title: Difficulties inherent in certifying people with gender dysphoria.
abstract: This is a first report of the aeromedical implications of an airman undergoing gender transformation. It is clear that during the period of instituting high-dose hormones to undergo sexual transformation appropriate observation periods should be implemented due to the strong effects of these drugs on the psyche.
authors.affiliation: FAA-Aeromedical Certification Division, Oklahoma City, OK 73169, USA.
authors.forename: M
authors.initials: M
authors.lastname: Feinberg
mesh_terms: D000328:Adult; D000337:Aerospace Medicine; D002568:Certification; D003866:Depressive Disorder / Q000209:etiology*; D017831:Diagnosis, Dual (Psychiatry); D004185:Disability Evaluation; D006801:Humans; D008297:Male; D019966:Substance-Related Disorders / Q000209:etiology*; D013406:Suicide, Attempted / Q000523:psychology; D014189:Transsexualism / Q000150:complications / Q000188:drug therapy* / Q000523:psychology*