Endocrine Abstracts

Introduction: Transsexuality is defined as discordance between one’s assigned sex at birth and that individual’s gender identity. Hormonal, anatomical, legal and psychosocial adaptations are present in most cases. Following recent changes to the Spanish legal framework, modifications have instaured to the model of attention for transsexual people in Andalusia. The aim of this study was to evaluate healthcare demand evolution in Trans People Attention Unit of Puerta del Mar University Hospital (Cádiz) from April 2015 to December 2019.

Methodology: We conducted a retrospective and longitudinal-descriptive case series study to evaluate healthcare demand evolution in Transsexual People Attention Unit of Puerta del Mar University Hospital (Cádiz) from April 2015 to December 2019. We analyzed demographic characteristics and the percentage of people reciving gender-affirming treatments (hormonal and/or surgery). Rate of loss of clinical follow-up and the psychological support demand are analyzed.

Results: We attended 353 transsexual people: 194 transsexual men and 159 transsexual women. The number of people assessed per year increased from 49 in 2015 to 91 in 2019. The median age at the 1st visit was 19 (17–25) years. 335 people (94.9%) started gender-affirming hormonal treatment (HT). We observed 28.9% mastectomy and 20% hysterectomy plus double anexectomy in transsexual men. 13.7% transsexual women were underwent for feminizing genitoplasty surgery and 15.8% are on surgical waiting list. 18.4% transsexual people (n = 64) have required psychological support and 16.5% (n = 56) were lost to follow-up.

Conclusions: In our setting, care is provided to a growing number of transsexual people in last years. In most cases, gender-affirming hormonal treatment is performed and psychological support is occasionally demand. No cases of regretted have been detected gonadectomy yet.