Prediction of Regrets in Postoperative Transsexuals

Abstract

This study investigated whether heterosexual males are more likely to regret sex reassignment surgery than homosexual males or females. Subjects were 111 postoperative transsexuals who had been surgically reassigned for at least one year, representing a follow-up rate of 84.1%. Subjects' feelings about surgery were assessed with self-administered questionnaires. None of the 61 homosexual females or 36 homosexual males consciously regretted surgery, compared to 4 of the 14 heterosexual males: a significant difference. This finding suggests that heterosexual applicants for sex reassignment should be evaluated with particular caution, although a heterosexual preference is not an absolute contraindication for surgery.

La construcción de la identidad de género en pacientes transexuales

“…Tampoco logra la eliminación del vello facial (15,17), que constituye de forma significativa la mayor causa de sufrimiento para la paciente hombre-a-mujer, aún después de la cirugía (15). Debido a la urgente necesidad de adoptar la apariencia externa de una mujer, así como las dificultades que encuentran para ser tratadas por el sistema sanitario, recurren al autotratamiento hormonal con efectos secundarios para su salud (18).…”

Sex reassignment: outcomes and predictors of treatment for adolescent and adult transsexuals

“…It is in contrast with the literature on SR risk factors and clinically counter-intuitive. Early gender dysphoria has been associated with early-onset transsexualism and favourable SR outcome (see Lothstein, 1982 ;Blanchard, 1985 ;Lindemalm et al 1987 ;Blanchard et al 1989;Pfa¨fflin, 1992). Here, it is the combination of factors that is crucial.…”

“…In some follow-up studies different factors are proposed as influencing the outcomes of SR negatively (e.g. Wa˚linder et al 1978;Spengler, 1980 ;Lothstein, 1982 ;Lundstro¨m et al 1984 ;Blanchard, 1985 ;Lindemalm et al 1987 ;Blanchard et al 1989 ;Ross & Need, 1989 ;Pfa¨fflin, 1992 ;Pfa¨fflin & Junge, 1992 ;Kuiper & Cohen-Kettenis, 1998 ;Lande´n et al 1998). These factors lie in the area of psychological functioning, sexual orientation, age at assessment, onset age of gender dysphoria, family history and support, professional support during SR, and surgical outcomes.…”

Clinical and Theoretical Parallels Between Desire for Limb Amputation and Gender Identity Disorder

“…MtF transsexuals of whatever type who undergo SRS are usually very satisfied with their decisions (Green & Fleming, 1990;Lawrence, 2003;Muirhead-Allwood, Royle, & Young, 1999) and rarely express regrets about SRS per se, although a few express regrets related to other aspects of the reassignment process (Lawrence, 2003). Some studies (e.g., Blanchard, Steiner, Clemmensen, & Dickey, 1989;Smith, van Goozen, Kuiper, & Cohen-Kettenis, 2005) have suggested that regret after MtF SRS may be more likely in nonhomosexual MtF transsexuals than in their homosexual counterparts. However, neither the presence nor the frequency of autogynephilic arousal before MtF SRS was found to be associated with regret or dissatisfaction after SRS in one study that specifically examined these participant characteristics (Lawrence, 2003).…”