As sex reassignment surgeries become more common and advanced, health professionals are more likely to see patients with gender identity disorders (GID) in their clinics. This can be challenging in many ways, and the challenges continue even after gender reassignment surgery as each case may present with unique anatomy. This article reviews the definition and treatment of GID, service provision in National Health Service and post-transition care of such patients.
BestL, SteinK. Surgical gender reassignment for male to female transsexual people. Development & Evaluation Committee report number 88.Wessex Institute for Health Research & Development [www.pfc.org.uk/files/medical/sw-rpt.pdf] September 1998 (last accessed 2 October 2006)
9.
Guidelines for health organisations commissioning treatment services for individuals experiencing gender dysphoria and transsexualism. [http://www.gires.org.uk/Web_Page_Assets/frontframeset.htm] March 2005, (last accessed 2 October 2006)
10.
WylieK. ABC of sexual health. Gender related disorders.BMJ2004; 329: 61517
11.
van KesterenPJ, AsschemanH, MegensJA, GoorenLJ. Mortality and morbidity in transsexual subjects treated with cross-sex hormones.Clin Endocrinol (Oxf)1997; 47: 33742
12.
DittrichR, BinderH, CupistiS, HoffmannI, BeckmannMW, MuellerA. Endocrine treatment of male-to-female transsexuals using gonadotropin-releasing hormone agonist.Exp Clin Endocrinol Diabetes2005; 113: 58692
13.
LawrenceAA. Factors associated with satisfaction or regret following male to female sex reassignment surgery.Arch Sex Behav2003; 32: 29915
SchrangE. Plastic and reconstructive surgery - transsexual surgery. [www.drschrang.com] 2001 (last accessed 2 October 2006)
16.
LawrenceAA. Vaginal neoplasia in a male to female transsexual: case report, review of literature, and recommendations for cytological screening, [http://www.symposion.com/ijt/ijtvo05no01_01.htm] IJT 2001, January-March 5(1) (last accessed 2 October 2006)
17.
BodsworthNJ, PriceR, DaviesSC. Gonococcal infection of the neovagina in a male-to-female transsexual.Sex Transm Dis1994; 21: 2112
18.
SpeerSA, GreenR. Transsexual Identities: Constructions of Gender in an NHS Gender Identity Clinic [http://www.identities.org.uk/] Project running from October 2004-September 2007 (last accessed 2 October 2006)
19.
DyerC.Legal correspondent, BMJ. Blanket ban on treating transsexuals is ruled unlawful.BMJ1999; 7: 31938
SutcliffeP, DixonS. Gender reassignment surgery, evidence based commissioning collaboration. The school of health and related research (ScHARR), University of Sheffield. [www.pfc.org.uk/files/ScHARR.pdf] December 2005 (last accessed 2 October 2006)