The British Journal of Psychiatry 152: 638-640 (1988)
© 1988 The Royal College of Psychiatrists
Prevalence of transsexualism in The Netherlands
PL Eklund, LJ Gooren and PD Bezemer
Department of Internal Medicine, Free University of Amsterdam, The Netherlands.
On the basis of the records of subjects undergoing cross-gender hormonal
treatment at the only gender treatment centre in the Netherlands, the
prevalence of transsexualism was assessed over the years 1976-1986. In
1980, the prevalence was 1:45,000 for male-to- female and 1:200,000 for
female-to-male transsexuals. In 1986 the prevalence for male-to-female
transsexuals was 1:18,000, and for female- to-male transsexuals, 1:54,000.
The increased prevalence is apparently due to a lower threshold for
applying for medical treatment rather than to a true increase in the
prevalence. Nevertheless, the calculated prevalence is higher than hitherto
recorded. The ratio of male-to- female compared with female-to-male
transsexuals was found to remain constant at 3:1.