Transition Considerations for Transgender Patients

  • Diane Ehrensaft
  • Colton L. Keo-Meier
  • Joanna Yuen


A relatively new but growing group of youth transferring from pediatric to adult endocrine care includes transgender and gender-expansive children and youth, particularly as related to gender-affirming hormonal treatments. This chapter identifies the developmental and psychosocial considerations, treatment and screening issues, health service practices designed to ensure sensitive medical care of this vulnerable population, and specific care considerations as these youth transition from pediatric to adult endocrine programs. It concludes with providing key additional resources to facilitate optimal transition in care for these young adults.


Gender Gender identity Transgender Gender affirmative Gender dysphoria Pubertal suppression Hormone therapy 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Diane Ehrensaft
    • 1
  • Colton L. Keo-Meier
    • 2
    • 3
    • 4
  • Joanna Yuen
    • 5
  1. 1.Mental Health, Child and Adolescent Gender Center, Department of PediatricsUniversity of California San FranciscoSan FranciscoUSA
  2. 2.Department of PsychologyUniversity of HoustonHoustonUSA
  3. 3.Baylor College of Medicine, Menninger Department of Psychiatry and Behavioral SciencesHoustonUSA
  4. 4.University of Texas Medical Branch School of MedicineHoustonUSA
  5. 5.Department of Psychology, University of HoustonHoustonUSA

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