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Friday, September 25, 2009

GENDER IDENTITY DISORDERS IN CHILDREN




Although the official incidence of gender identity problems (GIP) in children is very high: 1 case in 12,000 (boys perceived as women), and 1 in every 30,000 (girls mentally perceived as male), the case in children and adolescents is a time bomb that undiscovered or inadequately treated could lead to suicide or emasculation. Children with GIP say they dislike his penis, while girls are eager to have it, leading to asking us : where is located the sex: In the mind undoubtedly. Although we don’t know really if this condition is congenital, Nature (1995), published a study that tracked brain areas influencing the choice of gender. We know the way adult transsexuals solve their problems (by surgery), but things are different in children and adolescents.

As surgery is banned under 18 years, the psychologist Peggy Cohen-Kettenis istreating children and adolescents (12 years up) with hormones and hormone blockers. We know that in embryonic stages the presence or absence of testosterone affects the determination of the sexes and that at age 2, the sex is already defined. Later, puberty (9-14 years), begins with the secretion of gonadotropin-releasing hormone (GnRH) and sex hormones, that permit the emergence of secondary sexual characteristics. For an adolescent male be perceived as female must be terrible. The strategy of Peggy Cohen-Kettenis consists in: I) to administer GnRH blockers (which block the production of natural sex hormones), before ingesting hormones of the desired gender. II) Choose a cheap alternative: ingestion of extra doses of hormones of the desired gender. Thus male who wants to be female will perceive that his testicles are reduced in size and that his body becomes gigantic, adding to the above remodeling plastic surgery to smaller scale. According to Cohen-Kettenis and Henriette Delemarre-van de Waal, the administration of these hormones to these patients make them feel better. The best thing about this is that this therapy gives to each patient enough time to rethink any future surgery.

PROBLEMAS DE IDENTIFICACION DE GENERO EN NIñOS

Aunque la incidencia oficial de problemas de identifidad de género (PIG), en niños no es muy elevada :1 caso en 12,000 (niños varones que se perciben mujeres) y 1 caso cada 30,000 (niñas que se perciben mentalmente varones), el asunto en niños y adolescentes es una bomba de tiempo que no descubierta o tratada inadecuadamente podría conducir a suicidios o emasculaciones. Los niños con PIG aseguran que les disgusta su pene, en tanto las niñas ansían tenerlo, lo que conduce a preguntarnos ¿Dónde está realmente ubicado el sexo : En la mente indudablemente. Aunque no se sabe si esta entidad es congénita, en Nature (1995), se publicó un estudio que localizó áreas cerebrales influyentes en la elección de género. Sabemos de adultos transexuales que solucionan sus problemas mediante cirugía, pero poco de niños y adolescentes.

Como la cirugía está proscrita en menores de 18 años, la psicóloga Peggy Cohen-Kettenis trata niños y adolescentes (a partir de los 12 años), con hormonas y bloqueadores hormonales. Sabemos que en estadios embrionarios la presencia o ausencia de testosterona influye en la determinación de los sexos y que a los 2 años, el sexo ya está definido. Más tarde, la pubertad (9-14 años), se inicia con la secreción de hormona liberadora de gonadotropina (GnRH) y hormonas sexuales emergiendo las características sexuales secundarias. Para un adolescente que se percibe varón debe ser terrible observar como le crecen mamas o nalgas. La estrategia de Peggy Cohen-Kettenis consiste en: I) Administrar bloqueadores de GnRH (que detienen la producción de hormonas sexuales naturales), antes de ingerir hormonas del género deseado. II) O, optar por una alternativa barata : ingerir directamente dosis altas extras de hormonas del género deseado. De este modo el que desea ser varón verá como sus testiculos se reducen de tamaño y su fisico se agiganta, añadiendo a lo anterior cirugía estética remodelativa de escala menor. Según Cohen-Kettenis y Henriette Delemarre-van de Waal, la administración de estas hormonas hace sentir a estas pacientes mejor. Lo mejor de esto es que esta terapia dá a a cada paciente suficiente tiempo para repensar posibles futuras cirugías.

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