A transsexual patient searching for adjustment.

Introduction: Transsexual phenomenon is very complex, which is confirmed in everyday practice with these patients. There are many reasons why we have chosen to present this patient's case report.

Case Outline: The aim of this case report was to indicate how our female-to-male (FtM) transsexual patient tried to change her own sexual drive with the purpose of showing high adaptation in social environment as her personal representation of mental health.

Testosterone treatment in men with erectile disorder and low levels of total testosterone in serum.

Since decreased serum levels of testosterone (T) do not necessarily predict good outcome of testosterone treatment for erectile disorder, the purpose, of this study was to determine which men with erectile disorder and decreased serum levels might benefit from treatment. From a sample of 31 men (mean age = 39 years), 15 (48%) with erectile disorder and decreased serum levels of T responded well after 8 weeks of testosterone treatment (100 mg of testosterone propionate in the sustained-release form given im once a week). Good treatment outcome was associated with several variables, but only high levels of luteinizing hormone (LH) and low values of the T/LH (testosterone/LH) ratio consistently emerged as significant correlates and/or predictors of effective treatment.

The outcome of sex reassignment surgery in Belgrade: 32 patients of both sexes.

Several aspects of the quality of life after sex reassignment surgery in 32 transsexuals of both sexes (22 men, 10 women) were examined. The Belgrade Team for Gender Identity Disorders designed a standardized questionnaire for this purpose. The follow-up period after operation was from 6 months to 4 years, and four aspects of the quality of life were examined: attitude towards the patients' own body, relationships with other people, sexual activity, and occupational functioning.

[Transsexualism and sex change].

The article deals with the psychosexually disturbed identity known as transsexualism. The medical practice is occupied with this problem and phenomenon since the sixth decennium of this century. However, in this country it was not present at that time.