De behandeling van jonge transseksuelen in Nederland

Translated title of the contribution: The treatment of young transsexuals in the Netherlands

P. T. Cohen-Kettenis, C. M.G. Dillen*, L. J.G. Gooren

*Corresponding author for this work

Research output: Contribution to journalReview articleAcademicpeer-review

Abstract

For more than ten years transsexual adolescents have been diagnosed and treated psychologically at the department of Child and Adolescent Psychiatry, University Medical Centre in Utrecht, the Netherlands. The medical part of the treatment takes place at the Academic Hospital of the Free University of Amsterdam. Diagnosis is done in two phases: The first diagnostic phase and the 'real life tet'. In this second phase the ability to live in the opposite gender role is tested. Gender dysphoric non-transsexual adolescents are offered psychoogical or psychiatric interventions. For transsexual adolescents with the express wish to undergo a sex change two types of hormones are prescribed. First, hormones which halt the own pubertal development, then crosssex hormones with irreversible effects. Surgery for adolescents is not different from surgery for adults. Although the cause of transsexuality is probably impaired sexual differentiation at cerebral level, it appears that the risk of unjustified treatment is higher when the treatment is administered at an early age than in adults: justified treatment, however, has better results when it is administered at an early age.

Original languageDutch
Pages (from-to)698-702
Number of pages5
JournalNederlands Tijdschrift voor Geneeskunde
Volume144
Issue number15
Publication statusPublished - 8 Apr 2000

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