The annual Pride LGBT (lesbian, gay, transgender and bisexual) has named 2010 "year to transform." Both the state federation-FELGTB-like claims, the association of Cantabria for LGBT rights, thus put the emphasis on symbolic commemoration of June 28 to fulfill the sexual rights of transgendered people. Rights guaranteed by the international community but are still far from being guaranteed to all citizens throughout the English territory.
Sexual rights include:
Ø The right to sexual freedom
Ø The right to autonomy, integrity and security
sexual body or the right to sexual pleasure
Ø The right to emotional sexual expression
Ø The right to sexually associate freely
Ø The right to comprehensive sex education
Ø The right to reproductive decision-making free and responsible
Ø The right to information based on scientific knowledge
Ø The right to sexual health care
These rights are particularly vulnerable in the transgender and transsexual people who today continue to be stigmatized and discriminated against by public institutions . Despite legislative progress experienced in recent years (particularly State-level English with Gender Identity Law-Law 3 / 2007 of March 15, regulating the registration of the words correct on the sex of the people), has not yet been withdrawn documentation of transsexuality as mental illness in the International Classification of Diseases (ICD-10) which maintains the World Health Organization (WHO).
Even in a time when the English Government is committed to the WHO request the removal of transsexuality from the CIE, in the Units of Gender Identity Disorder (Utiger) established in different regions (to date in Andalusia, Asturias, Barcelona, \u200b\u200bCanarias, Extremadura, Madrid, Navarra and Basque Country) to treat called TIG, access to hormonal treatments and surgical sex reassignment remains dependent on a psychiatric diagnosis. In addition to following diagnostic criteria based on outdated gender stereotypes in today's society, the very Act 3 / 2007 requires a minimum of two years of supervised hormone therapy to change a name on ID or resorting to surgery. In this context, trans people who attend Utiger enter an evaluation process without certainty about life. This requirement challenges the other hand medicalization of state intervention in personal decisions about own body. Intervention raises the need to assess the impact of the Act as a whole, and particularly the impact of health policy derived from it in the health of its users.
However, despite this context, Utiger are necessary to provide care to people in need and avoid the risks of not providing comprehensive health care for gender reassignment, including self-medication without proper hormonal monitoring and potential adverse effects that increase the morbidity of people who undergo them. In addition to the risks posed by the black market for treatment, for example, liquid silicone replacement of breast implants, which can cause serious health problems.
disinformation health professionals about the process that transgender and transsexual people have to follow, encourage and require the implementation of protocols that give satisfactory answers to the demands felt by those affected and their families, answers to be reflected in the achievement of an adequate state of health of this population group. The same is guaranteed by an integrated approach to transgender and transsexual people, so as to achieve the standards of care and facilitate personal development and quality of life for everyone involved. A priority for this reason that primary care professionals know this process and have a drive and / or reference professionals within or outside the Autonomous Community, to attend this user group health system. In communities such as Cantabria that does not have a Utiger, it is necessary for the health system considered well the formation of a unit or establishment of a convention for people who need this service can be accessed at another communities with Utiger.
Various associations in defense of sexual rights and the right to health of trans people, as the Network for Trans Depathologization and the same association Cantabria Claims, promoted as the name implies a process of depathologization transsexuality and transgender to integrate the participation of stakeholders through the following steps:
Ø A model of care that does not consider transsexualism as a mental disorder or pathology but that is based on the recognition of gender identity and right to decide over their own bodies. Ø
Failure to follow the current diagnostic criteria of "gender identity disorder" in the DSM-IV manual of mental disorders American) and ICD-10.
Ø Free access to hormone therapy and reassignment surgeries gender, through a process of shared decision-making and informed consent. Ø
personalized attention that recognizes the diversity of gender identities and priorities for treatment of trans people.
or replacement of the evaluation function of the professional role of information and support in the treatment process.
Ø The availability of a counseling service non-binding. Ø
trans movement's participation in the development of clinical protocols and management of trans-specific care.
This speech processor with respect to the identities depathologization trans and autonomy of the body must also permeate the health system at a time when the same movement for the rights of transgender people in their own dilemma debate between the struggle for the right to treatment and the fight against compelled speech by legislation. Clearly the defense of personal autonomy of the trans community, like the general population does not in any way defend the right to treat trans people who have chosen this path for their lives.
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