Belgrade Center for Genital Reconstructive Surgery, Serbia.
University Children's Hospital, Belgrade, Serbia.
Biomed Res Int. 2018 Jun 13;2018:9652305. doi: 10.1155/2018/9652305. eCollection 2018.
Gender affirmation surgery remains one of the greatest challenges in transgender medicine. In recent years, there have been continuous discussions on bioethical aspects in the treatment of persons with gender dysphoria. Gender reassignment is a difficult process, including not only hormonal treatment with possible surgery but also social discrimination and stigma. There is a great variety between countries in specified tasks involved in gender reassignment, and a complex combination of medical treatment and legal paperwork is required in most cases. The most frequent bioethical questions in transgender medicine pertain to the optimal treatment of adolescents, sterilization as a requirement for legal recognition, role of fertility and parenthood, and regret after gender reassignment. We review the recent literature with respect to any new information on bioethical aspects related to medical treatment of people with gender dysphoria.
性别肯定手术仍然是 transgender 医学中的最大挑战之一。近年来，在性别焦虑症患者的治疗中，不断有关于生物伦理方面的讨论。性别重置是一个艰难的过程，不仅包括激素治疗和可能的手术，还包括社会歧视和污名。在性别重置所涉及的具体任务方面，各国之间存在很大差异，在大多数情况下，需要医疗和法律文书的复杂结合。在 transgender 医学中最常见的生物伦理问题涉及青少年的最佳治疗、绝育作为法律认可的要求、生育和育儿的作用，以及性别重置后的后悔。我们回顾了最近有关与性别焦虑症患者治疗相关的生物伦理方面的新信息的文献。
