title: Multistep treatment concept of transsexual patients.
abstract: Here we present a pragmatic multistep approach for the treatment of transsexual patients. The importance of an individually designed cross-gender hormone replacement therapy embedded in a multidisciplinary treatment concept, provided by psychiatrists, endocrinologists and surgeons, is demonstrated. Following this concept outcome of therapy has been improved in the last years. Over the last 5 years we have gained substantial experience in the cross-gender hormone treatment of transsexual patients. By continuous follow-up examinations and therapy adjustment the risk of side effects accompanying this therapy has been significantly minimized. This report is designed as a guideline to the clinical endocrinologist for the handling and treatment of transsexual patients.
authors.affiliation: Max-Planck-Institute of Psychiatry, Dept. Endocrinology, München, Germany.
authors.forename: K
authors.initials: K
authors.lastname: Schlatterer
authors.forename: K
authors.initials: K
authors.lastname: von Werder
authors.forename: G K
authors.initials: GK
authors.lastname: Stalla
mesh_terms: D003937:Diagnosis, Differential; D004967:Estrogens / Q000627:therapeutic use; D005260:Female; D006728:Hormones / Q000627:therapeutic use; D006801:Humans; D008297:Male; D013739:Testosterone / Q000627:therapeutic use; D014189:Transsexualism / Q000175:diagnosis / Q000209:etiology / Q000523:psychology / Q000601:surgery / Q000628:therapy*
chemical_list: D004967:Estrogens; D006728:Hormones; D013739:Testosterone