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BioPsychoSocial Medicine
Published in: BioPsychoSocial Medicine 1/2017

Open Access 01-12-2017 | Case report

Longitudinal course of eating disorders after transsexual treatment: a report of two cases

Authors: Maiko Hiraide, Saki Harashima, Ryo Yoneda, Makoto Otani, Mami Kayano, Kazuhiro Yoshiuchi

Published in: BioPsychoSocial Medicine | Issue 1/2017

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Abstract

Background

Several reports have been published on patients with gender dysphoria and eating disorders. However, there have been few reports on the longitudinal course of eating disorders after gender reassignment surgery (GRS)/gender confirmation surgery (GCS).

Case presentation

We report two Japanese cases of transsexual persons with eating disorders who underwent GRS/GCS, one male-to-female (MtF) and one female-to-male (FtM). Case 1 was a 35-year MtF person who had a 14-year-course of bulimia nervosa that developed after GRS. Case 2 was a 35-year FtM person with anorexia nervosa who underwent GCS 9 years before.

Conclusions

We found that the treatment of our transsexual patients influenced the course of their eating disorders for a long period, which could be attributable partly to the cultural situation in Japan, an East Asian country. It is possible that many gender identity problems and identity problems in general persist even after surgery and treatment; therefore, continual clinical support should be provided for patients with gender dysphoria and eating disorders even after hormonal therapy or GRS/GCS.
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Metadata
Title
Longitudinal course of eating disorders after transsexual treatment: a report of two cases
Authors
Maiko Hiraide
Saki Harashima
Ryo Yoneda
Makoto Otani
Mami Kayano
Kazuhiro Yoshiuchi
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BioPsychoSocial Medicine / Issue 1/2017
Electronic ISSN: 1751-0759
DOI
https://doi.org/10.1186/s13030-017-0118-4

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