Sexualidad y reproducción, un campo importante de la endocrinología

The Gender Dysphoria Working Group was created in response to an increasing need for the medical care of transsexualism. After several years, the Group decided to extend its activity to the field of sexuality and reproduction because insufficient attention is paid to this topic by Spanish endocrinologists. Factors contributing to the lack of endocrinologists interested in this field include the burden of medical care produced by other, more prevalent diseases, the secondary role assigned to endocrinologists by public and private institutions, and the diagnostic and therapeutic difficulties associated with this field. Therefore, our Working Group aims to deal with clinic pictures whose origins or consequences are directly or undirectly related to alterations in gonadal function (male or female). These alterations, which are mainly hormonal, precipitate diverse disorders in many organs and systems. Because the clinical pictures are so varied, other disciplines (gynecology, urology, internal medicine, cardiology, traumatology, dermatology, geriatrics, etc.) have taken on the leading role in the clinical and research settings. We believe that the field of endocrinology should play a role in the clinical, teaching and research activity performed as a result of diseases with a hormonal substratum (and specifically gonadal), a task which is the raison d'être for the activities of our Group.