{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,31]],"date-time":"2022-03-31T08:53:29Z","timestamp":1648716809628},"reference-count":6,"publisher":"Georg Thieme Verlag KG","issue":"16","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dtsch Med Wochenschr"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:title>Was ist neu?<\/jats:title><jats:p>\n          Definition, Pr\u00e4valenz, \u00c4tiologie\u2002Transsexualismus (synonym f\u00fcr \u201eTranssexualit\u00e4t\u201c, \u201eTransidentit\u00e4t\" bzw. \u201etranssexuelle Geschlechtsdysphorie\u201c, TGD) liegt nach ICD-10 F64.0 vor, wenn bei einer Person der Wunsch besteht, als Angeh\u00f6riger des anderen Geschlechts anerkannt zu werden. Dies geht meist mit Unbehagen oder dem Gef\u00fchl der Nichtzugeh\u00f6rigkeit zum eigenen anatomischen Geschlecht einher. Es besteht der Wunsch nach chirurgischer und hormoneller Behandlung, um den eigenen K\u00f6rper dem bevorzugten Geschlecht soweit wie m\u00f6glich anzugleichen. Die Pr\u00e4valenz der TGD wird auf 0,6\u200a% gesch\u00e4tzt. Die zugrunde liegenden pathogenetischen Mechanismen sind bisher nicht ausreichend aufgekl\u00e4rt.<\/jats:p><jats:p>\n          Diagnostik\u2002Die Diagnosestellung \u201eTranssexualit\u00e4t\u201c erfolgt durch einen mit der Thematik vertrauten Psychologen oder Psychiater nach Ausschluss anderer Differenzialdiagnosen wie Transvestitismus, Borderline-Pers\u00f6nlichkeitsst\u00f6rung, multiple Pers\u00f6nlichkeitsst\u00f6rung oder einer psychotischen Erkrankung.<\/jats:p><jats:p>\n          Therapie\u2002Die Therapie ist eine interdisziplin\u00e4re Herausforderung von 6 Fachdisziplinen und umfasst die psychotherapeutische Behandlung\/Begleitung, die endokrinologische Betreuung zur Hormonbehandlung, die chirurgische Behandlung f\u00fcr die geschlechtsangleichende Operation und ggf. den Brustaufbau, die logop\u00e4dische Behandlung inkl. Stimmtherapie, die HNO-Mitbetreuung mit Phonochirurgie und die dermatologische Behandlung der Alopezie\/Akne oder des Hirsutismus.<\/jats:p>","DOI":"10.1055\/a-0958-0098","type":"journal-article","created":{"date-parts":[[2020,8,13]],"date-time":"2020-08-13T22:31:20Z","timestamp":1597357880000},"page":"1118-1122","source":"Crossref","is-referenced-by-count":0,"title":["Transsexualit\u00e4t und Transgender-Medizin \u2013 Was jeder Internist wissen sollte"],"prefix":"10.1055","volume":"145","author":[{"given":"Anastasia P.","family":"Athanasoulia-Kaspar","sequence":"additional","affiliation":[{"name":"Medicover Neuroendokrinologie Prof. Stalla und Kollegen, M\u00fcnchen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sven","family":"Diederich","sequence":"additional","affiliation":[{"name":"Medicover Berlin-Mitte MVZ, Berlin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00fcnter Karl","family":"Stalla","sequence":"additional","affiliation":[{"name":"Medicover Neuroendokrinologie Prof. Stalla und Kollegen, M\u00fcnchen"},{"name":"Medizinische Klinik und Poliklinik IV, Campus Innenstadt, M\u00fcnchen"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,8,13]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"2451","DOI":"10.1056\/NEJMcp1903650","article-title":"Care of Transgender Persons","volume":"381","author":"J D Safer","year":"2019","journal-title":"N Engl J Med"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"390","DOI":"10.1016\/S0140-6736(16)00683-8","article-title":"Transgender people: health at the margins of society","volume":"388","author":"S Winter","year":"2016","journal-title":"Lancet"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"3869","DOI":"10.1210\/jc.2017-01658","article-title":"Endocrine Treatment of Gender-Dysphoric\/Gender-Incongruent Persons: An Endocrine Society Clinical Practice Guideline","volume":"102","author":"W C Hembree","year":"2017","journal-title":"J Clin Endocrinol Metab"},{"key":"ref5","volume-title":"Therapieleitfaden Transsexualit\u00e4t","author":"G K Stalla","year":"2015","edition":"2. Auflage"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"1181","DOI":"10.1210\/jc.2018-01777","article-title":"Progesterone Is Important for Transgender Women's Therapy-Applying Evidence for the Benefits of Progesterone in Ciswomen","volume":"104","author":"J Prior","year":"2019","journal-title":"J Clin Endocrinol Metab"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1210\/er.2018-00011","article-title":"Endocrinology of Transgender Medicine","volume":"40","author":"G T\u2019Sjoen","year":"2019","journal-title":"Endocrine Reviews"}],"container-title":["DMW - Deutsche Medizinische Wochenschrift"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-0958-0098.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,8,13]],"date-time":"2020-08-13T22:31:28Z","timestamp":1597357888000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-0958-0098"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8]]},"references-count":6,"journal-issue":{"issue":"16","published-online":{"date-parts":[[2020,8,13]]},"published-print":{"date-parts":[[2020,8]]}},"URL":"https:\/\/doi.org\/10.1055\/a-0958-0098","relation":{},"ISSN":["0012-0472","1439-4413"],"issn-type":[{"value":"0012-0472","type":"print"},{"value":"1439-4413","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,8]]}}}