title: [Transsexualism from the point of view of sexual medicine].
abstract: Transsexualism has been particularly burdened with problems posed by unconfirmed hypotheses about its nosology and epidemiology, even in its history; the application of the Gender Recognition Act (GRA) shows discrepancies and signs of disintegration. The transsexual patient Mr. HH, who was evaluated in Kiel and operated in 1964, had unperturbedly applied to the Federal Constitutional Court, when the Federal Supreme Court could not comply with his desire to be recognized as a female. But the Gender Recognition Act did not become effective until 1981. Because of both inherent and differential diagnostic uncertainties and vaguenesses the German-speaking Sexual Medicine associations in the German-speaking countries developed standards for the treatment and evaluation of transsexual persons in 1997 . Due to the lack of objective parameters for transsexualism, the Real-Life Test is indispensable. Weak points in the written law facilitate misuse because of patient insistence resulting in misdiagnoses.
authors.affiliation: Klinikum d. Christian-Albrechts-Universität Kiel.
authors.forename: Reinhard
authors.initials: R
authors.lastname: Wille
mesh_terms: D005260:Female; D005783:Gender Identity; D005858:Germany; D006806:Human Rights / Q000331:legislation & jurisprudence*; D006801:Humans; D007062:Identification, Psychological; D008297:Male; D014189:Transsexualism