Kockott & Fahrner, 1988
Psychiatric Clinic of the Technical University and the Max-Planck-Institute for Psychiatry, Munich, Germany

In this publication transsexuals of both genders are compared without regarding the treatment level. This is no follow-up study in the narrow sense of the word. Specific follow-up study aspects of the described sample can be found in Fahrner et al. (1987) that reports about the same sample.

• Sample
• Study Methods
• Evaluation Fields and Criteria
• Results
• Suicide Attempts/Role Re-reversal
• Follow-up Studies Mentioned
• Authors' Conclusion
• Remarks

Study Methods
See Fahrner et al. (1987)

Evaluation Fields and Criteria
The groups of MFTs and FMTs were compared, without regarding the state of the treatment, in view of the following criteria: contacts to the family, partnerships, sexual satisfaction and suicide attempts.

Results
At the time of diagnosis the FMTs were integrated significantly better socially than the group of MFTs. Twelve of the 19 FMTs , but only a third of the MFTs, had close contact to the family. Similar differences were also demonstrated in regard to partnerships. Two-thirds of the FMTs had mostly satisfying partnerships (longer than six months); in comparison, only half of the MFTs had a partner and a majority (16 of 18) of these were unsatisfied with the partnership. Sexually satisfied were 80% of the FMTs, where the same percentage of the MFTs said to be unsatisfied.
In the follow-up study there was no difference between MFTs and FMTs regarding the characteristics of psycho-social integration. In comparison to that, the FMTs had statistically significant more frequent and longer partnerships post-surgically than the operated MFTs and also were more satisfied sexually.

Suicide Attempts/Role Re-reversal
Eight MFTs and one FMT had attempted suicide; only one of these suicide attempts happened after surgery.

Follow-up Studies Mentioned
Blanchard et al., 1985; Hunt & Hampson, 1980; Kröhn et al., 1981; Lundström et al., 1984; Pauly, 1974; Spengler, 1980; Wålinder, 1967

Authors' Conclusion
The prognosis for FMTs is better than for MFTs because the former integrate better into the new gender role. MFTs are more satisfied post-surgically than before, but their partnership attitude does not fundamentally change. Even though FMTs can achieve less by surgical procedures than MFTs they are more stable in partnerships. The authors believe that the differences could possibly be found in the genes.

Remarks
To use genetic factors as a recourse to describe the different partnership behaviors seems not very plausible.