Sex reassignment of adolescent transsexuals: a follow-up study

PT Cohen-Kettenis, SHM Van Goozen - … of the American Academy of Child …, 1997 - Elsevier
Journal of the American Academy of Child & Adolescent Psychiatry, 1997Elsevier
OBJECTIVE: To investigate postoperative functioning of the first 22 consecutive adolescent
transsexual patients of our gender clinic who underwent sex reassignment surgery.
METHOD: The subjects were interviewed by an independent psychologist and filled out a
test battery containing questionnaires on their psychological, social, and sexual functioning.
All subjects had undergone surgery no less than 1 year before the study took place. Twelve
subjects had started hormone treatment between 16 and 18 years of age. The posttreatment …
OBJECTIVE
To investigate postoperative functioning of the first 22 consecutive adolescent transsexual patients of our gender clinic who underwent sex reassignment surgery.
METHOD
The subjects were interviewed by an independent psychologist and filled out a test battery containing questionnaires on their psychological, social, and sexual functioning. All subjects had undergone surgery no less than 1 year before the study took place. Twelve subjects had started hormone treatment between 16 and 18 years of age. The posttreatment data of each patient were compared with his or her own pretreatment data.
RESULTS
Postoperatively the group was no longer gender-dysphoric; they scored in the normal range with respect to a number of different psychological measures and they were socially functioning quite well. Not a single subject expressed feelings of regret concerning the decision to undergo sex reassignment.
CONCLUSIONS
Starting the sex reassignment procedure before adulthood results in favorable postoperative functioning, provided that careful diagnosis takes place in a specialized gender team and that the criteria for starting the procedure early are stringent.
Elsevier
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