Unidad de Identidad de Género, Servicio de Endocrinología y Nutrición, Hospital Universitario Doctor Peset, Valencia, España.
Unidad de Identidad de Género, Servicio de Endocrinología y Nutrición, Hospital Universitario Doctor Peset, Valencia, España.
Endocrinol Diabetes Nutr (Engl Ed). 2020 Nov;67(9):562-567. doi: 10.1016/j.endinu.2020.03.008. Epub 2020 Jun 24.
Health care demand by transsexual people has recently increased, mostly at the expense of young and adolescents. The number of people who report a loss of or change in the former identity feeling (identity desistance) has also increased. While these are still a minority, we face more and more cases of transsexual people who ask for detransition and reversal of the changes achieved due to regret.
To report our experience with a group of transsexual people in detransition phase, and to analyze their personal experience and their associated conflicts.
A cohort of 796 people with gender incongruence attending the Identity Gender Unit of Doctor Peset University Hospital from January 2008 to December 2018 was studied. Four of the eight documented cases of detransition and/or regret are reported as the most representative.
Causes of detransition included identity desistance, non-binary gender variants, associated psicomorbidities, and confusion between sexual identity and sexual orientation.
Detransition is a growing phenomenon that implies clinical, psychological, and social issues. Inadequate evaluation and use of medicalization as the only means to improve gender dysphoria may lead to later detransition in some teenagers. Comprehensive care by a multidisciplinary and experienced team is essential. As there are no studies reporting the factors predictive of detransition, caution is recommended in cases of atypical identity courses.
最近，跨性别者对医疗保健的需求有所增加，主要是年轻人和青少年的需求增加。报告称自己失去或改变了以前的身份认同感觉（认同倒退）的人数也有所增加。虽然这些人仍然占少数，但我们面临越来越多的跨性别者要求变性逆转和撤销因后悔而产生的变化。
报告我们在变性逆转阶段的一组跨性别者的经验，并分析他们的个人经历和相关冲突。
研究了 2008 年 1 月至 2018 年 12 月期间在 Doctor Peset 大学医院身份性别科就诊的 796 名性别不一致的人群。报告了 8 例记录在案的变性逆转和/或后悔病例中的 4 例，作为最具代表性的病例。
变性逆转的原因包括认同倒退、非二元性别变体、相关的心理共病以及性认同和性取向之间的混淆。
变性逆转是一种日益增长的现象，涉及临床、心理和社会问题。评估不足和将医学手段作为改善性别焦虑的唯一手段可能导致一些青少年后来发生变性逆转。由多学科和经验丰富的团队提供全面护理至关重要。由于没有研究报告变性逆转的预测因素，因此在身份认同过程不典型的情况下应谨慎处理。
