A case with an erroneous diagnosis of chronic adrenal insufficiency in a patient with male transsexualism

Abstract

Transsexualism - gender identity disorder, consisting in the mismatch of the feeling of one's gender identity with the nature of the external genitalia. The only method of treatment of this disease is surgical correction of sex followed by lifelong replacement therapy with sex hormones. Recently, due to the exclusion of transsexualism from the category of mental diseases, as well as the change in the attitude of society and doctors to this pathology, the possibility of appearance at the reception of such a patient is not excluded, especially for therapists, endocrinologists, gynecologists, urologists and surgeons. Until now, transsexualism refers to poorly studied diseases, hence the high frequency of erroneous management of these patients. Here we give a case from our practice.