When I was ending my MSc. degree in sexology, I went to the XVth World Congress of Sexology in Paris, 2001
where I presented and discussed two papers about the gender identity formation and the brain. I wrote the papers
in co-authorship with Prof. Pedro Jurberg, PhD. A lot of people then asked me to help them because of my
experience with gender matters, and I came back with the intention to do something.
First of all i knew at that time, really before i published in Brazil "Meu Sexo REal" (Vozes editors 1998), that:
1. All mammal has an identity - a sense of self - and the self has a gender - even non-humans.
2. All our feelings, all we perceive is related to the brain. So gender identity necessarily derives in a sense or other, from the brain.
3.There are special very small brain structures, related to gender identity, as hypothalamus, limbic system, among others. These are subcortical , small and very old structures, all mammals have.
4.The mechanism of the development of these basal brain structures are essentially different - and independent from the mechanisms that define genital differentiation - so the lack of harmony between sex and gender is possible and explanable.
5.We may not yet know all - but we know enough to develop dynamical models about how gender identity forms - in humans.
6.So, gender identity is not necessarily related to mental disorders - but to brain development diversity - and we may map that space of diversities.
7. Gendercare.com did exactly this - we did map that space.
8. Mapping that space of diversities, we could recognize patterns and signatures.
9. Recognizing signatures we did develop a method to diagnose people at a distance - based on the web.
Then we started the idea to develop a method of treatment through the web, to help people. By the end of 2002 we had the method developed, and from 2003 on we have been evaluating hundreds of people, all around the world.
The first part of all treatment is the EVALUATION.
We have two kinds of evaluation, a COMPLETE and a SIMPLIFIED one.
When someone feels they are TS/HBS or TG - when they have feelings of uneasiness with their body, and the patient would like to undergo a complete or almost complete body change, we need to perform the COMPLETE evaluation. On the contrary, when the patient "a priori" does not want any body changes, or wants mild ones, we may consider the SIMPLIFIED evaluation.
If a patient, after a simplified evaluation, decides on a total body change, or through the tests shows the need for more than mild changes, we ask the patient to then do the COMPLETE evaluation.
An evaluated patient inside Gendercare has rights.
If the complete evaluation confirms the patient to have a TS/HBS or TG condition, the patient has the right, if they would like, to start transition (MtF or FtM) with our supervision - through our TransPack - a pack of supervision and counseling for hormone therapy (HRT) and transition, at the due price.
If the patient would like to only have an HRT referral letter and develop the transition without our supervision, at the due price, we will send the referral letter to the patient - after our complete evaluation.
We will provide SRS referral letter for patients who have not gone through our counselling program, ONLY after they have our complete evaluation and their preparation for SRS, and paid for the referral letter.
Crossdressers and some intergendered people may not need the complete evaluation but may benefit from the simplified one.
All evaluations, complete or simplified NEED the MFX or FMX tests. These tests are mandatory for all evaluations - the MMPI is necessary for the complete evaluation only. All patients need to pay the Start up fee - for a simplified or complete evaluation.
With any surgery - mainly SRS surgery and our referral letters, we would like to be informed about the surgeon and the conditions of the surgery. We would like to be in touch with the surgeon/clinic/hospital and to follow the progress and any problems with the patient.
For MtF's we have a fundamental program to supervise the post-op for the SRS - to make sure the dilation will be perfect, so that the patient will be able to have a normal sexual life.