Ambulatory for the Treatment of Sexual Disorders of ABC Medical School—Santo André—São Paulo, Brazil.
CASE REPORTS: Ethical Conflicts over the Management of Transsexual Adolescents—Report of Two Cases
Article first published online: 28 JUL 2009
© 2009 International Society for Sexual Medicine
The Journal of Sexual Medicine
Volume 6, Issue 11, pages 3214–3220, November 2009
How to Cite
Baltieri, D. A., Prado Cortez, F. C. and De Andrade, A. G. (2009), CASE REPORTS: Ethical Conflicts over the Management of Transsexual Adolescents—Report of Two Cases. Journal of Sexual Medicine, 6: 3214–3220. doi: 10.1111/j.1743-6109.2009.01409.x
- Issue published online: 29 OCT 2009
- Article first published online: 28 JUL 2009
Introduction. The diagnosis and the treatment of transsexualism, particularly during adolescence, generate considerable discussion among specialists. Many health and legal professionals have not yet reached a strong consensus on medical treatment for juvenile transsexuals. Hormonal therapy cannot only represent a medical procedure to adjust the somatic sex to the psychological gender, but can also be a reasonable means of preventing some juvenile transsexuals from engaging in undesirable and risky behavior.
Aim. To report the cases of two transsexual adolescents who resorted to prostitution to afford hormonal medications when treatment was denied because of age criteria.
Results. Hormonal medications were not recommended by the endocrinology staff because specific laws regulating this medical procedure for juvenile transsexuals in Brazil are lacking. In response, these adolescents chose to use illegally obtained sex hormones to treat themselves.
Conclusions. We propose “harm reduction” as a means of coping with this dilemma in some cases. Baltieri DA, Cortez FCP, and de Andrade AG. Ethical conflicts over the management of transsexual adolescents—report of two cases. J Sex Med 2009;6:3214–3220.