Gender identity disorder is the condition where a person is not happy or comfort in the gender with which he/she was born. This person wants to look and live like opposite sex. They try to change the appearance of body through hormone treatment and surgery.

Other terms for gender identity disorder are gender dysphoria, transsexualism.

Causes for gender identity disorder:

The exact cause is unknown. Alterations in the quantity of oestrogen and progesterone during critical developing phase of pregnancy may alter gender behavior.

Signs and symptoms of gender identity disorder:

  • Unhappy with the present gender role
  • Wearing the clothes of opposite sex
  • Trying to change the body appearance

They have normal body appearances and hormone levels for their birth gender.

Diagnosis of gender identity disorder can be made only if a mentally healthy person has these feelings for minimum two years.


The treatment of gender identity disorder has following main components:

  • Counseling with real life experiences
  • Storage of sperm / ovum
  • Hormone treatment of the desired gender
  • Sex reassignment surgery

Adverse effects of transgender treatment:

For transwomen – Thromboembolic disease, impaired liver function, hyperprolactinemia, breast cancer, suppression of sperm production.

For transmen – Polycythemia, abnormal liver function, gynecological malignancy.