Gender dysphoria Flashcards
(17 cards)
What is the definition of sex?
The genitalia assigned at birth
What is gender identity?
A person’s sense of being female or male
What is someone’s gender role?
Someone’s personality and appearance, societal expectation
What is diversity of characteristics?
where the primary/secondary sex characteristics are ambiguous eg Klinefelter’s which XXY chromosomes causing a lack of testosterone
What is gender dysphoria?
distress due to incongruence of gender and sex
What is the defintion of transsexual?
seek to change primary or secondary sex characteristics
What is the defintion of sexual orientation?
sex of whom the individual engages in sexual activities, is aroused by and fantasises about.
What are male hormones?
Androgen
What are female hormones?
oestrogen
What are primary sex characteristics?
gonads and genitalia
What are secondary sex characteristics?
post puberty eg redistribution of body fat, hair growth, menstrual cycle, height, voice deepening
Describe the embryology of sex development?
External genitalia and gonads are present at 8 weeks
Masculinisation occurs due to the SRY gene (Y chromosome) which causes testes development due to testosterone and mullein inhibiting substance
Describe the embryology of gender development?
Sexual differentiation of the brain occurs in the second half of pregnancy and is a combination of hormones and genetics.
What is the aetiology of gender dysphoria?
Strong genetic component
ASD link
What is general management for trans gender people?
Porterbrook clinic referral with around 80 weeks waiting time
Remember that with trans people need to be aware of screening eg may still have a cervix or prostate
What manaagement can be done for trans males?
Psychotherapy/OT
Androgens +/- GNRH analogue
Speech and voice communications
Phalloplasty, urethroplasty and scrotoplasty
Bilateral mastectomy
Hysterectomy, vaginectomy and salpinoophectomy
Blockers to stop puberty
What management can be done for trans females?
Hair removal Speech and voice communication Psychotherapy/OT Vaginoplasty, clitoroplasty, vulvaplasty and labiaplasty HRT for life Can use blockers to stop puberty Penectomy, orchidectomy
