[Transsexualism from the point of view of sexual medicine].

Transsexualism has been particularly burdened with problems posed by unconfirmed hypotheses about its nosology and epidemiology, even in its history; the application of the Gender Recognition Act (GRA) shows discrepancies and signs of disintegration. The transsexual patient Mr. HH, who was evaluated in Kiel and operated in 1964, had unperturbedly applied to the Federal Constitutional Court, when the Federal Supreme Court could not comply with his desire to be recognized as a female.

Denial of pregnancy as a reproductive dysfunction: a proposal for international classification systems.

Objective: To propose a new Diagnostic and Statistical Manual (DSM) and International Classification of Diseases (ICD) category concerning reproductive dysfunctions not caused by organic disorder.

Methods: Forensic (n=93) and obstetrical cases (n=78) of denied and concealed pregnancies are compared and discussed.

Results: Denied pregnancies occur with a ratio of 1:475 births.