[研究报告]预计市场规模将从2022年的29.0923亿美元增长到2030年的62.6667亿美元;预计 2022-2030 年复合年增长率为 10.1%。
市场洞察和分析师观点:< /strong>
变性手术也称为性别确认手术,是指帮助人们转变为自我认同性别的手术。性别确认选项可能包括面部手术、顶部手术或底部手术。大多数选择变性手术的人都表示生活质量和心理健康得到了改善。人们可能会接受手术,以使他们的身体符合他们的身份/性别认同。选择性别肯定手术的人之所以这样做,是因为他们经历了性别不安。性别不安是一种当出生时指定的性别与随着年龄的增长而与最初的性别认同不符时发生的痛苦。它既可以是精神上的痛苦,也可以是身体上的痛苦。常见的手术选择包括面部重建手术(使面部特征更加男性化或女性化)、顶部或胸部手术(增大或缩小乳房大小)以及底部或生殖器手术(可以改造和重建生殖器)。
增长动力和挑战:
性别不安被定义为一种不适感,发生在性别认同与出生时指定性别不同的人中。跨性别者和性别多元化的人可能会在生命中的某个时刻经历性别焦虑。然而,一些跨性别者和性别多元化的人对自己的身体感到放心,无论有或没有医疗干预。性别焦虑症的诊断已纳入美国精神病学协会出版的《精神疾病诊断和统计手册》(DSM-5) 中。该诊断的目的是帮助患有性别不安的人,并获得必要的医疗保健和具有成本效益的治疗。根据州医疗补助机构的数据,2021 年,全美约有 42,000 名儿童和青少年被诊断为性别不安,这一数字是 2017 年的三倍。从 2017 年到 2017 年,至少有 121,882 名 6 至 17 岁的儿童被诊断为性别不安。 2021年。对于被诊断患有性别不安的患者,他们最初会使用青春期阻断药物作为一流的治疗选择。这类药物被称为 GnRH 激动剂,有助于抑制性激素睾酮和雌激素的释放。美国食品和药物管理局(FDA)批准该药物主要用于治疗前列腺癌、子宫内膜异位症和中枢性性早熟等疾病,但不专门治疗性别焦虑症。尽管这些药物在性别焦虑症病例中被超说明书使用,但它们缺乏临床试验的支持来确定此类治疗的有效性和安全性。最近,至少有 4,780 名青少年开始服用青春期阻滞剂,并且之前被诊断为性别焦虑症。通过抑制性激素,青春期阻断药物可以阻止第二性征的出现,例如出生时为女性的青少年的乳房发育和月经。对于那些出生时被指定为男性的人,这些药物会阻止低沉声音的发育,并抑制面部和身体毛发的生长。它们还限制生殖器的生长。如果不使用青春期阻滞剂,这种身体变化会给许多跨性别儿童带来巨大的痛苦。这些青春期阻滞剂药物通常每隔几个月注射一次,或通过上臂皮肤下的植入物注射。在抑制青春期后,孩子可能会继续接受激素治疗,以启动与其性别认同相符的青春期。那些已经失去阻止青春期机会的人或拒绝该选择的人也可以寻求激素治疗。激素,即出生时指定为女性的青少年的睾酮和出生时指定为男性的雌激素促进第二性征的发育。出生时被指定为女性并服用睾酮的青少年可能会注意到脂肪从臀部和大腿重新分配到腹部。手臂和腿本质上可能看起来更肌肉发达。眉毛和下巴线条相当明显。体毛可能会变粗变厚。服用雌激素的出生时被指定为男性的青少年可能会注意到他们身上的毛发变软和稀疏。脂肪可能会从腹部重新分配到臀部和大腿。他们的睾丸可能会缩小,性欲也会减弱。这些激素的服用方式有多种,包括注射、药丸、贴剂和凝胶。一些未成年人会继续服用激素很多年直到成年,或者如果他们达到了他们想要的身体特征,他们可能会停止服用激素。性别肯定医疗的最终步骤是手术,这在 18 岁以下患者中并不常见。2021 年,美国对 13 至 17 岁之间诊断出性别不安的患者进行了超过 776 例乳房切除术。这些因素近年来促进了变性手术市场的增长,预计在预测期内将继续保持类似的趋势。
政府采取的举措也是其中之一推动整体变性手术市场增长的因素。例如,2022 年 10 月,拉贾斯坦邦政府向寻求 SRS(变性手术)的跨性别者提供资金支持。 Ashok Gehlot领导的政府声称,这主要是为了确保跨性别者有尊严的生活,让他们能够活出真实的个性。该倡议宣布,为每名希望通过手术变性为男性或女性的跨性别者,为每一次变性手术提供高达 25 万卢比的援助。手术只有在心理治疗、激素治疗和药物治疗后才会进行。 2023 年 9 月,联邦政府宣布,根据 Ayushman Bharat 计划,跨性别者每年将获得高达 50 万印度卢比的健康保险。该保险还将涵盖变性手术。卫生部下属的国家卫生局与社会正义部就该计划签署了谅解备忘录。
高成本是制约市场增长的因素之一变性手术。市场参与者必须提供差异化的服务,以在市场上建立独特的价值主张并巩固现有的立足点。此外,与变性手术相关的副作用可能会对整体市场增长产生严重影响。
战略见解
报告细分和范围:
“全球变性手术市场》根据手术类型、最终用户和地理位置进行细分。根据手术,变性手术市场分为男变女和女变男。男变女手术分为女性化阴道成形术、隆胸手术、面部女性化手术和其他手术。女变男手术分为阴茎成形术、子宫切除术和其他手术。根据最终用户,变性手术市场分为医院、专科诊所等。变性手术根据地理位置分为北美(美国、加拿大和墨西哥)、欧洲(德国、法国、意大利、英国、俄罗斯和欧洲其他地区)、亚太地区(澳大利亚、中国、日本) 、印度、韩国和亚太地区其他地区)、中东和非洲非洲(南非、沙特阿拉伯、阿联酋以及中东和非洲其他地区)以及南美和非洲中美洲(巴西、阿根廷以及南美洲和中美洲其他地区)。
< u>细分分析:
根据手术类型,变性手术市场分为男性对女性和女性对男性。男变女手术分为女性化阴道成形术、隆胸手术、面部女性化手术和其他手术。女变男手术分为阴茎成形术、子宫切除术和其他手术。 2022 年,男性到女性细分市场将占据更大份额,预计在预测期内将继续保持类似趋势。女性化阴道成形术是针对生殖器性别不一致的性别多样化人群最常见的性别确认生殖器手术。该手术创造了一个美观且功能齐全的外阴和阴道管,使性交具有接受性、阴蒂性感和向下的尿流。阴茎内翻阴道成形术 (PIV) 是一种涉及阴茎和阴囊解剖结构重新排列的单一外科手术,使许多患者能够满足这些解剖目标。其他可能的选择包括最小深度、腹膜和肠阴道成形术。阴道成形术后患者的生活质量已被证明可显着改善,但据报道并发症发生率高达 70%。然而,大多数并发症不会改变术后长期临床结果,并且可以在急性围手术期无需手术干预即可得到控制。据 PubMed Central 报道,北美和欧洲的阴道整形中心数量最多。在包括北美和欧盟地区在内的 17 个西方中心,阴道成形术某些方面的实践具有显着的一致性。在使用生殖器外组织进行阴道管/顶端创建、阴蒂罩和内小阴唇创建、新阴蒂神经血管束抬高以及围手术期激素管理方面存在差异。
变性手术市场(按产品) 2022 年和 2030 年
根据最终用户,性别重新分配外科手术已分为医院、专科诊所等。医院细分市场在 2022 年占据最大份额,预计在预测期内将遵循类似的趋势。然而,预计专科诊所细分市场在预测期内将以最高速度增长。变性服务和手术在美国地区变得越来越广泛,越来越多的保险公司正在增加保险范围,以帮助超过一百万被认定为跨性别者的美国人。克利夫兰诊所、波士顿医疗中心、波特兰俄勒冈健康与科学大学和纽约市西奈山医院是最新提供变性手术的医疗中心。
区域分析:
区域可分为北美、欧洲、亚太、中东&非洲、南美和非洲中美洲、北美变性手术市场在 2022 年占据最大份额,预计在预测期内将继续保持类似趋势,其次是欧洲。北美地区分为美国、加拿大和墨西哥。美国地区在 2022 年占据最大份额,预计在预测期内将保持其主导地位。另一方面,预计加拿大将在预测期内实现最高增长率。世界跨性别健康专业协会 (WPATH) 制定了护理标准,但加拿大各地没有覆盖范围和先决条件的标准。例如,加拿大所有省份和地区都为生殖器变性手术提供健康保险,但大多数卫生部门要求精神科医生批准并转介该手术。在一些社区,精神科医生的等待时间可能长达数年。大多数省份和地区都要求有记录的“性别不安”性别肯定治疗,包括获得激素和任何类型的性别肯定程序。国际疾病分类从精神科诊断清单中删除了性别多样性,并且不再将其视为精神疾病。虽然大多数省/地区都涵盖变性手术,但只有三个诊所可以进行这些手术,其中包括蒙特利尔的一家私人诊所、Centre Metropolitain de Chirurgie,这是一家隶属于女子学院医院的小型公共诊所多伦多的性别手术项目 BC,这是 BC 省的一家公共诊所(仅治疗 BC 省和育空地区的居民)。预计亚太地区将在预测期内实现最高增长。日本性别认同障碍的患病率相当高,男女比例为1:25,000,女性与男性比例为1:12,000。在日本,很少有机构定期进行变性手术,尽管目前人口普查登记册上的性别改变是强制性的。预计这些因素将在预测期内增加发达国家和发展中国家对性别分配手术的需求。
竞争格局和主要公司:< /u>
Andrew Ives、波士顿儿童医院、英国联合公积金协会有限公司、Chettawut 整形外科中心、CNY Cosmetic & Cosmetic 等公司重建外科、Costhetics Pty Ltd.、Moein Surgical Arts、西奈山跨性别医学和外科中心 (CTMS)、俄勒冈健康与科学大学、Penn Medicine、普吉岛国际美容中心 (PIAC)、罗切斯特整形外科集团、Rumer Cosmetic Practice ,Â萨瓦佩罗维奇基金会手术公司和瑞典健康服务公司是在全球变性手术市场上运营的一些主要公司。这些公司利用了产品推出、产品升级、专利、产品组合扩展和领域扩张等战略来促进组织的发展。此外,这些公司还投入精力开发产品/服务,并获得了美国FDA等监管机构的批准。
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Frequently Asked Questions
Hospital segment, by end user, dominated the market in 2023.
Players operating in the market are Andrew Ives, Boston Childrens Hospital, British United Provident Association Ltd., Chettawut Plastic Surgery Center, CNY Cosmetic & Reconstructive Surgery, Costhetics Pty Ltd., Moein Surgical Arts, Mount Sinai Centre for Transgender Medicine and Surgery (CTMS),Oregon Health and Science University
North America region dominated the Sex Reassignment Surgery market in 2023.
Enhancement of Psychological Counselling Services act as a opportunity for growth of the market in forecast period.
The Sex Reassignment Surgery Market is estimated to witness a CAGR of 10.1% from 2023 to 2031
The major factors driving the Sex Reassignment Surgery market are:
1. Advancing Societal Acceptance and Legal Reformations
2. Technical Advances in Surgical Techniques
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