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. 2022 Jun 13;7(3):185-188.
doi: 10.1089/trgh.2020.0139. eCollection 2022 Jun.

Puberty Suppression in Transgender and Gender-Diverse Adolescents: Timely Care for Optimal Outcomes

Affiliations

Puberty Suppression in Transgender and Gender-Diverse Adolescents: Timely Care for Optimal Outcomes

David A Klein et al. Transgend Health. .

Abstract

In this perspective, we argue that pubertal suppression with gonadotropin-releasing hormone analogues is a safe reversible intervention that should be made available to transgender and gender-diverse youth starting at early puberty. Recent data suggest puberty suppression is generally initiated among individuals once puberty has significantly progressed, thus reducing the effectiveness of the intervention. Delays and barriers to such care may systematically introduce permanent avoidable disadvantages for this vulnerable and marginalized group.

Keywords: adolescent; gender dysphoria; gender-affirming; puberty suppression; transgender.

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Conflict of interest statement

No competing financial interests exist.

References

    1. Rafferty J; Committee on Psychosocial Aspects of Child and Family Health; Committee on Adolescence, et al. . Ensuring comprehensive care and support for transgender and gender-diverse children and adolescents. Pediatrics. 2018;142:e20182162. - PubMed
    1. Grant JM, Mottet LA, Tanis J, et al. Injustice at every turn: a report of the National Transgender Discrimination Survey. Available at: https://www.thetaskforce.org/injustice-every-turn-report-national-transg.... Accessed November 29, 2020.
    1. van der Miesen AIR, Steensma TD, de Vries ALC, et al. . Psychological functioning in transgender adolescents before and after gender-affirmative care compared with cisgender general population peers. J Adolesc Health. 2020;66:699–704. - PubMed
    1. Arnoldussen M, Steensma TD, Popma A, et al. . Re-evaluation of the Dutch approach: are recently referred transgender youth different compared to earlier referrals? Eur Child Adolesc Psychiatry. 2020;29:803–811. - PMC - PubMed
    1. Cohen-Kettenis PT, van Goozen SH. Pubertal delay as an aid in diagnosis and treatment of a transsexual adolescent. Eur Child Adolesc Psychiatry. 1998;7:246–248. - PubMed

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