TRANSSEXUALISM

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Abstract
The present discussion reviews some of the historical aspects of transsexualism, explores possible reasons for previous neglect of this major problem and attempts characterization of the transsexual patient on the basis of information contained in correspondence from individuals seeking evaluation and treatment. The primary deterrent to physician involvement in the transsexual problem is a self-protective one, namely fear of censure and considerations regarding reputation. Correspondence has been received by the Gender Identity Clinic from more than 700 individuals requesting evaluation and management. This report is based on the unsolicited information contained in letters from the initial 500 persons requesting evaluation and attempts characterization of the individuals on the basis of geographical distribution; age, sex and race distribution; age of onset; public dressing; psychiatric therapy; suicide and self-mutilation; hormone therapy; marital status; and occupation. Appeals for medical assistance from transsexual individuals are deserving of thorough consideration. Transsexualism and related sexual problems represent neglected areas of medical investigation.

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