A 28-year-old presents for evaluation. BOver the past 4 months, a 27-year-old woman has experienced a decreased libido and difficulty reaching orgasm with her long-term partner. She was diagnosed with major depressive disorder 6 months ago, takes fluoxetine, and participates in cognitive behavioral therapy. She has become increasingly depressed and wonders whether she has some type of disease affecting her hormones or genitalia. Which of the following is the most likely diagnosis? Body dysmorphic disorder Female orgasmic disorder Female sexual interest/arousal disorder Somatic symptom disorder Substance/medication-induced sexual dysfunctionorn a male, she had a strong desire to be another gender and to be treated as another gender. Due to these feelings, she has experienced significant stress. She is taking estrogen and has undergone penile inversion vaginoplasty with cliteroplasty and an orchiectomy. Which of the following is most likely needed in her case? Care provided by an endocrinologist Counseling regarding engagement in relationships with cisgender women Monitoring for increased risk for cardiovascular disease Monitoring for kidney stones
