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Sex at home changing it up

Sex at home changing it up

Share via Email This article is over 13 years old There is no conclusive evidence that sex change operations improve the lives of transsexuals, with many people remaining severely distressed and even suicidal after the operation, according to a medical review conducted exclusively for Guardian Weekend tomorrow.

The review of more than international medical studies of post-operative transsexuals by the University of Birmingham's aggressive research intelligence facility Arif found no robust scientific evidence that gender reassignment surgery is clinically effective.

The Guardian asked Arif to conduct the review after speaking to several people who regret changing gender or believe that the medical care they received failed to prepare them for their new lives.

They explain why they are unhappy with their sex change and how they cope with the consequences in the Weekend magazine tomorrow July Chris Hyde, the director of Arif, said: While no doubt great care is taken to ensure that appropriate patients undergo gender reassignment, there's still a large number of people who have the surgery but remain traumatised - often to the point of committing suicide.

Its review warns that the results of many gender reassignment studies are unsound because researchers lost track of more than half of the participants. For example, in a five-year study of post-operative transsexuals published last year, people dropped out for unknown reasons. Dr Hyde said the high drop out rate could reflect high levels of dissatisfaction or even suicide among post-operative transsexuals.

He called for the causes of their deaths to be tracked to provide more evidence. It is estimated that up to sex changes will be performed this year on the NHS and privately. Christine Burns, of PFC, said the campaign group's research suggested that the vast majority of transsexual people enjoyed much happier lives following surgery.

Ms Burns added that the greatest flaws in medical literature about gender reassignment were in those studies unsympathetic to transsexual people.

For example, one study was based on a survey of seven transsexual prostitutes interviewed in one gay bar in Chicago. If they "lose" half the patients they ought to be able to track the question is why? As we've repeatedly pointed out ourselves there is really no difficulty in getting transpeople to come forward and cooperate in research that is properly constructed and conceived with people's true well-being in mind. Andrew McCulloch, chief executive of the Mental Health Foundation, has written to the mental health minister, Rosie Winterton, requesting a "thorough assessment" of the long-term effects of sex change operations.

He wants the National Institute for Clinical Excellence, which decides what treatments should be available on the NHS, to draw up guidelines on gender reassignment.

Transgender psychiatrists, who assess whether patients should change sex, agree that more scientific research is needed. But Kevan Wylie, chairman of the Royal College of Psychiatrists' working party on gender identity disorders, said that all of his patients' lives have drastically improved following gender reassignment surgery. Dr Wylie added that it was difficult to conduct research on the outcome of gender reassignment, or to compare its effects with alternative treatments, because transsexualism was such a "rare experience".

Urological surgeon James Bellringer, who has performed more than sex changes over the past four years, claimed that trying to carry out research that involves studying a control group of transsexual patients who were denied hormones and surgery would be unethical.

There's no other treatment that works. You either have an operation or suffer a miserable life. A fifth of those who don't get treatment commit suicide.

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Sex at home changing it up

Share via Email This article is over 13 years old There is no conclusive evidence that sex change operations improve the lives of transsexuals, with many people remaining severely distressed and even suicidal after the operation, according to a medical review conducted exclusively for Guardian Weekend tomorrow. The review of more than international medical studies of post-operative transsexuals by the University of Birmingham's aggressive research intelligence facility Arif found no robust scientific evidence that gender reassignment surgery is clinically effective.

The Guardian asked Arif to conduct the review after speaking to several people who regret changing gender or believe that the medical care they received failed to prepare them for their new lives.

They explain why they are unhappy with their sex change and how they cope with the consequences in the Weekend magazine tomorrow July Chris Hyde, the director of Arif, said: While no doubt great care is taken to ensure that appropriate patients undergo gender reassignment, there's still a large number of people who have the surgery but remain traumatised - often to the point of committing suicide.

Its review warns that the results of many gender reassignment studies are unsound because researchers lost track of more than half of the participants. For example, in a five-year study of post-operative transsexuals published last year, people dropped out for unknown reasons.

Dr Hyde said the high drop out rate could reflect high levels of dissatisfaction or even suicide among post-operative transsexuals. He called for the causes of their deaths to be tracked to provide more evidence. It is estimated that up to sex changes will be performed this year on the NHS and privately. Christine Burns, of PFC, said the campaign group's research suggested that the vast majority of transsexual people enjoyed much happier lives following surgery.

Ms Burns added that the greatest flaws in medical literature about gender reassignment were in those studies unsympathetic to transsexual people. For example, one study was based on a survey of seven transsexual prostitutes interviewed in one gay bar in Chicago.

If they "lose" half the patients they ought to be able to track the question is why? As we've repeatedly pointed out ourselves there is really no difficulty in getting transpeople to come forward and cooperate in research that is properly constructed and conceived with people's true well-being in mind.

Andrew McCulloch, chief executive of the Mental Health Foundation, has written to the mental health minister, Rosie Winterton, requesting a "thorough assessment" of the long-term effects of sex change operations. He wants the National Institute for Clinical Excellence, which decides what treatments should be available on the NHS, to draw up guidelines on gender reassignment.

Transgender psychiatrists, who assess whether patients should change sex, agree that more scientific research is needed. But Kevan Wylie, chairman of the Royal College of Psychiatrists' working party on gender identity disorders, said that all of his patients' lives have drastically improved following gender reassignment surgery. Dr Wylie added that it was difficult to conduct research on the outcome of gender reassignment, or to compare its effects with alternative treatments, because transsexualism was such a "rare experience".

Urological surgeon James Bellringer, who has performed more than sex changes over the past four years, claimed that trying to carry out research that involves studying a control group of transsexual patients who were denied hormones and surgery would be unethical. There's no other treatment that works. You either have an operation or suffer a miserable life. A fifth of those who don't get treatment commit suicide.

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  1. Dr Hyde said the high drop out rate could reflect high levels of dissatisfaction or even suicide among post-operative transsexuals.

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