Gender Dysphoria in a 62-Year-Old Genetic Female With Congenital Adrenal Hyperplasia

Gender Dysphoria in a 62-Year-Old Genetic Female With Congenital Adrenal Hyperplasia

Author Silveira, Mariana Telles Autor UNIFESP Google Scholar
Knobloch, Felicia Google Scholar
Janovsky, Carolina Castro Porto Silva Autor UNIFESP Google Scholar
Kater, Claudio Elias Autor UNIFESP Google Scholar
Abstract We report a case of gender dysphoria (GD) in a 62-year-old genetic female patient, raising the pros and cons of performing corrective surgery later in life. This 46,XX DSD patient was registered and reared as a girl

CAH was diagnosed late in childhood. Poor adherence to treatment and lack of proper psychological management contributed to evident GD. Living for years as a male, the patient applied for a legitimate male identification document in his late 50s

thereafter, he requested a sex-reassignment surgery "to disguise his female body upon his death." We informed the patient and family about surgery hazards, while analytical therapy allowed the group to evaluate the actual wish for surgery. When the wish was brought up, the role of death urged the group to rethink the course of treatment. During the process, it became clear that the patient's desire for surgery, more than a wish for changing the genitalia, expressed an impulse related to issues of endorsement and acceptance of his male identity. This report raises interesting questions about sexuality in a social context and prompts the idea that sexuality is broader than sex itself, raising new questions on the psychological risks faced when considering a body change after years of living with a disorder of sex development.
Keywords Disorders of sex development
Congenital adrenal hyperplasia
Gender dysphoria
Sex-reassignment surgery
xmlui.dri2xhtml.METS-1.0.item-coverage New York
Language English
Sponsor Adrenal Outpatient Clinic, at Escola Paulista de Medicina
Universidade Federal de Sao Paulo
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
Date 2016
Published in Archives Of Sexual Behavior. New York, v. 45, n. 7, p. 1871-1875, 2016.
ISSN 0004-0002 (Sherpa/Romeo, impact factor)
Publisher Springer/Plenum Publishers
Extent 1871-1875
Access rights Closed access
Type Article
Web of Science ID WOS:000381971600027

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