Gender Dysphoria

What is gender dysphoria?

Not feeling like your physical and your psychological selves match up can be disturbing to the point of causing your mental health to deteriorate.  The decision to transition physically with hormones or surgery to match your psychological self is not a light one and can often take a long time for you and your close ones to come to terms with.  

Everyone is different with regards to the degree of change and transition needed to get to a feeling of wholeness.  Having that discussion with a doctor that understands you is important. We will guide you toward your transition in a manner and pace that suits you.  This can be worked out by yourself over time but starting the conversation is an important step.

What options are there for treatment?

In some individuals, there is a need and benefit in using hormone therapy whilst others prefer to go further and look at surgical options.  If hormonal therapy is what you are interested in, we can help.  We will make sure you get the right treatment but more importantly, monitor the effects of the treatment and reduce the risk of side effects. 

For those transitioning in the direction of male to female, oestrogen therapy and testosterone blockers are the mainstay.  There are many forms of these medications we can use.  Discussion around which works best for you as well as talking about therapies like progestogen replacement and fertility is part of the journey.  

For those transitioning in the direction of female to male, testosterone therapy is the mainstay.  Many forms of testosterone therapy are available and need to be discussed with your Endocrinologist.  During the initial phase of testosterone therapy, spotting can be distressing and we can discuss how to reduce this.   Also, concerns around fertility and monitoring of side effects of treatments is part of the journey. 

Last but not least, supporting you through the journey is vital not just with hormone therapy but also psychologically.   We will provide this support and ideally bring your family and close friends into the circle of support as well.  We welcome you bring them with you for the consultation as they may need some help transitioning with your transition too.