Abstract
The issue is whether to offer donor insemination (DI) to a couple in which the male partner is a transsexual. As mentioned by Brothers et al. (Brothers et al., 2000), the partner was a true transsexual, i.e. an individual whose own sexual orientation was contrary to the standard markers of sexual identity, i.e. chromosomes, anatomy of the external genitalia, anatomy of the internal genitalia, anatomy of the gonad, hormones milieu, and sex of rearing. Such patients are quite refractory to psychiatric therapy and, in addition to the sexual orientation problem, often exhibit other disorders, including antisocial behaviour.

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