Gender dysphoria: Kocaeli University Hospital experience/Cinsiyet disforisi: Kocaeli Universitesi Hastanesi deneyimi

Gender dysphoria is a situation that has a long history, and also known to be present in different cultures. Due to possible social, psychological and legal consequences, it is a condition that should be carefully considered and the treatment period should be managed well by interdisciplinary teamwork. The fact that the number of people applying for the transition process increased over the years suggests that doctors working in psychiatric clinics and other fields of medicine will be encountering more trans individuals in the coming years. Kocaeli University Hospital is a center that monitors the gender transition process since 2004. Individuals who are admitted to our clinic with the complaint of gender dysphoria are included in the gender-monitoring program and followed up through individual and group psychotherapy. The aim of this article is to share our clinical experience about gender transition process, where there is no standard treatment protocol yet in Turkey. Keywords: gender dysphoria, transsexuality, gender transition process, gender identity disorder, hormonal therapy, gender reassignment surgery, queer, gender fluidity Cinsiyet disforisi farkli kulturlerde de gorulen ve uzun bir gecmise dayanan tarihcesi olan bir olgudur. Toplumsal, ruhsal ve hukuki sonuclari nedeniyle dikkatle ele alinmasi ve tedavi surecinin cok disiplinli ekip calismasiyla iyi yonetilmesi gereken bir sorundur. Trans gecis sureci icin basvuran kisi sayisinin yillar icinde artmasi hem psikiyatri kliniginde, hem de tibbin diger alanlarinda calisan hekimlerin ilerleyen yillarda trans bireylerle giderek artan siklikta karsilasacaklarini dusundurmektedir. Kocaeli Universitesi Tip Fakultesi Hastanesi de 2004 yilindan itibaren cinsiyet gecis surecini izleyen ve rapor duzenlemesi yapan bir merkezdir. Cinsiyet hosnutsuzlugu yakinmasiyla poliklinigimize basvuran kisiler 'cinsiyet gecis izlem programina' alinarak bireysel ve grup psikoterapileri ile izlenmektedir. Bu yazida Turkiye icin henuz standart bir tedavi protokolunun olmadigi trans gecis surecine iliskin deneyim paylasimi amaclanmistir. Anahtar sozcukler: Cinsiyet disforisi, cinsel kimliginden yakinma, transseksualite, trans gecis sureci, cinsel kimlik bozuklugu, hormon tedavisi, cinsiyet duzenleme ameliyati, queer, akiskan cinsiyet