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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.

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