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Revista Cubana de Endocrinología
versão On-line ISSN 1561-2953
Resumo
OVIES CARBALLO, Gisel; DOMINGUEZ ALONSO, Emma e GOMEZ ALZUGARAY, Manuel. Changes in the secondary sexual characteristics of the patient with gender dysphoria as a result of endocrine therapy in Cuba. Rev Cubana Endocrinol [online]. 2020, vol.31, n.1 Epub 01-Ago-2020. ISSN 1561-2953.
Introduction:
Transsexualism is an inconsistency between the sex with which someone was born and the sex he or she feels belong to; therefore, these subjects want to do changes in their physical appearance that are achieved through hormonal treatment.
Objective:
To describe changes in the secondary sexual characteristics in patients with gender dysphoria in Cuba as a result of endocrine therapy.
Methods:
A study was conducted to review the clinical records in 76 patients treated by gender dysphoria in the past 15 years. It was collected the information related to socio-demographic data and some physical changes as a result of the hormonal therapy. For data analysis were obtained frequency distributions of the qualitative variables, the mean and the standard deviation of the quantitative ones.
Results:
The majority of patients correspond to male to female transsexuals (THM, by its acronym in Spanish). A year after, the majority of the patients already studied had a stage III or stage IV of breast development (45.3 %) of these had stage III and 32.3 % had stage IV). A year after the start of the attention of the 58 patients, 41.4% had a pattern of triangular hair typical of the female sex which they feel identified with and after 2 years it increased to 80.5 %. After a year, there were evaluated 50 % of all cases and at that time only 5.1 % maintained intense facial hair, and more than half (56.8 %) had no facial hair. At the beginning, the mean of testicular volume was 17.4 mL, after 3 months it was 15.7 mL, after 6 months was 14.3 mL and 9.7 mL after a year.
Conclusions:
Patients with gender dysphoria in most cases achieve changes in the secondary sexual characteristics in accordance with the sex which they feel identified with.
Palavras-chave : gender dysphoria; secondary sexual characteristics; treatment.