ABSTRACT
Abstract Introduction There is a wide range of possible combinations in relation to sex at birth, gender identity, and sexual orientations. Specific medical and psychological treatment needs may also vary depending on these combinations. Objective In order to promote interventions that focus on the perceived needs of those directly involved, the aim of the present case study is to describe the clinical and life experiences of a 43-year old transgender woman with cryptorchidism and examine the interplay between this relative common testicular problem at birth, gender identity, and sexual orientation formation processes from her own perspective. Method An in-depth interview was conducted at a specialized care centre in Mexico City, Mexico. The interview was audio recorded and transcribed for a content analysis. Results The case under analysis was assigned to the male sex and identified herself as a transgender woman and lesbian. Although it is not possible to conclude that her gender identity or sexual orientation is related to her antecedent of cryptorchidism, as she reflected on her related negative experiences, she concluded that her gender identity and sexual orientation trajectories, as well as her life in general, would have been completely different if there were no clinical interventions in her early development. Discussion and conclusion The present case could have been benefited from not receiving early treatment for her cryptorchidism. There is an urgent need for the development of standardized protocols or algorithms for physical and mental health care professionals, which focus on supportive guidance rather than adjustment to parental and medical expectations.
Resumen Este artículo presenta la historia clínica y de vida de una mujer transexual con criptorquidia al nacer. Nuestro objetivo es presentar un estudio de caso en que la identidad transgénero y la criptorquidia, una condición testicular común en niños e identidades trans, podrían cumplir un papel en los procesos de formación de identidad de género. La interacción entre la identidad de género y la orientación sexual también se presenta como entrevistas semiestructuradas destinadas a recopilar datos sobre intervenciones clínicas tempranas según lo informado por la persona. Abogamos por un algoritmo psicológico que abarque la comunicación interprofesional específicamente diseñada para las personas con diferencias de sexo/género, centrándose en la orientación de apoyo en lugar de ajustarse a las expectativas médicas y de los padres.