Transsexualism

Overview

The context of sexual orientation is based on the facts that the individual is attracted by personsof ther other or of the same sex. The gender identity disorder (GD) and subclinical variants occurin 3 to 4 per cent of children. Transsexualism is characterized by the intensive wish to live, looklike and behave as a person of the opposite sex. Causes of the disorders remains uncovered,a biological-maturation explanation prevails since the 80ies. The center responsible for fetal dimorphismof the brain is localized in hypothalamus. Sexual differentiation may be caused by thesize of BSTc (bed nucleus of stria terminalis). The gender identity is due to interaction betweenintrauterine evolution of the brain and the level of gonadotropic hormones. A surgical reconstructionof disorder of sexual identity – transsexualism – remains to be the most suitable treatment.A hormonal preparation is indicated before the operation. The surgical change of sex should berealized by a specialized team uder strict diagnostic and indication criteria.

Key words:
gender identity disorder, biological-maturation theory of transsexualism, bed nucleusof stria terminalis (BSTc), hormonal testosterone or estrogen preparation, surgical reconstruction.