Belgrade Gender Dysphoria Team – Our first 30 years

Gender dysphoria occurs in all societies and cultures. The prevailing social context has a strong impact on its manifestations as well as applications by individuals with the condition for sex reassignment treatment.Belgrade... [ view full abstract ]

Gender dysphoria occurs in all societies and cultures. The prevailing social context has a strong impact on its manifestations as well as applications by individuals with the condition for sex reassignment treatment.

Belgrade gender team was established in December 1989. In that period Belgrade was a capital all Yugoslavia, country with 22 million people. Patients came to Belgrade from all parts of the country. Unfortunately, the country was destroyed in 1992 and NATO bombing occurred in 1999. All these unwanted changes influenced  data collected from patients. 

To describe a transsexual population seeking sex reassignment treatment in Serbia. [ view full abstract ]

To describe a transsexual population seeking sex reassignment treatment in Serbia.

264 patients were recorded. All subjects were of Caucasian ethnicity, with more than 95% originating from Serbia. 25% of trans women and 32% of trans men were born in Belgrade (population of 2 million).  Of the total... [ view full abstract ]

264 patients were recorded. All subjects were of Caucasian ethnicity, with more than 95% originating from Serbia. 25% of trans women and 32% of trans men were born in Belgrade (population of 2 million).  Of the total population, 58.9% trans women and 48.2% trans men were 18-25 years old at the time of first consultation. No karyotype abnormalities were encountered. Another remarkable characteristic of this transsexual population was the current sex ratio which was close to 1:1. Thirty years before the sex ratio was 2:1. In the last year it was 1:1.5.

The educational level attained by applicants was completion of secondary school (79% trans women and 69% trans men) and higher school/faculty in 8% trans women and 3.6% trans men. 16.5% got married after sex reassignment and none expressed regret for their decision. The prevalence of polycystic ovary syndrome among trans men was higher than in general population. 

The relatively young age of those applying for sex reassignment and sex ratio distinguish the population in Serbia from others. [ view full abstract ]

The relatively young age of those applying for sex reassignment and sex ratio distinguish the population in Serbia from others.