Principles of Gender-Specific Medicine 2017
DOI: 10.1016/b978-0-12-803506-1.00058-9
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Standards of Care for the Health of Transsexual, Transgender, and Gender-Nonconforming People

Abstract: The World Professional Association for Transgender Health (WPATH) I is an international, multidisciplinary, professional association whose mission is to promote evidence-based care, education, research, advocacy, public policy, and respect for transgender health. The vision of WPATH is to bring together diverse professionals dedicated to developing best practices and supportive policies worldwide that promote health, research, education, respect, dignity, and equality for transsexual, transgender, and gender n… Show more

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Cited by 306 publications
(824 citation statements)
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References 137 publications
(229 reference statements)
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“…In particular, this should be performed by a MHP skilled in GD in children and adolescents to assess the child's gender identity, the presence of GD, and psychosocial functioning. In case of GD in DSD conditions where no clear gender identity outcome can be predicted, the prescription of GnRHa, following the WPATH and the Endocrine Society guidelines [88,89], should also be considered. Such option could allow the child and family to gain time to clarify gender issues and reassignment decision making.…”
Section: Discussionmentioning
confidence: 99%
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“…In particular, this should be performed by a MHP skilled in GD in children and adolescents to assess the child's gender identity, the presence of GD, and psychosocial functioning. In case of GD in DSD conditions where no clear gender identity outcome can be predicted, the prescription of GnRHa, following the WPATH and the Endocrine Society guidelines [88,89], should also be considered. Such option could allow the child and family to gain time to clarify gender issues and reassignment decision making.…”
Section: Discussionmentioning
confidence: 99%
“…This option may be particularly relevant in case of GD in DSD conditions where no clear gender identity outcome can be predicted (see Table 1). In line with the Standards of Care of the World Professional Association for Transgender Health [89], it is recommended starting GnRHa when adolescents have experienced puberty to at least Tanner stage 2, because of the important diagnostic value of the negative emotional effects related to the first pubertal changes [51,89,90]. In particular conditions (such as in case of a gender assignment at birth different from the recommended one), an earlier treatment with GnRHa may be also considered.…”
Section: Gender Reassignmentmentioning
confidence: 99%
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“…Transgender individuals experience numerous health disparities [1], including health risk (e.g., victimization [2], health outcomes (e.g., depression, HIV [3]), and barriers to health care access [4], all of which can create complex care needs. Moreover, transgender individuals often require medical care specific to their gender affirmation (i.e., having their lived gender experience reflect their gender identity), including mental health services, evaluations for hormone therapy, prescription and monitoring of hormones, gender affirming surgery and post-operative care, and specialty services such as urology, endocrinology, and speech therapy [5]. In addition to specific services, there are unique needs related to documentation, particularly around sex assigned at birth, which health systems often link to other important medical services, including lab test values, medication dosages, and critical health screens such as breast or prostate exams.…”
Section: Introductionmentioning
confidence: 99%