google Scholar 

  • Kanhai, R.C., Hage, J.J., Bloemena, E., van Diest, P.J., and Karim, R.B. (1999) Mammary fibroadenoma in a male-to-female transsexual. Histopathology 35:183–185.

    PubMed  CAS  Google Scholar 

  • Kanhai, R.C., Hage, J.J., van Diest, P.J., Bloemena, E., and Mulder, J.W. (2000b) Short-term and long-term histologic effects of castration and estrogen treatment on breast tissue of 14 male-to-female transsexuals in comparison with two chemically castrated men. American Journal of Surgical Pathology 24:74–80.

    PubMed  CAS  Google Scholar 

  • Karim, R.B., Hage, J.J., and Mulder, J.W. (1996) Neovaginoplasty in male transsexuals: review of surgical techniques and recommendations regarding eligibility. Annals of Plastic Surgery 37:669–675.

    PubMed  CAS  Google Scholar 

  • Kellogg, T.A., Clements-Nolle, K., Dilley, J., Katz, M.H., and McFarland, W. (2001) Incidence of human immunodeficiency virus among male-to-female transgendered persons in San Francisco. Journal of Acquired Immune Deficiency Syndrome 28:380–384.

    CAS  Google Scholar 

  • Kenagy, G.P. (2002) HIV among transgendered people. AIDS Care 14:127–134.

    PubMed  CAS  Google Scholar 

  • Kessler, R.C., Berglund, P., Demler, O., Jin, R., Merikangas, K.R., and Walters, E.E. (2005a) Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry 62:593–602.

    PubMed  Google Scholar 

  • Kessler, R.C., Chiu, W.T., Demler, O., Merikangas, K.R., and Walters, E.E. (2005b) Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry 62:617–627.

    PubMed  Google Scholar 

  • Kim, C.H., Chung, D.H., Yoo, C.G., Lee, C.T., Han, S.K., Shim, Y.S., and Kim, Y.W. (2003) A case of acute pneumonitis induced by injection of silicone for colpoplasty. Respiration 70:104–106.

    PubMed  Google Scholar 

  • Kirk, S. (2001) Human papilloma virus infection: a potential menace in the transsexual community and the importance of gynecologic evaluation for the postoperative male to female transsexual. Presented at the XVII Harry Benjamin International Symposium on Gender Dysphoria, Galveston, TX.

    Google Scholar 

  • Kovacs, K., Stefaneanu, L., Ezzat, S., and Smyth, H.S. (1994) Prolactinproducing pituitary adenoma in a male-to-female transsexual patient with protracted estrogen administration: a morphologic study. Archives of Pathology & Laboratory Medicine 118:562–565.

    CAS  Google Scholar 

  • Krege, S., Bex, A., Lümmen, G., and Rübben, H. (2001) Male-to-female transsexualism: a technique, results, and long-term follow-up in 66 patients. BJU International 88:396–402.

    PubMed  CAS  Google Scholar 

  • Krieger, M.J., McAninch, J.W., and Weimer, S.R. (1982) Self-performed bilateral orchiectomy in transsexuals. Journal of Clinical Psychiatry 43:292–293.

    PubMed  CAS  Google Scholar 

  • Kuiper, B., and Cohen-Kettenis, P.T. (1988) Sex reassignment surgery: a study of 141 Dutch transsexuals. Archives of Sexual Behavior 17:439–457.

    PubMed  CAS  Google Scholar 

  • Kwan, M., Van Maasdam, J., and Davidson, J.M. (1985) Effects of estrogen treatment on sexual behavior in male-to-female transsexuals: experimental and clinical observations. Archives of Sexual Behavior 14:29–40.

    PubMed  CAS  Google Scholar 

  • Langevin, R., Paitich, D., and Steiner, B. (1977) The clinical profile of male transsexuals living as females vs. those living as males. Archives of Sexual Behavior 6:143–154.

    PubMed  CAS  Google Scholar 

  • Langstrom, N., and Zucker, K.J. (2005) Transvestic fetishism in the general population: prevalence and correlates. Journal of Sex & Marital Therapy 31:87–95.

    Google Scholar 

  • Laumann, E.O., Gagnon, J.H., Michael, R.T., and Michaels, S. (1994) The social organization of sexuality: sexual practices in the United States. University of Chicago Press, Chicago.

    Google Scholar 

  • Lawrence, A.A. (2001) Vaginal neoplasia in a male-to-female transsexual: case report, review of the literature, and recommendations for cytological screening. International Journal of Transgenderism 5(1). Retrieved August 18, 2004, from http://www.symposion.com/ijt/ijtvo05no01_01.htm.

    Google Scholar 

  • Lawrence, A.A. (2003) Factors associated with satisfaction or regret following male-to-female sex reassignment surgery. Archives of Sexual Behavior 32:299–315.

    PubMed  Google Scholar 

  • Lawrence, A.A. (in press) Self-reported complications and functional outcomes of male-to-female sex reassignment surgery. Archives of Sexual Behavior.

    Google Scholar 

  • Lawrence, A.A., Shaffer, J.D., Snow, W.R., Chase, C., and Headlam, B.T. (1996) Health care needs of transgendered patients [letter to the editor]. JAMA 276:874.

    PubMed  CAS  Google Scholar 

  • Leavitt, F., Berger, J.C., Hoeppner, J.-A., and Northrop, G. (1980) Presurgical adjustment in male transsexuals with and without hormonal treatment. Journal of Nervous and Mental Disease 168:693–697.

    PubMed  CAS  Google Scholar 

  • Leinonen, P., Ruokonen, A., Kontturi, M., and Vihko, R. (1981) Effects of estrogen treatment on human testicular unconjugated steroid and steroid sulfate production in vivo. Journal of Clinical Endocrinology and Metabolism 53:569–573.

    PubMed  CAS  Google Scholar 

  • Lemmo, G., Garcea, N., Corsello, S., Tarquini, E., Palladino, T., Ardito, G., and Garcea, R. (2003) Breast fibroadenoma in a male-to-female transsexual patient after hormonal treatment. European Journal of Surgery Supplement 588:69–71.

    PubMed  Google Scholar 

  • Lev, A.I. (2004) Transgender emergence: therapeutic guidelines for working with gender-variant people and their families. Haworth Clinical Practice Press, Binghamton, NY.

    Google Scholar 

  • Levine, S.B., Brown, G., Coleman, E., Cohen-Kettenis, P., Hage, J.J., Van Maasdam, J., Petersen, M., Pfäfflin, F., and Schaefer, L.C. (1998) The standards of care for gender identity disorders, 5th ed. Symposion, Düsseldorf.

    Google Scholar 

  • Lips, P., van Kesteren, P.J., Asscheman, H., and Gooren, L.J.G. (1996) The effect of androgen treatment on bone metabolism in female-to-male transsexuals. Journal of Bone and Mineral Research 11:1769–1773.

    PubMed  CAS  Google Scholar 

  • Lombardi, E.L., Wilchins, R.A., Priesing, D., and Malouf, D. (2001) Gender violence: transgender experiences with violence and discrimination. Journal of Homosexuality 42(1):89–101.

    PubMed  CAS  Google Scholar 

  • Lothstein, L.M. (1992) Clinical management of gender dysphoria in young boys: genital mutilation and DSM-IV implications. Journal of Psychology and Human Sexuality 5(4):87–106.

    Google Scholar 

  • Lübbert, H., Leo-Rossberg, I., and Hammerstein, J. (1992) Effects of ethinyl estradiol on semen quality and various hormonal parameters in a eugonadal male. Fertility and Sterility 58:603–608.

    PubMed  Google Scholar 

  • Markland, C. (1975) Transexual surgery. Obstetrics and Gynecology Annual 4:309–330.

    PubMed  CAS  Google Scholar 

  • Mate-Kole, C., Freschi, M., and Robin, A. (1990) A controlled study of psychological and social change after surgical gender reassignment in selected male transsexuals. British Journal of Psychiatry 157:261–264.

    PubMed  CAS  Google Scholar 

  • McCredie, R.J., McCrohon, J.A., Turner, L., Griffiths, K.A., Handelsman, D.J., and Celermajer, D.S. (1998) Vascular reactivity is impaired in genetic females taking high-dose androgens. Journal of the American College of Cardiology 32:1331–1335.

    PubMed  CAS  Google Scholar 

  • McCrohon, J.A., Walters, W.A., Robinson, J.T., McCredie, R.J., Turner, L., Adams, M.R., Handelsman, D.J., and Celermajer, D.S. (1997) Arterial reactivity is enhanced in genetic males taking high dose estrogens. Journal of the American College of Cardiology 29:1432–1436.

    PubMed  CAS  Google Scholar 

  • McGovern, S.J. (1995) Self-castration in a transsexual. Journal of Accident & Emergency Medicine 12:57–58.

    CAS  Google Scholar 

  • McGowan, C.K. (1999) Transgender needs assessment. HIV Prevention Planning Unit, New York City Department of Health, New York.

    Google Scholar 

  • Meyenburg, B. (1999) Gender identity disorder in adolescence: outcomes of psychotherapy. Adolescence 34:305–313.

    PubMed  CAS  Google Scholar 

  • Meyer, W., III, Bockting, W.O., Cohen-Kettenis, P., Coleman, E., DiCeglie, D., Devor, H., Gooren, L., Hage, J.J., Kirk, S., Kuiper, B., Laub, D., Lawrence, A., Menard, Y., Monstrey, S., Patton, J., Schaefer, L., Webb, A., and Wheeler, C.C. (2001) The standards of care for gender identity disorders, 6th ed. Symposion, Düsseldorf.

    Google Scholar 

  • Meyer, W.J., III, Webb, A., Stuart, C.A., Finkelstein, J.W., Lawrence, B., and Walker, P.A. (1986) Physical and hormonal evaluation of transsexual patients: a longitudinal study. Archives of Sexual Behavior 15:121–138.

    PubMed  Google Scholar 

  • Miach, P.P., Berah, E.F., Butcher, J.N., and Rouse, S. (2000) Utility of the MMPI-2 in assessing gender dysphoric patients. Journal of Personality Assessment 75:268–279.

    PubMed  CAS  Google Scholar 

  • Michel, A., Ansseau, M., Legros, J.J., Pitchot, W., Cornet, J.P., and Mormont, C. (2002) Comparisons of two groups of sex-change applicants based on the MMPI. Psychological Reports 91:233–240.

    PubMed  CAS  Google Scholar 

  • Michel, A., Mormont, C., and Legros, J.J. (2001) A psycho-endocrinological overview of transsexualism. European Journal of Endocrinology 145:365–376.

    PubMed  CAS  Google Scholar 

  • Miglioretti, D.L., Rutter, C.M., Geller, B.M., Cutter, G., Barlow, W.E., Rosenberg, R., Weaver, D.L., Taplin, S.H., Ballard-Barbash, R., Carney, P.A., Yankaskas, B.C., and Kerlikowske, K. (2004) Effect of breast augmentation on the accuracy of mammography and cancer characteristics. JAMA 291:442–450.

    PubMed  CAS  Google Scholar 

  • Miller, N., Bedard, Y.C., Cooter, N.B., and Shaul, D.L. (1986) Histological changes in the genital tract in transsexual women following androgen therapy. Histopathology 10:661–669.

    PubMed  CAS  Google Scholar 

  • Moore, E., Wisniewski, A., and Dobs, A. (2003) Endocrine treatment of transsexual people: a review of treatment regimens, outcomes, and adverse effects. Journal of Clinical Endocrinology and Metabolism 88:3467–3473.

    PubMed  CAS  Google Scholar 

  • Mueller, A., Dittrich, R., Binder, H., Kuehnel, W., Maltaris, T., Hoffmann, I., and Beckmann, M.W. (2005) High dose estrogen treatment increases bone mineral density in male-to-female transsexuals receiving gonadotropin-releasing hormone agonist in the absence of testosterone. European Journal of Endocrinology 153:107–113.

    PubMed  CAS  Google Scholar 

  • Muirhead-Allwood, S.K., Royle, M.G., and Young, R. (1999) Sexuality and satisfaction with surgical results in male-to-female transsexuals. Poster presented at the Harry Benjamin International Gender Dysphoria Association XVI Biennial Symposium, London.

    Google Scholar 

  • Murphy, D., Murphy, M., and Grainger, R. (2001) Self-castration. Irish Journal of Medical Science 170:195.

    PubMed  CAS  Google Scholar 

  • Nemoto, T., Luke, D., Mamo, L., Ching, A., and Patria, J. (1999) HIV risk behaviours among male-to-female transgenders in comparison with homosexual or bisexual males and heterosexual females. AIDS Care 11:297–312.

    PubMed  CAS  Google Scholar 

  • Nemoto, T., Operario, D., Keatley, J., Han, L., and Soma, T. (2004) HIV risk behaviors among male-to-female transgender persons of color in San Francisco. American Journal of Public Health 94:1193–1199.

    PubMed  Google Scholar 

  • New, G., Timmins, K.L., Duffy, S.J., Tran, B.T., O’Brien, R.C., Harper, R.W., and Meredith, I.T. (1997) Long-term estrogen therapy improves vascular function in male to female transsexuals. Journal of the American College of Cardiology 29:1437–1444.

    PubMed  CAS  Google Scholar 

  • Newfield, E., Hart, S., Dibble, S., and Kohler, L. (in press) Female-to-male transgender quality of life. Quality of Life Research.

    Google Scholar 

  • Orentreich, N., and Durr, N.P. (1974) Mammogenesis in transsexuals. Journal of Investigative Dermatology 63:142–146.

    PubMed  CAS  Google Scholar 

  • Oriel, K.A. (2000) Medical care of transsexual patients. Journal of the Gay and Lesbian Medical Association 4:185–194.

    Google Scholar 

  • Perego, E., Scaini, A., Romano, F., Franciosi, C., and Uggeri, F. (2004) Estrogen-induced severe acute pancreatitis in a male. JOP 5:352–356. Retrieved March 3, 2006, from http://www.joplink.net/prev/200409/200409_06.pdf.

    Google Scholar 

  • Perrone, A.M., Cerpolini, S., D’Emidio, L., Mollo, F., Pelusi, G., and Meriggiola, M.C. (2003) Effects of long-term testosterone administration on sexual behavior and mood in female to male subjects. Presented at the XVIII Biennial Symposium of the Harry Benjamin International Gender Dysphoria Association, Ghent, Belgium.

    Google Scholar 

  • Polderman, K.H., Gooren, L.J.G., Asscheman, H., Bakker, A., and Heine, R.J. (1994) Induction of insulin resistance by androgens and estrogens. Journal of Clinical Endocrinology and Metabolism 79:265–271.

    PubMed  CAS  Google Scholar 

  • Prior, J.C., Vigna, Y.M., and Watson, D. (1989) Spironolactone with physiological female steroids for presurgical therapy of male-to-female transsexualism. Archives of Sexual Behavior 18:49–57.

    PubMed  CAS  Google Scholar 

  • Pritchard, T.J., Pankowsky, D.A., Crowe, J.P., and Abdul-Karim, F.W. (1988) Breast cancer in a male-to-female transsexual: a case report. JAMA 259:2278–2280.

    PubMed  CAS  Google Scholar 

  • Prosser, J. (1998) Second skins: the body narratives of transsexuality. Columbia University Press, New York.

    Google Scholar 

  • Rae, V., Pardo, R.J., Blackwelder, P.L., and Falanga, V. (1989) Leg ulcers following subcutaneous injection of a liquid silicone preparation. Archives of Dermatology 125:670–673.

    PubMed  CAS  Google Scholar 

  • Rana, A., and Johnson, D. (1993) Sequential self-astration and amputation of penis. British Journal of Urology 71:750.

    PubMed  CAS  Google Scholar 

  • Reutrakul, S., Ongphiphadhanakul, B., Piaseu, N., Krittiyawong, S., Chanprasertyothin, S., Bunnag, P., and Rajatanavin, R. (1998) The effects of oestrogen exposure on bone mass in male to female transsexuals. Clinical Endocrinology (Oxford) 49:811–814.

    CAS  Google Scholar 

  • Rhoden, E.L., and Morgentaler, A. (2004) Risks of testosterone-replacement therapy and recommendations for monitoring. New England Journal of Medicine 350:482–492.

    PubMed  CAS  Google Scholar 

  • Rodriguez, M.A., Martinez, M.C., Lopez-Artiguez, M., Soria, M.L., Bernier, F., and Repetto, M. (1989) Lung embolism with liquid silicone. Journal of Forensic Science 34:504–510.

    CAS  Google Scholar 

  • Rohrmann, D., and Jakse, G. (2003) Urethroplasty in female-to-male transsexuals. European Urology 44:611–614.

    PubMed  Google Scholar 

  • Rosenmund, A., Köchli, H.P., and König, M.P. (1988) Sex-related differences in hematological values: a study on the erythrocyte and granulocyte count, plasma iron and iron-binding proteins in human transsexuals on contrasexual hormone therapy. Blut 56:13–17.

    PubMed  CAS  Google Scholar 

  • Rosioreanu, A., Brusca-Augello, G.T., Ahmed, Q.A., and Katz, D.S. (2004) CT visualization of silicone-related pneumonitis in a transsexual man. American Journal of Roentgenology 183:248–249.

    PubMed  Google Scholar 

  • Ross, M.W., and Need, J.A. (1989) Effects of adequacy of gender reassignment surgery on psychological adjustment: a follow-up of fourteen male-to-female patients. Archives of Sexual Behavior 18:145–153.

    PubMed  CAS  Google Scholar 

  • Scarabin, P.Y., Oger, E., and Plu-Bureau, G. (2003) Differential association of oral and transdermal oestrogen-replacement therapy with venous thromboembolism risk. Lancet 362:428–432.

    PubMed  CAS  Google Scholar 

  • Schlatterer, K., Auer, D.P., Yassouridis, A., von Werder, K., and Stalla, G.K. (1998a) Transsexualism and osteoporosis. Experimental and Clinical Endocrinology & Diabetes 106:365–368.

    CAS  Google Scholar 

  • Schlatterer, K., von Werder, K., and Stalla, G.K. (1996) Multistep treatment concept of transsexual patients. Experimental and Clinical Endocrinology & Diabetes 104:413–419.

    CAS  Google Scholar 

  • Schlatterer, K., Yassouridis, A., von Werder, K., Poland, D., Kemper, J., and Stalla, G.K. (1998b) A follow-up study for estimating the effectiveness of a cross-gender hormone substitution therapy on transsexual patients. Archives of Sexual Behavior 27:475–492.

    PubMed  CAS  Google Scholar 

  • Schroder, M., and Carroll, R. (1999) New women: sexological outcomes of male-to-female gender reassignment surgery. Journal of Sex Education and Therapy 24:137–146.

    Google Scholar 

  • Schulze, C. (1988) Response of the human testis to long-term estrogen treatment: morphology of Sertoli cells, Leydig cells and spermatogonial stem cells. Cell and Tissue Research 251:31–43.

    PubMed  CAS  Google Scholar 

  • Sengezer, M., and Sadove, R.C. (1993) Scrotal construction by expansion of labia majora in biological female transsexuals. Annals of Plastic Surgery 31: 372–376.

    PubMed  CAS  Google Scholar 

  • Serri, O., Noiseux, D., Robert, F., and Hardy, J. (1996) Lactotroph hyperplasia in an estrogen treated male-to-female transsexual patient. Journal of Clinical Endocrinology and Metabolism 81:3177–3179.

    PubMed  CAS  Google Scholar 

  • Shin, H., Lemke, B.N., Stevens, T.S., and Lim, M.J. (1998) Posterior ciliary-artery occlusion after subcutaneous silicone-oil injection. Annals of Ophthalmology 20:342–344.

    Google Scholar 

  • Simon, P.A., Reback, C.J., and Bemis, C.C. (2000) HIV prevalence and incidence among male-to-female transsexuals receiving HIV prevention services in Los Angeles County. AIDS 14:2953–2955.

    PubMed  CAS  Google Scholar 

  • Slabbekoorn, D., van Goozen, S., Gooren, L., and Cohen-Kettenis, P. (2001) Effects of cross-sex hormone treatment on emotionality in transsexuals. International Journal of Transgenderism 5(3). Retrieved August 18, 2004, from http://www.symposion.com/ijt/ijtvo05no03_02.htm.

    Google Scholar 

  • Smith, Y.L., van Goozen, S.H., and Cohen-Kettenis, P.T. (2001) Adolescents with gender identity disorder who were accepted or rejected for sex reassignment surgery: a prospective follow-up study. Journal of the American Academy of Child and Adolescent Psychiatry 40:472–481.

    PubMed  CAS  Google Scholar 

  • Sosa, M., Jódar, E., Arbelo, E., Domínguez, C., Saavedra, P., Torres, A., Salido, E., de Tejada, M.J., and Hernández, D. (2003) Bone mass, bone turnover, vitamin D, and estrogen receptor gene polymorphisms in male to female transsexuals: effects of estrogenic treatment on bone metabolism of the male. Journal of Clinical Densitometry 6:297–304.

    PubMed  Google Scholar 

  • Sosa, M., Jódar, E., Arbelo, E., Domínguez, C., Saavedra, P., Torres, A., Salido, E., Limiñana, J.M., Gómez de Tejada, M.J., and Hernández, D. (2004) Serum lipids and estrogen receptor gene polymorphisms in male-to-female transsexuals: effects of estrogen treatment. European Journal of Internal Medicine 15:231–237.

    PubMed  CAS  Google Scholar 

  • Spinder, T., Spijkstra, J.J., van den Tweel, J.G., Burger, C.W., van Kessel, H., Hompes, P.G., and Gooren, L.J.G. (1989) The effects of long term testosterone administration on pulsatile luteinizing hormone secretion and on ovarian histology in eugonadal female to male transsexual subjects. Journal of Clinical Endocrinology and Metabolism 69:151–157.

    PubMed  CAS  Google Scholar 

  • Symmers, W.S. (1968) Carcinoma of breast in trans-sexual individuals after surgical and hormonal interference with the primary and secondary sex characteristics. British Medical Journal 2:82–85.

    PubMed  CAS  Google Scholar 

  • Tangpricha, V., Afdhal, N.H., and Chipkin, S.R. (2001) Case report: autoimmune hepatitis in a male-to-female transsexual treated with conjugated estrogens. International Journal of Transgenderism 5(3). Retrieved August 18, 2004, from http://www.symposion.com/ijt/ijtvo05no03_03.htm.

    Google Scholar 

  • Tangpricha, V., Ducharme, S.H., Barber, T.W., and Chipkin, S.R. (2003) Endocrinologic treatment of gender identity disorders. Endocrine Practice 9:12–21.

    PubMed  Google Scholar 

  • Thurston, A.V. (1994) Carcinoma of the prostate in a transsexual. British Journal of Urology 73:217.

    PubMed  CAS  Google Scholar 

  • Tjaden, P., and Thoennes, N. (2000) Full report of the prevalence, incidence, and consequences of violence against women: findings of the National Violence Against Women Survey. Publication no. NCJ 183781. U.S. Department of Justice, National Institute of Justice, Rockville, MD.

    Google Scholar 

  • Tom Waddell Health Center Transgender Teamerican (2001) Protocols for hormonal reassignment of gender. Retrieved August 18, 2004, from http://www.dph.sf.ca.us/chn/HlthCtrs/HlthCtrDocs/TransGendprotocols.pdf.

    Google Scholar 

  • Toorians, A.W., Thomassen, M.C., Zweegman, S., Magdeleyns, E.J., Tans, G., Gooren, L.J., and Rosing, J. (2003) Venous thrombosis and changes of hemostatic variables during cross-sex hormone treatment in transsexual people. Journal of Clinical Endocrinology and Metabolism 88:5723–5729.

    PubMed  CAS  Google Scholar 

  • T’Sjoen, G., Rubens, R., De Sutter, P., and Gooren, L. (2004) The endocrine care of transsexual people [letter to the editor]. Journal of Clinical Endocrinology and Metabolism 89:1014–1015.

    PubMed  CAS  Google Scholar 

  • Tsushima, W.T., and Wedding, D. (1979) MMPI results of male candidates for transsexual surgery. Journal of Personality Assessment 43:385–387.

    PubMed  CAS  Google Scholar 

  • Valera, R.J., Sawyer, R.G., and Schiraldi, G.R. (2001) Violence and posttraumatic stress disorder in a sample of inner city street prostitutes. American Journal of Health Studies 16:149–155.

    Google Scholar 

  • Van Goozen, S.H., Cohen-Kettenis, P.T., Gooren, L.J.G., Frijda, N.H., and Van de Poll, N.E. (1995) Gender differences in behaviour: activating effects of cross-sex hormones. Psychoneuroendocrinology 20:343–363.

    PubMed  Google Scholar 

  • Van Haarst, E.P., Newling, D.W., Gooren, L.J.G., Asscheman, H., and Prenger, D.M. (1998) Metastatic prostatic carcinoma in a male-to-female transsexual. British Journal of Urology 81:776.

    PubMed  Google Scholar 

  • Van Kemenade, J.F.L.M., Cohen-Kettenis, P.T., Cohen, L., and Gooren, L.J.G. (1989) Effects of the pure antiandrogen RU 23.903 (anandron) on sexuality, aggression, and mood in male-to-female transsexuals. Archives of Sexual Behavior 18:217–228.

    PubMed  Google Scholar 

  • Van Kesteren, P.J., Asscheman, H., Megens, J.A., and Gooren, L.J. (1997) Mortality and morbidity in transsexual subjects treated with cross-sex hormones. Clinical Endocrinology (Oxford) 47:337–342.

    Google Scholar 

  • Van Kesteren, P., Lips, P., Deville, W., Popp-Snijders, C., Asscheman, H., Megens, J., and Gooren, L.J.G. (1996a) The effect of one-year cross-sex hormonal treatment on bone metabolism and serum insulin-like growth factor-1 in transsexuals. Journal of Clinical Endocrinology and Metabolism 81:2227–2232.

    PubMed  Google Scholar 

  • Van Kesteren, P., Lips, P., Gooren, L.J.G., Asscheman, H., and Megens, J. (1998) Long-term follow-up of bone mineral density and bone metabolism in transsexuals treated with cross-sex hormones. Clinical Endocrinology (Oxford) 48:347–354.

    Google Scholar 

  • Van Kesteren, P., Meinhardt, W., van der Valk, P., Geldof, A., Megens, J., and Gooren, L. (1996b) Effects of estrogens only on the prostates of aging men. Journal of Urology 156:1349–1353.

    PubMed  Google Scholar 

  • Verschoor, A.M., and Poortinga, J. (1988) Psychosocial differences between Dutch male and female transsexuals. Archives of Sexual Behavior 17:173–178.

    PubMed  CAS  Google Scholar 

  • Weinberg, M.S., Shaver, F.M., and Williams, C.J. (1999) Gendered sex work in the San Francisco tenderloin. Archives of Sexual Behavior 28:503–521.

    PubMed  CAS  Google Scholar 

  • Wiessing, L.G., van Roosmalen, M.S., Koedijk, P., Bieleman, B., and Houweling, H. (1999) Silicones, hormones and HIV in transgender street prostitutes [letter to the editor]. AIDS 13:2315–2316.

    PubMed  CAS  Google Scholar 

  • Women’s Health Initiative Steering Committee. (2004) Effects of conjugated equine estrogen in postmenopausal women with hysterectomy: the Women’s Health Initiative randomized controlled trial. JAMA 291:1701–1712.

    Google Scholar 

  • Writing Group for the Women’s Health Initiative Investigators. (2002) Risks and benefits of estrogen plus progestin in healthy postmenopausal women: principal results from the Women’s Health Initiative randomized controlled trial. JAMA 288:321–333.

    Google Scholar 

  • Xavier, J. (2000) Final report of the Washington Transgender Needs Assessment Survey. Administration for HIV and AIDS, Government of the District of Columbia, Washington, DC.

    Google Scholar 

  • Zahl, P.H., Strand, B.H., and Maehlen, J. (2004) Incidence of breast cancer in Norway and Sweden during introduction of nationwide screening: prospective cohort study. BMJ 328:921–924.

    PubMed  Google Scholar 

  • Zucker, K.J. (2001) Gender identity disorder in children and adolescents. In: Gabbard, G.O. (ed) Treatment of psychiatric disorders, 3rd ed. American Psychiatric Publishing, Washington, DC, pp. 2069–2094.

    Google Scholar 

  • Zwirska-Korczala, K., Ostrowska, Z., and Fryczkowski, M. (1996) Effect of long-term androgen treatment on the function of hypothalamo-hypophysial and-adrenal axes in transsexual agonadal women. Endocrine Regulations 30:163–172.

    PubMed  CAS  Google Scholar 

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Lawrence, A.A. (2007). Transgender Health Concerns. In: Meyer, I.H., Northridge, M.E. (eds) The Health of Sexual Minorities. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-31334-4_19

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