H. S. KUPPERMAN, "The Endocrine Status of the Transsexual Patient," p 434, covers the generalities of sex hormones in some detail, emphasizing that both androgens and progesterone co-exist in both male and female. He interprets the roles of these as being enhancers and suppressors of libido, in addition to their obvious. effects on the secondary sexual anatomy. No relationship to transsexual tendency was found.

R. GREEN, "Physician Emotionalism in the Treatment of the Transsexual," is part of the report on a survey in which some TVia readers participated a few years ago. The report is limited to the response from 168 psychiatrists, 125 general practitioners and 100 urologists and gynecologists. The majority of these physicians showed themselves so unsympathetic as to refuse surgery to a TS even at the point of suicide, even though they admitted that such treatment would not be harmful to the patient. This very un-Hippocratic attitude is then discussed in terms of the apparent reasons behind it. The psychiatrists were typical of all groups; 84% were cautious about the possible professional or legal consequences, but 94% 94% objected on MORAL AND/OR RELIGIOUS GROUNDS. Many questionnaires were not completed. Rather the potential respondent scrawled some scurrilous comment across the front page attacking the moral integrity of the authors. . . Letters of protest poured in . . . despite the fact that nowhere in the questionnaire was there an indication of the position of the authors." The result of this is, of course, poor treatment (ask any TS!) amounting to a sham. The cause seems to be the alien nature of the TS phenomenon, plus the probability that it “attacks" the physician as a MAN. It says that it may not be better to be the sex to which most physicians belong - male. It fans the long repressed ember within many men of their envy, at some point in time, of those of the opposite gender. It strikes at their visible symbol of masculine identity . . . the TS demanding that we do the 'unspeakable to his unmentionables.' Why does he keep pestering us?" Even though Dr. Green does not

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