Last reviewed: November 2017
Last updated: October  2017

Summary

Definition

History and exam

Key diagnostic factors

  • gender dysphoria
  • altered appearance or affect

Other diagnostic factors

  • diminished sexual function or homosexuality
  • atypical speech and vocal quality

Risk factors

  • congenital adrenal hyperplasia
  • partial androgen insensitivity syndromes
  • Klinefelter syndrome

Diagnostic investigations

1st investigations to order

  • serum testosterone
  • serum dihydrotestosterone
  • serum FSH and LH
  • serum prolactin
  • serum LFTs
  • serum lipid screen
  • CBC
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Consultant Psychiatrist and Lead Clinician

Charing Cross Gender Identity Clinic

London

UK

Disclosures

JB is an author of a number of references cited in this monograph.

Peer reviewers VIEW ALL

Medical Director

Kings Harbor Multicare Center

Bronx

NY

Disclosures

RG declares that he has no competing interests.

Affiliate Assistant Professor

Department of Psychiatry and Behavioral Sciences

University of Washington Medical Center

Seattle

WA

Disclosures

CNS declares that he has no competing interests.

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