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Pediatric Gender Identity pp 187–202Cite as

Treatment Paradigms for Adolescents: Gender-Affirming Hormonal Care

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Abstract

For transgender and gender diverse youth, gender-affirming hormone therapy is often a crucial component of achieving gender goals. This chapter will discuss the initiation and management of hormone therapy in transgender youth based on their goals and physical maturity. Topics discussed include pre-hormone assessment, puberty-blocking medication in the early pubertal period, initiation of estradiol and testosterone therapy in the peri- and post-pubertal periods, adjunctive medical therapies, and long-term management. With the significant increase in children and adolescents seeking gender-affirming care, early identification, support, and effective management of gender dysphoria are all important for improved long-term health outcomes for this new generation of transgender and gender diverse youth.

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Abbreviations

AYA:

Adolescents and young adults

GAH:

Gender-affirming hormones

GAS:

Gender-affirming surgery

GD:

Gender dysphoria

GnRHA:

Gonadotropin-releasing hormone analogs

HPG:

Hypothalamic–pituitary–gonadal

TGD:

Transgender and gender diverse

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Author information

Authors and Affiliations

  1. Warren Alpert Medical School of Brown University, Providence, RI, USA

    Kathleen Chung & Alicia Rolin

  2. Medicine-Pediatrics Residency Program, Brown University, Providence, RI, USA

    Sarah Rhoads

  3. Gándara Mental Health Center, Springfield, MA, USA

    Andrew C. Sackett-Taylor

  4. Department of Pediatrics, Brown University, Providence, RI, USA

    Michelle Forcier

Authors
  1. Kathleen Chung
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  2. Sarah Rhoads
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  3. Alicia Rolin
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  4. Andrew C. Sackett-Taylor
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  5. Michelle Forcier
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Corresponding author

Correspondence to Kathleen Chung .

Editor information

Editors and Affiliations

  1. Department of Pediatrics, Brown University, Providence, RI, USA

    Michelle Forcier

  2. Department of Psychiatry and Human Behavior, Brown University, Providence, RI, USA

    Gerrit Van Schalkwyk

  3. Division of Child & Adolescent Psychiatry, Massachusetts General Hospital, Boston, MA, USA

    Jack L. Turban

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Chung, K., Rhoads, S., Rolin, A., Sackett-Taylor, A.C., Forcier, M. (2020). Treatment Paradigms for Adolescents: Gender-Affirming Hormonal Care. In: Forcier, M., Van Schalkwyk, G., Turban, J. (eds) Pediatric Gender Identity. Springer, Cham. https://doi.org/10.1007/978-3-030-38909-3_14

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  • DOI: https://doi.org/10.1007/978-3-030-38909-3_14

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-38908-6

  • Online ISBN: 978-3-030-38909-3

  • eBook Packages: MedicineMedicine (R0)

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