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Is Hormonal Therapy Associated with Better Quality of Life in Transsexuals? A Cross-Sectional Study

Authors

  • Audrey Gorin-Lazard MD,

    1. Department of Psychiatry, Sainte-Marguerite University Hospital, Assistance Publique—Hôpitaux de Marseille, Marseille, France
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  • Karine Baumstarck MD,

    Corresponding author
    1. EA 3279 Research Unit, University Hospital, Assistance Publique—Hôpitaux de Marseille, Marseille, France
      Karine Baumstarck, MD, EA3279 Research Unit, University Hospital, AssistancePublique—Hôpitaux de Marseille, 13005 Marseille, France. Tel: +33-491384744; Fax: +33-491384482; E-mail: karine.baumstarck@univmed.fr
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  • Laurent Boyer MD, PhD,

    1. EA 3279 Research Unit, University Hospital, Assistance Publique—Hôpitaux de Marseille, Marseille, France
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  • Aurélie Maquigneau MPsy,

    1. Department of Psychiatry, Sainte-Marguerite University Hospital, Assistance Publique—Hôpitaux de Marseille, Marseille, France
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  • Stéphanie Gebleux MPsy,

    1. Department of Psychiatry, Sainte-Marguerite University Hospital, Assistance Publique—Hôpitaux de Marseille, Marseille, France
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  • Jean-Claude Penochet MD, PhD,

    1. Department of Psychiatry, La Colombière University Hospital, Montpellier, France
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  • Dominique Pringuey MD, PhD,

    1. Department of Psychiatry, Pasteur University Hospital, Nice, France
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  • Frédérique Albarel MD,

    1. Department of Endocrinology, Timone University Hospital, Marseille, France
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  • Isabelle Morange MD,

    1. Department of Endocrinology, Timone University Hospital, Marseille, France
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  • Anderson Loundou PhD,

    1. EA 3279 Research Unit, University Hospital, Assistance Publique—Hôpitaux de Marseille, Marseille, France
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  • Julie Berbis MD,

    1. EA 3279 Research Unit, University Hospital, Assistance Publique—Hôpitaux de Marseille, Marseille, France
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  • Pascal Auquier MD, PhD,

    1. EA 3279 Research Unit, University Hospital, Assistance Publique—Hôpitaux de Marseille, Marseille, France
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  • Christophe Lançon MD, PhD,

    1. Department of Psychiatry, Sainte-Marguerite University Hospital, Assistance Publique—Hôpitaux de Marseille, Marseille, France
    2. EA 3279 Research Unit, University Hospital, Assistance Publique—Hôpitaux de Marseille, Marseille, France
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  • Mireille Bonierbale MD

    1. EA 3279 Research Unit, University Hospital, Assistance Publique—Hôpitaux de Marseille, Marseille, France
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Karine Baumstarck, MD, EA3279 Research Unit, University Hospital, AssistancePublique—Hôpitaux de Marseille, 13005 Marseille, France. Tel: +33-491384744; Fax: +33-491384482; E-mail: karine.baumstarck@univmed.fr

ABSTRACT

Introduction.  Although the impact of sex reassignment surgery on the self-reported outcomes of transsexuals has been largely described, the data available regarding the impact of hormone therapy on the daily lives of these individuals are scarce.

Aims.  The objectives of this study were to assess the relationship between hormonal therapy and the self-reported quality of life (QoL) in transsexuals while taking into account the key confounding factors and to compare the QoL levels between transsexuals who have, vs. those who have not, undergone cross-sex hormone therapy as well as between transsexuals and the general population (French age- and sex-matched controls).

Methods.  This study incorporated a cross-sectional design that was conducted in three psychiatric departments of public university teaching hospitals in France. The inclusion criteria were as follows: 18 years or older, diagnosis of gender identity disorder (302.85) according to the Diagnostic and Statistical Manual, fourth edition text revision (DSM-IV TR), inclusion in a standardized sex reassignment procedure following the agreement of a multidisciplinary team, and pre-sex reassignment surgery.

Main Outcome Measure.  QoL was assessed using the Short Form 36 (SF-36).

Results.  The mean age of the total sample was 34.7 years, and the sex ratio was 1:1. Forty-four (72.1%) of the participants received hormonal therapy. Hormonal therapy and depression were independent predictive factors of the SF-36 mental composite score. Hormonal therapy was significantly associated with a higher QoL, while depression was significantly associated with a lower QoL. Transsexuals' QoL, independently of hormonal status, did not differ from the French age- and sex-matched controls except for two subscales of the SF-36 questionnaire: role physical (lower scores in transsexuals) and general health (lower scores in controls).

Conclusion.  The present study suggests a positive effect of hormone therapy on transsexuals' QoL after accounting for confounding factors. These results will be useful for healthcare providers of transgender persons but should be confirmed with larger samples using a prospective study design. Gorin-Lazard A, Baumstarck K, Boyer L, Maquigneau A, Gebleux S, Penochet J-C, Pringuey D, Albarel F, Morange I, Loundou A, Berbis J, Auquier P, Lançon C, and Bonierbale M. Is hormonal therapy associated with better quality of life in transsexuals? A cross-sectional study. J Sex Med 2012;9:531–541.

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