Gender Dysphoria

Question 1

Gender dysphoria

Answer 1

-marked incongruence between experienced/expressed gender and assigned gender

Question 2

Differential diagnosis of GD

Answer 2

• simple gender non-conformity in children
• Body dysmorphic disorder
• Schizophrenia (delusion)
• Transvestic disorder

Question 3

Treatments in GD

Answer 3

• watchful waiting in children
• fully reversible: pubertal block with CnRH agonist
• partially reversible: cross-sex hormonal therapy at age 16y
• irreversible: gender affirming surgery at legal age of majority with post-surgical psychotherapy that includes adjustment and skills training