Thesis (Ph. D.)--Vrije Universiteit te Amsterdam, 1996.

Thesis (Ph. D.)--Vrije Universiteit te Amsterdam, 1996.

No description available.

Gender reassignment procedures are performed for the treatment of the gender dysphoria syndrome (transsexualism). Although this modality of treatment is therapeutic in nature and therefore not contra bonos mores, the legal status of the post-operative transsexual remains that of his/her previous sex. The purpose of the gender reassignment procedures is that of acceptance within the community as a person of the sex indicated by his/her changed appearance. Nothing will be achieved by the successful completion of treatment if the person's changed sexual appearance is not recognised by the law as a change in sexual status as well. The law, by keeping aloof of the problem of the post-operative transsexual, has created a legal "vacuum" where there is social and judicial acceptance of reassignment procedures, but a refusal to give legal effect to the change in status that the transsexual obsessively desires and the operation simulates. This work will analyse the medical issues associated with gender reassignment procedures. The legal status of the transsexual after reassignment procedures will be explored, and in doing so, the human rights violations with which such people have to contend, will be highlighted. The constitutionality of the lack of a legal recognition of the post-operative transsexual's sexual status will be examined. It will be shown that there are compelling reasons for legislation to be introduced as a matter of urgency to safeguard the fundamental rights of the post-operative transsexual. / Thesis (LL.M.)-University of Natal, 2000.

Social status influences reproductive physiology in many species, and sex change in marine teleost fishes provides an excellent model to understand how an organism can modulate its reproductive system in response to social stimuli. The series of experiments presented in this dissertation has focused on the proximate mechanisms underlying sex change and, in particular, the neuroendocrine factors that might translate social information into physiological changes. The bluebanded goby (Lythrypnus dalli) is a sexually plastic fish, and the dominant female typically changes sex when the male is removed from the social group. The direct physical interactions between the male and the females were found to be the main sensory cues that inhibit sex change. Sex steroids can both modulate and be modulated by behavior, and as a result they have been the most obvious candidates for a key role in the regulation of sex change. Males and females showed similar diurnal patterns for steroid hormones, but females had significantly higher water-borne estrogen levels. Concentrations of estradiol, testosterone and 11-ketotestosterone presented sex and tissue differences in brain, gonad and muscle, and they varied in complex ways in different tissues during sex change. The neurotransmitter serotonin (5-HT) has been suggested to be involved in the inhibition of socially regulated sex change because of its role in the modulation of both reproductive and aggressive behavior. None of the pharmacological manipulations performed in L. dalli to alter serotonergic activity was able to overcome the input from the social environment and affect sex change. Neither monoamine levels nor the area or number of 5-HT immunoreactive neurons were different between males, females and sex changers or between dominant and subordinate females. The results do not support the hypothesis of a serotonergic inhibition on sex change in L. dalli, but show that rapid changes in brain androgen levels might be implicated in inducing behavioral or morphological changes associated with sex reversal. Also, steroids respond to changes in the social environment in different ways in different tissues so local steroid synthesis should receive greater attention, and caution is required when using circulating levels to understand behavioral regulation.

In 2011 the National Academy of Medicine identified research gaps related to transgender populations and suggested a research agenda that included, among other goals, investigating health outcomes related to transition related care. The overarching goal of this dissertation therefore is to add to the body of knowledge about the state of health of transgender individuals, including utilization of gender-affirming care, preventive care and screening practices for human immunodeficiency virus (HIV) and other sexually transmitted infections (STIs). This dissertation includes three manuscripts. The first is a retrospective chart review including 1670 transgender patients, aged 18 and up (mean age 35.57 years), at a community health center to examine utilization of gender-affirming procedures as well as investigate the prevalence of smoking and uptake of colon cancer screening compared to New York City benchmarks using data from the New York City Community Health Survey (NYC CHS). The results revealed transgender individuals had high uptake of gender affirming hormones (81.9%) but fewer had undergone gender-affirming surgeries (31.5%). Transgender individuals had almost double the rate of current cigarette smoking compared to adults aged 18 and up in the New York City Community Health Survey (OR=1.92, 95% CI=1.61, 2.28) and also had suboptimal colon cancer screening rates compared to New Yorkers aged 50 and older (OR=0.16, 95% CI=0.11, 0.23). The second paper is a scoping review of the literature to investigate postoperative outcomes related to vaginoplasty procedures in transgender women. One hundred and three articles met inclusion criteria and provided information on immediate as well as long term health outcomes. The review demonstrated many inconsistencies in the timing of follow-up as well as how outcomes were measured, but provided invaluable information on the many types of postoperative issues that may be seen after vaginoplasty surgery. Lastly, the third paper examined the prevalence of HIV and STI testing behavior and prevalence of HIV infection among transgender people in a community health center setting. This analysis demonstrated that HIV screening rates were lower than expected (55.7%) given the elevated HIV prevalence in the population. In the multivariate analysis the odds of HIV screening among transmasculine individuals was higher in those who had undergone gender affirming surgeries (OR=1.67, 95% CI= 1.08, 2.58), had a substance use history (OR=5.18, 95% CI=1.41, 18.99) and a history of genital warts (OR=4.64, 95%CI=1.24, 17.34). Among transfeminine individuals the odds of HIV screening were higher in those with only cisgender male partners (OR=2.18, 95% CI=1.52, 3.11), gender affirming surgery (OR=2.56, 95% CI=1.53, 4.31), substance use history (OR=2.76, 95% CI=1.23, 5.78) and genital warts (OR=2.69, 95% CI=1.20, 6.02). HIV prevalence was higher among transfeminine compared to transmasculine individuals (28.1% vs. 2.8%, p<.001). In the multivariable analysis having only cisgender male sex partners increased the odds of HIV infection among transmasculine individuals (OR=10.58, 95% CI=1.33, 84.17), while having at least a high school diploma reduced the odds of infection (OR=0.08, 95% CI=0.01, 0.72). Among transfeminine individuals increased odds of HIV-infection were seen in those who were unemployed (OR=1.7, 95% CI=1.1, 2.64) and those who had a history of genital warts (OR=2.54, 95% CI=1.37, 4.70). White individuals had a lower likelihood of HIV infection (OR=0.40, 95%CI=0.21, 0.73). Overall these three studies provide important information about transition-related, primary and preventive healthcare for transgender populations. The findings of elevated cigarette smoking, underutilization of colorectal cancer screening and low HIV and STI screening rates occurred in this study despite the fact that transgender people were engaged in medical care. Clinics and other health settings that provide transgender health services should include robust metrics for monitoring uptake of preventive health care services and work to improve uptake of services when disparities are evident.

This thesis explores the implications of visibility and invisibility of transgender people, their constructed bodies, and how these bodies are used for both personal empowerment and education. By using various gender theorists for support, I argue that the transgender male body obtains power through visibility. Despite the many obstacles transgender males face, putting their bodies in a space of visibility gives them both personal power and the power to educate others about their bodies and sexuality. In doing a study of the human body and the different definitions applied to it, I show how we, as a society, are restricted by gender binaries and how the transgender body serves as a gap between the socially-constructed terms. Ultimately, transgender people are able to break through these barriers by subverting the definitions and meaning of “male” and “female.” / Includes bibliography. / Thesis (M.A.)--Florida Atlantic University, 2014. / FAU Electronic Theses and Dissertations Collection

In this article, the author tries to clarify various aspects of the fundamental right to Personal identity, this with regard to a recent sentence by the Peruvian Constitutional Court which dismissed the claim of a citizen to register in the National Registry of Identification and Civil status his sex change. Also, the autor analyze the arguments that the Court used to make this decision, as well as also used by two of its judges who expressed their disagreement through unique votes. it is point outs that in Peru, as in other countries, there isn’t a law regulating to the registration of sex change. However, for the author this should not limit the Constitutional Court to approve this change. / En el presente artículo, el autor trata de esclarecer diversos aspectos del derecho fundamental a la identidad Personal, esto a propósito de una reciente sentencia emitida por el t ribunal Constitucional peruano donde se desestima la pretensión de un ciudadano a que se inscriba en el Registro Nacional de Identificación y Estado Civil su cambio de sexo. Asimismo, se encarga de analizar los argumentos que el t ribunal empleó para tomar esta decisión, así como también los usados por dos de sus magistrados que expresaron su desacuerdo mediante votos singulares. Se señala que en Perú no existe, como en otros países, una ley que regule el registro de cambio de sexo, sin embargo, para el autor esto no debió impedir que el Tribunal Constitucional aprobará este cambio.

The subject of this bachelor thesis is the logics and counter-logics that have structured the perception of transsexualism and the now abolished sterilization requirement for legal recognition of sex change within the Swedish legal system and governmental authority. The analyzed material consists of judgments from two court cases with opposing verdicts that took place in 2004-2005 and 2012. The main conflict in the first court case was about if the sterilization requirement entailed the destruction of frozen germ cells or not. In the second court case the antagonism was mainly about if the sterilization requirement itself was legitimate or not. The differentiation in the verdicts and the expressed logics between the court cases was through analyze linked to discursive displacements in media coverage and judicial descriptions of transsexuals and their legal rights.

The main topic of this thesis is investigation of partner preferences and sexual behavior of female-to-male transsexuals. Number of previous studies showed that on average several partner preferences differ between men and women, and our goal was to determine if these preferences vary in female-to-male transsexuals during the process of sex change. The process of sex change includes intensive exposures to external levels of sex hormones, psychological therapy, and the transformation of their social role and overall life changes. Based on reviewe of the the scientific literature dealing with transsexuality, partner preferences and the potential impact of hormone therapy on sexually dimorphic traits, we developed a questionnaire focusing on partner preference and behavior. We obtained data from 36 heterosexual men transsexual female -to -male (i.e., sexual orientation focused on women) who were divided into three groups according to whether they were prior hormonal therapy (N = 11), whether have already started hormone therapy sex but not yet surgical change ( N = 11) and whether they were already after hormonal and surgical gender conversion (N = 14). In addition, we obtained data from 16 heterosexual non-transsexual men as a control group. Based on my previous bachelor research and literature...