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

Show simple item record Silveira, Mariana Telles [UNIFESP] Knobloch, Felicia Janovsky, Carolina Castro Porto Silva [UNIFESP] Kater, Claudio Elias [UNIFESP] 2020-07-31T12:47:48Z 2020-07-31T12:47:48Z 2016
dc.identifier.citation Archives Of Sexual Behavior. New York, v. 45, n. 7, p. 1871-1875, 2016.
dc.identifier.issn 0004-0002
dc.description.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 en
dc.description.abstract 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 en
dc.description.abstract 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. en
dc.description.sponsorship Adrenal Outpatient Clinic, at Escola Paulista de Medicina
dc.description.sponsorship Universidade Federal de Sao Paulo
dc.description.sponsorship Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
dc.format.extent 1871-1875
dc.language.iso eng
dc.publisher Springer/Plenum Publishers
dc.relation.ispartof Archives Of Sexual Behavior
dc.rights Acesso restrito
dc.subject Disorders of sex development en
dc.subject Congenital adrenal hyperplasia en
dc.subject Gender dysphoria en
dc.subject Sex-reassignment surgery en
dc.title Gender Dysphoria in a 62-Year-Old Genetic Female With Congenital Adrenal Hyperplasia en
dc.type Artigo
dc.description.affiliation Univ Fed Sao Paulo EPM UNIFESP, Escola Paulista Med, Dept Med, Adrenal & Hypertens Unit,Div Endocrinol, R Pedro de Toledo 781,13th Floor, BR-04039032 Sao Paulo, SP, Brazil
dc.description.affiliation PUC SP, Fac Ciencias Humanas & Saude, Psychol Program, Sao Paulo, SP, Brazil
dc.description.affiliationUnifesp Adrenal and Hypertension Unit, Division of Endocrinology, Department of Medicine Escola Paulista de Medicina at Universidade Federal de São Paulo (EPM/UNIFESP) São Paulo, Brazil
dc.identifier.doi 10.1007/s10508-016-0750-2
dc.description.source Web of Science
dc.identifier.wos WOS:000381971600027
dc.coverage New York
dc.citation.volume 45
dc.citation.issue 7


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