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One of the significant issues in treating gender dysphoria is an examination of regret, if any, experienced by patients who engage in surgical interventions. In a remarkable paper published recently in The Journal of Sexual Medicine, a report of cases seen from 1972-2015 in the largest gender identity clinic in Amsterdam is presented. The sample was large and as a group showed very little regret.
6,793 people (4,432 birth-assigned male, 2,361 birth-assigned female) visited our gender identity clinic from 1972 through 2015. The number of people assessed per year increased 20-fold from 34 in 1980 to 686 in 2015. The estimated prevalence in the Netherlands in 2015 was 1:3,800 for men (transwomen) and 1:5,200 for women (transmen)*. The percentage of people who started HT within 5 years after the 1st visit decreased over time, with almost 90% in 1980 to 65% in 2010. The percentage of people who underwent gonadectomy within 5 years after starting HT remained stable over time (74.7% of transwomen...
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