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Transgender Adolescents and the Gender-Affirming Interventions: Pubertal Suppression, Hormones, Surgery, and Other Pharmacological Interventions

  • Samantha M. Busa
  • Scott Leibowitz
  • Aron Janssen
Chapter

Abstract

For adolescents with gender dysphoria, puberty is an especially complicated time that may cause anxiety and distress, more so than what is typically experienced by cisgender adolescents. These physical and physiological changes can be addressed through medical interventions that are recognized by the World Professional Association of Transgender Health Standards of Care. Multidisciplinary teams that consist of psychologists, psychiatrists, pediatricians, social workers, advanced nurse specialists, and pediatric endocrinologists can guide families in the decision-making process around gender-affirming medical care. These exogenous interventions progress from most reversible to irreversible as an adolescent matures. This chapter aims to review pubertal stages for youth, to present the medical interventions recommended for adolescents who are experiencing gender dysphoria, and to comprehensively review the guidelines provided by the Endocrine Society and the World Professional Association for Transgender Health.

Keywords

Transgender youth Gender-affirming medical interventions Gender dysphoria Mental health Cross-sex hormones Puberty suppression Menstrual suppression Spironolactone Gender confirmation surgery Sex reassignment surgery 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Samantha M. Busa
    • 1
  • Scott Leibowitz
    • 2
    • 3
  • Aron Janssen
    • 4
  1. 1.Department of Child and Adolescent PsychiatryHassenfeld Children’s Hospital at NYU LangoneNew YorkUSA
  2. 2.Department of Psychiatry, THRIVE Gender and Sex Development ProgramNationwide Children’s HospitalColumbusUSA
  3. 3.Department of PsychiatryThe Ohio State University College of MedicineColumbusUSA
  4. 4.Department of Child and Adolescent PsychiatryNYU Langone Health, NYU Child Study CenterNew YorkUSA

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