Gender dysphoria and a de-transition to the biological gender : a case report from a primary care perspective

Gender dysphoria describes the feeling of distress and discomfort experienced when the assigned gender does not match the person’s gender identity. In its severe form, it leads to anxiety, depression and even suicidal ideation or attempts. Unfortunately, this does not end as some transgenders fac...

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Main Authors: Fathima Begum SM, Hizlinda Tohid, Mohd Radzniwan Rashid, Sharifah Najwa SM, Khadijah Hasanah AA, Hatta Sidi
Format: Article
Language:English
Published: Pusat Perubatan Universiti Kebangsaan Malaysia 2022
Online Access:http://journalarticle.ukm.my/19679/
http://journalarticle.ukm.my/19679/1/23_ms0509_pdf_20102.pdf
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author Fathima Begum SM,
Hizlinda Tohid,
Mohd Radzniwan Rashid,
Sharifah Najwa SM,
Khadijah Hasanah AA,
Hatta Sidi,
author_facet Fathima Begum SM,
Hizlinda Tohid,
Mohd Radzniwan Rashid,
Sharifah Najwa SM,
Khadijah Hasanah AA,
Hatta Sidi,
author_sort Fathima Begum SM,
building UKM Institutional Repository
collection Online Access
description Gender dysphoria describes the feeling of distress and discomfort experienced when the assigned gender does not match the person’s gender identity. In its severe form, it leads to anxiety, depression and even suicidal ideation or attempts. Unfortunately, this does not end as some transgenders faced significant pressure by cultural, religious, employment, financial and social during the transformation period, hence would de-transition back to their natal gender identity. Gender detransition is a process through which a person discontinues some or all aspects of gender affirmation. During the de-transition, ambivalence, confusion, doubts about their ability to carry out the gender role and responsibilities are common. Gender dysphoria and gender de-transition requires professional help, but the stigma and discrimination hinders them from seeking help from health care providers (HCP). Although these gender-related identity problems are preferentially diagnosed by a specialised psychologist or psychiatrist, primary care physicians often play an important role in this aspect. This case illustrates the health and help-seeking behaviour of a transwoman who had experienced gender dysphoria in the early adolescence year. Long after that, he faced a difficult life, making him de-transition to his original gender. He eventually presented with trivial symptoms in primary care hoping to solve the crisis.
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spelling oai:generic.eprints.org:196792022-09-12T03:22:32Z http://journalarticle.ukm.my/19679/ Gender dysphoria and a de-transition to the biological gender : a case report from a primary care perspective Fathima Begum SM, Hizlinda Tohid, Mohd Radzniwan Rashid, Sharifah Najwa SM, Khadijah Hasanah AA, Hatta Sidi, Gender dysphoria describes the feeling of distress and discomfort experienced when the assigned gender does not match the person’s gender identity. In its severe form, it leads to anxiety, depression and even suicidal ideation or attempts. Unfortunately, this does not end as some transgenders faced significant pressure by cultural, religious, employment, financial and social during the transformation period, hence would de-transition back to their natal gender identity. Gender detransition is a process through which a person discontinues some or all aspects of gender affirmation. During the de-transition, ambivalence, confusion, doubts about their ability to carry out the gender role and responsibilities are common. Gender dysphoria and gender de-transition requires professional help, but the stigma and discrimination hinders them from seeking help from health care providers (HCP). Although these gender-related identity problems are preferentially diagnosed by a specialised psychologist or psychiatrist, primary care physicians often play an important role in this aspect. This case illustrates the health and help-seeking behaviour of a transwoman who had experienced gender dysphoria in the early adolescence year. Long after that, he faced a difficult life, making him de-transition to his original gender. He eventually presented with trivial symptoms in primary care hoping to solve the crisis. Pusat Perubatan Universiti Kebangsaan Malaysia 2022-06 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/19679/1/23_ms0509_pdf_20102.pdf Fathima Begum SM, and Hizlinda Tohid, and Mohd Radzniwan Rashid, and Sharifah Najwa SM, and Khadijah Hasanah AA, and Hatta Sidi, (2022) Gender dysphoria and a de-transition to the biological gender : a case report from a primary care perspective. Medicine & Health, 17 (1). pp. 295-301. ISSN 2289-5728 https://www.medicineandhealthukm.com/toc/17/1
spellingShingle Fathima Begum SM,
Hizlinda Tohid,
Mohd Radzniwan Rashid,
Sharifah Najwa SM,
Khadijah Hasanah AA,
Hatta Sidi,
Gender dysphoria and a de-transition to the biological gender : a case report from a primary care perspective
title Gender dysphoria and a de-transition to the biological gender : a case report from a primary care perspective
title_full Gender dysphoria and a de-transition to the biological gender : a case report from a primary care perspective
title_fullStr Gender dysphoria and a de-transition to the biological gender : a case report from a primary care perspective
title_full_unstemmed Gender dysphoria and a de-transition to the biological gender : a case report from a primary care perspective
title_short Gender dysphoria and a de-transition to the biological gender : a case report from a primary care perspective
title_sort gender dysphoria and a de-transition to the biological gender : a case report from a primary care perspective
url http://journalarticle.ukm.my/19679/
http://journalarticle.ukm.my/19679/
http://journalarticle.ukm.my/19679/1/23_ms0509_pdf_20102.pdf