Gender-Affirming Medical Treatments

Child Adolesc Psychiatr Clin N Am. 2023 Oct;32(4):789-802. doi: 10.1016/j.chc.2023.05.007. Epub 2023 Jun 20.

Abstract

Individuals with gender dysphoria (as defined by Diagnostic and Statistical Manual of Mental Disorders or DSM-V) experience a marked incongruence between the sex assigned at birth and the experienced gender resulting in significant distress or impairment in social, occupational, or other important areas of functioning. For transgender and gender diverse minors, the Endocrine Society recommends a multidisciplinary approach to gender-affirming medical treatment that involves a physician and a mental health provider, also consistent with the World Professional Association for Transgender Health Standard of Care 8th Edition recommendations. This article will outline the role of medical providers in implementing safe and effective gender-affirming medical treatments in youth.

Keywords: Gender diverse; Gender dysphoria; Gender incongruence; Gender-affirming care; Gender-affirming surgery; Hormone therapy; Puberty suppression; Transgender.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Diagnostic and Statistical Manual of Mental Disorders
  • Humans
  • Infant, Newborn
  • Mental Health*
  • Physicians*