Objective:

to describe the proportion of older than 45 transgender persons who requested medical or psychological care, as well as social characteristics, identity history, presence of cardiovascular risk factors, hormonal or affirmative surgical treatment, and psychiatric comorbidities.

Methods:

cross-sectional, descriptive study. We included 567 patients with gender incongruence who requested care at the Gender Identity Unit (UIG), at the Doctor Peset University Hospital (Valencia), from 2012 to 2019.

Results:

4.2% of sample corresponds to persons older than 45, with a median age of 52 [RIQ 50.25-60.25]. The vast majority had experienced a feeling of identity incongruity in the prepubertal or adolescent stage and made the social transition during adulthood. 25% of transgender women self-medicated before turning up at the UIG. 29.1% had a history of suicidal ideation and 25% had attempted suicide. More than half presented at least two cardiovascular risk factors and did not receive specific pharmacological treatment.

Conclusions:

in our sample, there was a low proportion of transgender individuals over the age of 45 who sought care at the IUG compared to the younger age groups. This particular group was characterized by high rates of cardiovascular risk factors and psychological comorbidities.

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