The, Or Gender Dysphoria

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Transgenderism, or gender dysphoria, is an area of medicine, which has been studied to some degree, yet remains vague as to pathophysiology and potentiating factors. There are, however, various hypotheses that have recently surfaced including sexual differentiation and sexual dimorphism of the brain. However, the evidence is insufficient to base the validity of these concepts. 8,5 Although the cause has yet to be fully understood, the diagnosis of gender variant individuals has changed drastically in the past 35 years, as aforementioned. In terms of diagnosis, clinicians utilize APA’s diagnostic criteria found in the current edition of DSM as well as International Classification of Diseases 10 (ICD-10). According to DSM-V, gender dysphoria is distress associated with an incongruence of assigned sex and expression of gender, which causes interference with social functionality. Currently, gender identity disorder is defined in ICD 10 (diagnosis code F64.1) as at least two years of a strong cross-sex identification usually accompanied by strong desire to medically transition one’s body to the expressed gender. 5 Treatment options for gender dysphoria have evolved since the 1950s when the first sex reassignment surgery was performed. The evolution of this medical intervention has allowed for a complex arena of highly controversial criteria on which to base treatment options. The discussion of who should or should not undergo intervention drove further the discussion of whom is
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