Skip to main content

2 Dec 24 - Gender Clinic report and diagnosis

I’ve now got the draft report and the diagnosis is unequivocal:

Diagnosis

Nicola’s current presentation is consistent with a diagnosis of Gender Dysphoria (DSM-5), such as:

• a marked incongruence between her experienced/expressed gender and primary and secondary sex characteristics

• a strong desire to be rid of her primary and secondary sex characteristics because of a marked incongruence with her experienced/expressed gender

• a strong desire for the primary and secondary sex characteristics of the other gender

• a strong desire to be of the other gender

• a strong desire to be treated as the other gender

• a strong conviction that she has the typical feelings and reactions of the other gender

In addition, whilst Nicola has largely tolerated living in male role and being perceived as such, she has experienced significant distress and/or impairment in social, occupational, or other important areas of functioning.

Nicola’s current presentation is consistent with a diagnosis of Gender Incongruence (ICD-11), such as:

• a marked and persistent incongruence between her experienced gender and her assigned sex

• a desire to ‘transition’, in order to live and be accepted as a person of her experienced gender

• a desire to access hormonal treatment, surgery or other health care services to make her body align, as much as desired and to the extent possible, with her experienced gender

It is my opinion that Nicola has met the guidance criteria for gender affirming hormone therapy as outlined by the World Professional Association of Transgender Health (WPATH) and is a good candidate for gender affirming hormone therapy.

Labels:

Comments

Post a Comment

Popular posts from this blog

5 May 25 - living a lie

I’m wearing a soft crop top and Brazilian knickers under my male clothes today and it’s the first time   I’ve done so since my wife found out about my underwear.   I did wear some knickers last weekend for a day, which was nice but this is the first time I have had the crop top too.  Considering that I was wearing the underwear full time and the crop tops every weekday evening and all weekends for the previous month, this has been a big gap.  I have really been craving the feeling of a bra or crop top. That stretchy tightness of the band around my chest and the straps over my shoulders. It is such a relief to have one on now.  Because I’m a bit scared about getting caught out again I have only worn the soft crop top as that is least visible under my clothes. The more structured crop top has bra straps which are a bit more noticeable so although I really want to wear that, it felt a bit too risky.  This is so rubbish that I have to hide who I really am ...
Post a Comment
Read more

23 Sep 24 - great podcast: Straight Wife Trans Life

I’ve been listening in the car to a podcast called Straight Wife Trans Life. My friend Dee (another closeted married trans woman) recommended.  The podcast is presented by the wife of a trans woman who came out to her after they had been married for thirteen years, she having previously had no idea that her husband was trans.  Series 1 tells the story of their first year from disclosure on New Year’s Eve through coming out to family, friends, their kid, and beginning transition.   Liese (the presenter) is really honest. She was not ok with the news and admits she reacted badly. Eventually she decided that they would stay together as married friends, but she is very clear that she is straight and isn’t going to change for her spouse. She uses the term spouse, as she doesn’t accept that she has a wife, and in referring to their marriage, she talks of her husband, as that was what she had at the time.  She is upset when her spouse claims to have always been a woman, bec...
3 comments
Read more

9 Feb 2025 - another week of ups and downs

Another week of ups and downs.  I did go out in a skirt, which was nice but just going around shops dressed female is something I have done quite a few times now and I don’t think I gain much from it in terms of real life experience.  Nothing new anyway.  Since I got the new first crop tops on Wednesday I have been wearing them at home every evening when I change after work and all weekend. Maybe the size 12 is a little tight and I should have got the 14, but it stays where it should and doesn’t ride up like my other less structured crop tops when I raise my arms or do something active.  Yesterday I had enough time to do a quick white wash of a couple of tops, a vest, the short nightdress and a few pairs of knickers. I even managed to iron the top and nightdress today, before my wife got up.  Having dinner last night, I was a bit hot, it being a curry, so I took my jumper off. I’m a bit nervous wearing just one layer over the crop top as you can see the outline ...
Post a Comment
Read more