Utrecht Gender Dysphoria Scale - Gender Spectrum (UGDS-GS)

Utrecht Gender Dysphoria Scale – Gender Spectrum (UGDS-GS) is an 18-item scale that measures that dissatisfaction with gender identity and expression over time as well as comfort with affirmed gender identity. It is a a gender-neutral, single-version adaptation of the original UGDS.


Geographies Tested: India,United States of America

Populations Included: Female, Male, Transgender, Other

Age Range: Adults


1. I prefer to behave like my affirmed gender.
2. Every time someone treats me like my assigned sex I feel hurt.
3. It feels good to live as my affirmed gender.
4. I always want to be treated like my affirmed gender.
5. A life in my affirmed gender is more attractive for me than a life in my assigned sex.
6. I feel unhappy when I have to behave like my assigned sex.
7. It is uncomfortable to be sexual in my assigned sex.
8. Puberty felt like a betrayal.
9. Physical sexual development was stressful.
10. I wish I had been born as my affirmed gender.
11. The bodily functions of my assigned sex are distressing for me (i.e. erection, menstruation).
12. My life would be meaningless if I would have to live as my assigned sex.
13. I feel hopeless if I have to stay in my assigned sex.
14. I feel unhappy when someone misgenders me.
15. I feel unhappy because I have the physical characteristics of my assigned sex.
16. I hate my birth assigned sex.
17. I feel uncomfortable behaving like my assigned sex.
18. It would be better not to live, than to live as my assigned sex.

Response Options:
Completely Disagree – 1
Disagree – 2
Neither Agree nor Disagree – 3
Agree - 4
Completely Agree - 5

Scoring Procedures

The mean score of all 18 items is calculated. Mean values closer to 4 indicate greater gender dysphoria.

Original Citation

McGuire, J. K., Berg, D., Catalpa, J. M., Morrow, Q. J., Fish, J. N., Nic Rider, G., Steensma, T., Cohen-Kettenis, P. T., & Spencer, K. (2020). Utrecht Gender Dysphoria Scale - Gender Spectrum (UGDS-GS): Construct validity among transgender, nonbinary, and LGBQ samples. International Journal of Transgender Health, 21(2), 194-208.

Psychometric Score

Ease of Use Score

Scoring breakdown

Formative Research

Qualitative Research

Existing Literature/Theoretical Framework

Field Expert Input

Cognitive Interviews / Pilot Testing








Criterion (gold-standard)



Ease of Use


Scoring Clarity


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