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Gender dysphoria: an occult challenge for medical profession.

'Mind' 1 in 30,000 adult males and 1 in 100,000 adult females suffer from Gender Dysphoria. Genetic males outnumber females to a greater extent. Another report states that 1 in 11,000 men and 1 in 30,000 women seek treatment for gender dysphoria.2 Though Gender Identity Disorder and Gender Dysphoria are used synonymously at times, gender dysphoria relates to anxiety and confusion about individuals' gender identity. In the Western world, it is accepted that only two genders exist but some countries and cultures accept a third one. The sense of gender identity develops at a very young age of around 2 year. The distress in gender dysphoria is evidenced in disturbed social, occupational or other functioning area of life. Some physical features of opposite sex are evidenced in Androgen insensitivity syndrome or Congenital Adrenal Hyperplasia. Further information from the same reference explains the causes of gender identity disorder including changes in the brain prior to birth that would cause the brain to develop in a pattern opposite to that of physical gender. It mentions that low levels of HY antigen that would mediate the masculinizing effect of the Y chromosome in the males.1 The working group on Gender Identity Disorder will be addressing some of the following concerns with existing diagnostic category that have been raised before making final recommendations for the categories in the forthcoming DSM V classification. These are: focus on pathology on nonconformity to assigned birth sex in disregard to the definition of mental disorder, issue of clarity on gender dysphoria, issues related to gender-conversion therapies, the misleading title of 'gender identity disorder,' maligning terminologies, false positive diagnosis of those who are no