Topic: What medical diagnosis did you receive as a result of your gender issues?

[angelats]

My answer might trigger.

I was diagnosed as mtf transsexual by my gender therapist many years ago . I was then in therapy by a specialist for transition for mtf transsexuals. In therapy we discussed the topic of sexual abuse in childhood.

I had completely forgotten what happend in my childhood. I had then flashback etc. and a major crisis and stopped transition then. I am still working on this.

Since then my transition is delayed.

[Devlyn]

It's interesting seeing how the medical terminology has changed in this necro'd thread. In the good ol'days, it was GID, gender identity disorder. Then the stigma of disorder was removed, and GD, or gender dysphoria was used. Nowadays, the billing codes use Gender Incongruence.

My diagnosis was F64.9: Gender Dysphoria, unspecified.

Not sure there was a “medical code” per se. The therapist letter stated I had gender dysphoria consistent with WPATH Transgender criteria. That was good enough for the PCP, insurance companies, and endocrinologist.

So I guess transgender.

Holly

The "medical codes" are there specifically FOR the insurance companies. I assure you there is one in your records, or insurance wouldn't be picking up the tab. 

[Ellie_Arroway]

I've heard they say Gender Incongruence now to be more inclusive since some transgender people don't experience dysphoria.

[zirconia]

I've heard they say Gender Incongruence now to be more inclusive since some transgender people don't experience dysphoria.

Hi, Ellie

Actually... the point of the diagnostic codes is that they not be inclusive. But rather specific and exclusive. Whatever politically correct names the doctors may be told to use, the codes themselves continue to point to a specific diagnosis for which particular treatments are indicated. And the condition itself remains the same whatever it is called today.

Manic depression is exactly the same disorder as bipolar disorder. The code proves it. The code—F31—is the same. It has to be, so the doctors will know what they're dealing with should political pressure cause the name of the disease be changed. As it clearly has. LOL.

As for the actual approved treatment protocols—they may vary by location, but e.g. where I'm being treated the one assigned to Devlyn would have meant she'd be likely to get hormones and definitely psychological support, but not SRS. Here the only condition for which SRS is indicated is F64.0. For which the official word used here is transsexualism.

(Fun fact: The word "gender" does not exist in the entire language—so the activists here call themselves "othersexuals.")

You may think this absolutely awful... but think of the written out clarification. "Gender Dysphoria, unspecified."

Unspecified means the cause is indeterminate. It could have several causes. That is why F64.9 is usually used here during the evaluation stages here for everyone, until the doctors have eliminated the possible existence of various underlying problem such as dissociative and body dysmorphic disorderds and schizophrenia. Which are also known to cause dysphoria.

The point is, treatment protocols are specific to the condition.

It's true that some different conditions may be treated using e.g. the same drugs. But the overlap doesn't mean the conditions themselves are the same. Here—let me use a rather extreme and overblown example.

Aspirin is used for reduction of inflammation after an injury as well as a blood thinner. But that does not mean a fracture is the same as congenital heart disease. So if you break your leg you're not given triple bypass surgery.

Medicine is not an umbrella.

[SarahEL]

First psychologist said i was 'dissociated...probably transsexual with GD'
Second one (a month later)  'Late-onset transsexual in denial ...'
(the in denial bit got me? Like I did not know?)..
Then eventually when they worked me out a little more., D.I.D and cPTSD from childhood S.A.....  Oh, well, long road ahead..

[Devlyn]

I've heard they say Gender Incongruence now to be more inclusive since some transgender people don't experience dysphoria.

Hi, Ellie

Actually... the point of the diagnostic codes is that they not be inclusive. But rather specific and exclusive. Whatever politically correct names the doctors may be told to use, the codes themselves continue to point to a specific diagnosis for which particular treatments are indicated. And the condition itself remains the same whatever it is called today.

Manic depression is exactly the same disorder as bipolar disorder. The code proves it. The code—F31—is the same. It has to be, so the doctors will know what they're dealing with should political pressure cause the name of the disease be changed. As it clearly has. LOL.

As for the actual approved treatment protocols—they may vary by location, but e.g. where I'm being treated the one assigned to Devlyn would have meant she'd be likely to get hormones and definitely psychological support, but not SRS. Here the only condition for which SRS is indicated is F64.0. For which the official word used here is transsexualism.

(Fun fact: The word "gender" does not exist in the entire language—so the activists here call themselves "othersexuals.")

You may think this absolutely awful... but think of the written out clarification. "Gender Dysphoria, unspecified."

Unspecified means the cause is indeterminate. It could have several causes. That is why F64.9 is usually used here during the evaluation stages here for everyone, until the doctors have eliminated the possible existence of various underlying problem such as dissociative and body dysmorphic disorderds and schizophrenia. Which are also known to cause dysphoria.

The point is, treatment protocols are specific to the condition.

It's true that some different conditions may be treated using e.g. the same drugs. But the overlap doesn't mean the conditions themselves are the same. Here—let me use a rather extreme and overblown example.

Aspirin is used for reduction of inflammation after an injury as well as a blood thinner. But that does not mean a fracture is the same as congenital heart disease. So if you break your leg you're not given triple bypass surgery.

Medicine is not an umbrella.

All I can surmise from this is that where you are, the providers don't follow the WPATH guidelines. F64.9 is Gender Dysphoria, or Gender Incongruence per the updated vocabulary, and if the individual wishes to undergo surgery, that is the course of action that should be taken.

[zirconia]

All I can surmise from this is that where you are, the providers don't follow the WPATH guidelines.

Hmmm... maybe and maybe not. They're guidelines after all, aren't they? Not laws of nature. All I can say is I've never met more sympathetic, understanding and caring people than they.

That said, they're also professional... so I guess that if they feel the diagnosis is not yet established beyond doubt they may well hesitate to authorize procedures that are irreversible.

But more to the point...

F64.9 is Gender Dysphoria, or Gender Incongruence per the updated vocabulary, and if the individual wishes to undergo surgery, that is the course of action that should be taken.

How long have you worked in the medical field, Devlyn? When and who taught you that? Unless I'm horribly, terribly, dangerously wrong, .9 always means unspecified.

And unspecified means that while the clinician does see indication of a given disorder, he lacks the certainty or expertise to actually assign the specific code required for an accurate, definite and specific diagnosis.

I'm pretty sure you don't believe me, or you wouldn't have said what you did... LOL. But perhaps, like my father, you may find the information more trustworthy if it comes from someone else.  So... here goes:

Following are the scenarios when the use of these codes is necessary:
When the patient is in the preliminary stages of evaluation.
When the physician lacks expertise in a particular area of diagnosis and is more of the generalist who isn’t able to code as specifically as a specialist.
When the claim is from a provider who is not directly related or involved in the patient’s condition

I believe you will find the same information everywhere if you feel like looking it up.

Please keep in mind that even the code R69 exists. For unspecified illness.

Do you believe unspecified illness is sufficient grounds for whatever treatment the patient feels to be appropriate? Or should the doctors also have a say?

And... in any case might it not be appropriate to find out what really is wrong before commencing treatment?

[Devlyn]

All I can surmise from this is that where you are, the providers don't follow the WPATH guidelines.

Hmmm... maybe and maybe not. They're guidelines after all, aren't they? Not laws of nature. All I can say is I've never met more sympathetic, understanding and caring people than they.

That said, they're also professional... so I guess that if they feel the diagnosis is not yet established beyond doubt they may well hesitate to authorize procedures that are irreversible.

But more to the point...

F64.9 is Gender Dysphoria, or Gender Incongruence per the updated vocabulary, and if the individual wishes to undergo surgery, that is the course of action that should be taken.

How long have you worked in the medical field, Devlyn? When and who taught you that? Unless I'm horribly, terribly, dangerously wrong, .9 always means unspecified.

And unspecified means that while the clinician does see indication of a given disorder, he lacks the certainty or expertise to actually assign the specific code required for an accurate, definite and specific diagnosis.

I'm pretty sure you don't believe me, or you wouldn't have said what you did... LOL. But perhaps, like my father, you may find the information more trustworthy if it comes from someone else.  So... here goes:

Following are the scenarios when the use of these codes is necessary:
When the patient is in the preliminary stages of evaluation.
When the physician lacks expertise in a particular area of diagnosis and is more of the generalist who isn’t able to code as specifically as a specialist.
When the claim is from a provider who is not directly related or involved in the patient’s condition

I believe you will find the same information everywhere if you feel like looking it up.

Please keep in mind that even the code R69 exists. For unspecified illness.

Do you believe unspecified illness is sufficient grounds for whatever treatment the patient feels to be appropriate? Or should the doctors also have a say?

And... in any case might it not be appropriate to find out what really is wrong before commencing treatment?

Unspecified in this instance does not mean the problem wasn't known, it simply means that I didn't specifically fit into any of the other categories such as F64.0 (transsexual), F64.1 (Dual-role transvestism), F64.2 (gender dysphoria in childhood), or F64.8 (gender dysphoria, other)

I'm genderfluid, non-binary. I embrace a male side and a female side. I desired feminization of my body, which was achieved through HRT and GRS (orchiectomy). This is consistent with the WPATH guidelines:


Diagnoses Related to Gender Dysphoria

Some people experience gender dysphoria at such a level that the distress meets criteria for a formal diagnosis that might be classified as a mental disorder. Such a diagnosis is not a license for stigmatization or for the deprivation of civil and human rights. Existing classification systems such as the Diagnostic Statistical Manual of Mental Disorders (DSM) (American Psychiatric Association, 2000) and the International Classification of Diseases (ICD) (World Health Organization, 2007) define hundreds of mental disorders that vary in onset, duration, pathogenesis, functional disability, and treatability. All of these systems attempt to classify clusters of symptoms and conditions, not the individuals themselves. A disorder is a description of something with which a person might struggle, not a description of the person or the person’s identity.

Thus, transsexual, transgender, and gender nonconforming individuals are not inherently disordered. Rather, the distress of gender dysphoria, when present, is the concern that might be diagnosable and for which various treatment options are available. The existence of a diagnosis for such dysphoria often facilitates access to health care and can guide further research into effective treatments.

Research is leading to new diagnostic nomenclatures, and terms are changing in both the DSM (Cohen-Kettenis & Pfäfflin, 2010; Knudson, De Cuypere, & Bockting, 2010b; Meyer-Bahlburg, 2010; Zucker, 2010) and the ICD. For this reason, familiar terms are employed in the SOC and definitions are provided for terms that may be emerging. Health professionals should refer to the most current diagnostic criteria and appropriate codes to apply in their practice areas.

Options for Psychological and Medical Treatment of Gender Dysphoria

For individuals seeking care for gender dysphoria, a variety of therapeutic options can be considered. The number and type of interventions applied and the order in which these take place may differ from person to person (e.g., Bockting, Knudson, & Goldberg, 2006; Bolin, 1994; Rachlin, 1999; Rachlin, Green, & Lombardi, 2008; Rachlin, Hansbury, & Pardo, 2010). Treatments options include the following:

Changes in gender expression and role (which may involve living part time or full time in another gender role, consistent with one's gender identity);
Hormone therapy to feminize or masculinize the body;
Surgery to change primary and/or secondary sex characteristics (e.g., breasts/chest, external and/or internal genitalia, facial features, body contouring);
Psychotherapy (individual, couple, family, or group) for purposes such as exploring gender identity, role, and expression; addressing the negative impact of gender dysphoria and stigma on mental health; alleviating internalized transphobia; enhancing social and peer support; improving body image; or promoting resilience.


As to this...

How long have you worked in the medical field, Devlyn?

... I suspect that I have worked in the medical field for exactly the same amount of time you have. In any event, that doesn't matter, I leave the doctoring to the doctors.

And unspecified means that while the clinician does see indication of a given disorder, he lacks the certainty or expertise to actually assign the specific code required for an accurate, definite and specific diagnosis.

Fortunately, they did indeed know how to code everything and get me the surgery I desired, my primary care physician, therapist, and the psychiatrist who reviewed my case are all women.

While we're talking about codes, and how pedantic you are about them, here are some of my favourites:


Top 10 Most Hilarious Codes in ICD-10

V91.07 – Burn due to water skis on fire.
V95.43 – Spacecraft collision injuring occupant. ...
X52 – Prolonged stay in a weightless environment. ...
V97.33 – Sucked into jet engine. ...
Y92.241 – Injury at library. ...
Z63.1 – Problems in relationship with in-laws. ...
W61.43 – Pecked by a turkey. ...
W22.02 – Walked into lamppost. ...

Pen pushers and accountants need ICD codes, it is after all a billing system. But in this technicolour world we live in, and the glorious spectrum that we are all part of, ICD codes aren't much to hang your hat on.

[Ellie_Arroway]

I regretfully have suffered a W22.02 incident.
My wife and mother have suffered very much from Z63.1.
X52 would be an interesting problem to have...
I hope I never get a V95.43, although I don't think my no-claims bonus would be affected.

[Devlyn]

While I have been known to spin the occasional yarn, you just can't make this stuff up:

Y93.D1: Stabbed while crocheting

[Devlyn]

I think we should milk this discussion for all it's worth....

W55.29XA: Other contact with cow, subsequent encounter.

[Northern Star Girl]

I think we should milk this discussion for all it's worth....

W55.29XA: Other contact with cow, subsequent encounter.

@Devlyn
Hmmm, If this continues I am thinking that I may have to
move this topic to the "Sexuality" subforum

      

Danielle

[Devlyn]

I think we should milk this discussion for all it's worth....

W55.29XA: Other contact with cow, subsequent encounter.

@Devlyn
Hmmm, If this continues I am thinking that I may have to
move this topic to the "Sexuality" subforum

      

Danielle

I think you're just blowing smoke up my....oh hey, look at the time! I gotta run...to the doctor's. 

T18.5XXA Foreign body in anus and rectum, initial encounter

[Karen_A]

Year: 2019

F64.0 Transsexualism
Type: Primary

The whole primary and secondary thing has not been used in medical circles for many years.

BTW what possessed you to revive a 9 year old thread?

-Karen

[Northern Star Girl]

@Devlyn

"I think you're just blowing smoke up my <moderation edit:  skirt >   oh hey, look at the time! I gotta run...to the doctor's.  "

Danielle   

@Devlyn
Hmmm, If this continues I am thinking that I may have to
move this topic to the "Sexuality" subforum

      

Danielle

I think you're just blowing smoke up my....oh hey, look at the time! I gotta run...to the doctor's. 

T18.5XXA Foreign body in anus and rectum, initial encounter

[Rakel]

I think you're just blowing smoke up my....oh hey, look at the time! I gotta run...to the doctor's. 

T18.5XXA Foreign body in anus and rectum, initial encounter

When I was a student, 50 years ago, I was working in a County Hospital Emergency Room mainly for the experience.

I have seen on more than one occasion when someone came to the E.R. with this condition. This happens and it just demonstrates how serious gender issues can become.

[ChrissyRyan]

It was NOT

I33.MBF40 Male Bovine Feces disseminator on social media


Male Bovine Feces = BS

[Ryuichi13]

I don't know what everyone else's answer is, since I havn't read the thread yet, but here's my "official, US government's reason as to why you need HRT."

They told me I have Hypogonadotropic hypogonadism, which from what my gender therapist told me is "the US government's term for why I have Gender Dysphoria."

Now to read what everyone else's answers are!

Ryuichi

Sent from my SM-G975U using Tapatalk

[MeTony]

Transsexual.

[Allie Jayne]

It’s obviously different in Australia as my Psychologist reported to my GP and she entered her diagnosis of “Transgender in Transition” on my official Government Health Records.

So mine was a medical diagnosis and I suspect many who have posted may have been psychological diagnosis.

Hugs,

Allie