Ai Guo, Zhe Zhang, Ge-Hong Dong, Lei Su, Chenyang Gao, Mengting Zhang, Xiaoyu Shi, Huabing Wang, Xinghu Zhang, De-Hong Lu, Ying Fu, Jing Jing, Fu-Dong Shi, De-Cai Tian
Cortical Microhemorrhage Presentation of Small Vessel Primary Angiitis of the Central Nervous System
Annals of neurology
gender incongruence gi condition individuals gender identity role expression differ assigned sex study aimed evaluate gi first arises transgender nonbinary individuals seeking hormone therapy years living untreated south korea retrospective study analyzed gi patients seeking genderaffirming hormone therapy gaht surgery 2015 2021 recorded data included gender identity legal transition status age onset gi age initiation therapy total therapy duration total 337 patients enrolled including 149 442 transgender men 153 454 transgender women 35 104 nonbinary individuals mean age onset gi 106 years standard deviation 51 total patients 29 onset gi age 6 years preschool 61 age 12 elementaryschool 87 age 15 middleschool patients lived gi almost 14 years gaht initiation median age 230 years 90 transgender men 823 transgender women 85 nonbinary patients disclosed gender identities families regarding social transition 315 transgender men 163 transgender women none nonbinary patients p0005 changed legal gender markers many transgender nonbinary individuals experience gi early life findings emphasized need early evaluation timely genderaffirming care accessible legal processes gender marker changes south korea aiming enhance safety wellbeing individuals