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The development of standards of care for individuals with a male-to-eunuch gender identity disorder

The development of standards of care for individuals with a male-to-eunuch gender identity disorder

A large number of men with gender dysphoria do not fit the classical pattern of MtF transexualism. They loathe their manhood, but do not wish to be, female. Instead, they seek castration to become emasculated males. We here refer to these individuals as male-to-eunuch (MtE). The Harry Benjamin SOC is not applicable to MtE individuals. Neither the DSM-IV nor the ICD-10 currently recognizes MtE transgenderism as a specific GID. This is a barrier for MtE individuals to receive treatment.

Many MtE individuals perform their own castrations or seek underground cutters. Data from a survey indicated that less than half of the 300 individuals who have had voluntary genital ablations were castrated by medical doctors. We introduce here MtE SOC that specifically recommend reversible androgen deprivation drug treatment in advance of any surgery. Our draft MtE SOC addresses the incongruence between the needs of individuals with MtE GID and GID as defined in DSM-IV and ICD-10. `

References: Brett et al. (2007). Eunuchs in contemporary society: Expectations, consequences and adjustments to castration. J Sexual Med, 4, 946- 955.
The Harry Benjamin International Gender Dysphoria Association (2001). The Harry Benjamin Standards of Care. J Psych and Human Sexuality,13, (1).
Johnson et al. (2007). Eunuchs in contemporary society: Characterizing men who are voluntarily castrated. J Sexual Med, 4, 930-945.
Roberts, L., Brett, M., Johnson, T., & Wassersug, R. 2007. A passion for castration: Characterizing men who are fascinated with castration, but have not been castrated. J Sexual Med, 5, 1669-1680.

Speakers: Kayla Vale
Conference: Demo
Areas of Interest / Categories: Androgen Therapy, Gender and Sexual Orientation

Androgen Therapy

Ejaculation disorders - Diagnosis & Treatment.

The commonest male ejaculation disorder is Premature Ejaculation (PE). Inhibited or Delayed Ejaculation can be a more challenging condition to assess and treat. This discussion will focus on the diagnosis, investigations and management of ejaculation problems including an overview of the first medication specifically approved for the treatment of PE, dapoxetine, released under the trade name of Priligy™. 

Androlife Campaign: andrologists and psychosexologists in team- premature ejaculation, the main sexual dysfunction diagnosed in young men

Androlife is the first Italian national campaign, supported by Italian Society of Andrology and Medical Sexology (SIAMS) aimed to: promote the primary prevention of the reproductive male tract pathologies, inform boys about the importance of controlling risk factors for male infertility, sensitize public awareness about male reproductive health, collect data on lifestyle, habits, and general health status in young males aged 18 to 35, and diagnose possible andrological pathologies.

Obesity, Smoking and ED in Sexual Health Medicine

Obesity and Cigarette Smoking are risk factors related to accelerate degenerative diseases in man which enhance precocious aging process. This condition states the heightened Oxidative Stress which is indicative for the changes made at the genetic materials level. Obesity and smoking increase the rate of telomere erosion per replication and occurring of inflammation which enhance leukocytes turn-over and shortened telomere arm length of leukocyte cells. Oxidative Stress induced extensive vascular endothelial cells dysfunction causing Vascular Diseases and other Degenerative Morbidities.

What is Driving Sexual Desire?

The total number of sexual activities for an individual varies greatly across the lifespan. The driving forces for sexual behaviour remain contentious with the role of androgens, other hormones, neurotransmitters and physiological factors often considered to be key components. Increasingly, scientific advances have attempted to provided explanations for understanding differences that have been attributed to factors such as genetic variations in CAG repeat polymorphisms or brain neuronal networks and these will be explored. However, emotional and relational problems may have equal or greater impact and there are concerns about the limitations of the medical model to explain sexual ‘differences’ and diversity.

Aphrodisiacs in sexual medicine arena

A significant advancement in plant derived medicines in the last two centuries in such areas as central nervous system, anti-tumor and anti-inflammatory activities has led to the development and identification of active chemicals and understanding of their modes of action. As for man’s health related to sexuality, numerous age-old natural products have been historically claimed as ‘aphrodisiacs’ – a collective meaning, which describes improvement of arousal, libido and/or sexual energy and activity.  It would appear that most natural herbal preparations considered as aphrodisiacs are acting like synthetic anabolic hormones. Sometimes, they are considered as a form of testosterone replacement therapy (TRT) since some of them are shown to stimulate the body to produce natural testosterone and even DHEA. 

The Sexual Life of Prostate Cancer Patients Treated with ADT

Medical or surgical castration for palliative treatment of prostate cancer gives rise to significant negative impacts on quality of life (QoL) for patients. This is because of adverse effects including decreased libido and erectile function, in addition to other conditions such as osteoporosis, vasomotor flushing, fatigue, anaemia, diabetes mellitus, metabolic syndrome, and altered body composition.

Unexplored Problems of PCOS Patients

Aim: Studies have shown sexual dysfunctionality in 20-25% of infertile couples. Polycystic Ovarian Syndrome (PCOS) is the most common hormonal disorder among women of reproductive age and is a leading cause of infertility. Infertility may alter a woman’s sexual expression by causing or exacerbating sexual problems as a consequence of the diagnosis, investigation and treatment of infertility. Adequate sexual function can contribute to the success of fertility treatments. This study aims to assess sexual function in infertile and PCOS women in relation to their age, body mass index and duration of infertility. The prevalence of Female Sexual Dysfunction (FSD) and PCOS in infertile women and its correlation with infertility was also evaluated. And to find the relationship between Female Sexual Dysfunction and testosterone levels in women with Polycystic Ovary Syndrome (PCOS).