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

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dc.citation.issue7
dc.citation.volume45
dc.contributor.authorSilveira, Mariana Telles [UNIFESP]
dc.contributor.authorKnobloch, Felicia
dc.contributor.authorJanovsky, Carolina Castro Porto Silva [UNIFESP]
dc.contributor.authorKater, Claudio Elias [UNIFESP]
dc.coverageNew York
dc.date.accessioned2020-07-31T12:47:48Z
dc.date.available2020-07-31T12:47:48Z
dc.date.issued2016
dc.description.abstractWe 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 girlen
dc.description.abstractCAH 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 50sen
dc.description.abstractthereafter, 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.affiliationUniv 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.affiliationPUC SP, Fac Ciencias Humanas & Saude, Psychol Program, Sao Paulo, SP, Brazil
dc.description.affiliationUnifespAdrenal 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.description.sourceWeb of Science
dc.description.sponsorshipAdrenal Outpatient Clinic, at Escola Paulista de Medicina
dc.description.sponsorshipUniversidade Federal de Sao Paulo
dc.description.sponsorshipCoordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
dc.format.extent1871-1875
dc.identifierhttp://dx.doi.org/10.1007/s10508-016-0750-2
dc.identifier.citationArchives Of Sexual Behavior. New York, v. 45, n. 7, p. 1871-1875, 2016.
dc.identifier.doi10.1007/s10508-016-0750-2
dc.identifier.issn0004-0002
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/57092
dc.identifier.wosWOS:000381971600027
dc.language.isoeng
dc.publisherSpringer/Plenum Publishers
dc.relation.ispartofArchives Of Sexual Behavior
dc.rightsAcesso restrito
dc.subjectDisorders of sex developmenten
dc.subjectCongenital adrenal hyperplasiaen
dc.subjectGender dysphoriaen
dc.subjectSex-reassignment surgeryen
dc.titleGender Dysphoria in a 62-Year-Old Genetic Female With Congenital Adrenal Hyperplasiaen
dc.typeArtigo
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