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PSY278 Wi9 Assignment 2.7.19 (Protected View)-Word TOOLS VIEW Be careful-files from the Internet can contain viruses. Unless

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Medical and psychological protocol for gender reassignment are :-

Requirements for mastectomy for female-to-male patients:

Single letter of referral from a qualified mental health professional and

Persistent, well-documented gender dysphoria

Capacity to make a fully informed decision and to consent for treatment; and

For members below the age of majority (less than 18 years of age), completion of one year of testosterone treatment; and

If significant medical or mental health concerns are present, they must be reasonably well controlled.

Note that a trial of hormone therapy is not a pre-requisite to qualifying for a mastectomy in adults.

# Requirements for gonadectomy (hysterectomy and oophorectomy in female-to-male and orchiectomy in male-to-female):

Two referral letters from qualified mental health professionals, one in a purely evaluative role (see appendix); and

Persistent, well-documented gender dysphoria

Capacity to make a fully informed decision and to consent for treatment; and

Age of majority (18 years or older); and

If significant medical or mental health concerns are present, they must be reasonably well controlled; and

Twelve months of continuous hormone therapy as appropriate to the member's gender goals (unless the member has a medical contraindication or is otherwise unable or unwilling to take hormones)

Requirements for genital reconstructive surgery (i.e., vaginectomy, urethroplasty, metoidioplasty, phalloplasty, scrotoplasty, and placement of a testicular prosthesis and erectile prosthesis in female to male; penectomy, vaginoplasty, labiaplasty, and clitoroplasty in male to female)

# Two referral letters from qualified mental health professionals, one in a purely evaluative role (see appendix); and

Persistent, well-documented gender dysphori

Capacity to make a fully informed decision and to consent for treatment; and

Age of majority (age 18 years and older); and

If significant medical or mental health concerns are present, they must be reasonably well controlled

Twelve months of continuous hormone therapy as appropriate to the member’s gender goals (unless the member has a medical contraindication or is otherwise unable or unwilling to take hormones)

Twelve months of living in a gender role that is congruent with their gender identity

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