Management of endocrine disease: approach to the management of children and adolescents with gender dysphoria

2019 ◽  
Author(s):  
Martinerie L ◽  
Condat A ◽  
Bargiacchi A ◽  
Bremont-Weill C ◽  
de Vries MC ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Gender Dysphoria ◽  
Endocrine Disease

scholarly journals MANAGEMENT OF ENDOCRINE DISEASE: Approach to the management of children and adolescents with Gender Dysphoria

2018 ◽  
Vol 179 (5) ◽  
pp. R219-R237 ◽  
Author(s):  
L Martinerie ◽  
A Condat ◽  
A Bargiacchi ◽  
C Bremont-Weill ◽  
M C de Vries ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Gender Dysphoria ◽  
Treatment Initiation ◽  
Standards Of Care ◽  
Ethical Considerations ◽  
Medium Term ◽  
Endocrine Disease ◽  
The Past ◽  
Relative Safety

Over the past 20 years, the care for transgender adolescents has developed throughout many countries following the ‘Dutch Approach’ initiated in the 90s in pioneer countries as the Netherlands, United States and Canada, with increasing numbers of children and adolescents seeking care in transgender clinics. This medical approach has considerable positive impacts on the psychological outcomes of these adolescents, and several studies have been recently published underlining the relative safety of such treatments. This paper reviews the current standards of care for transgender children and adolescents with particular emphasis on disparities among countries and short-to-medium-term outcomes. Finally, it highlights ethical considerations regarding categorization of gender dysphoria, timing of treatment initiation, infertility and how to deal with the long-term consequences.

scholarly journals Molecular Karyotyping in Children and Adolescents with Gender Dysphoria

2018 ◽  
Vol 3 (1) ◽  
pp. 147-153 ◽  
Author(s):  
Ken C. Pang ◽  
Debi Feldman ◽  
Ralph Oertel ◽  
Michelle Telfer
Keyword(s):  
Children And Adolescents ◽  
Gender Dysphoria ◽  
Molecular Karyotyping

scholarly journals Early Medical Treatment of Children and Adolescents With Gender Dysphoria: An Empirical Ethical Study

2015 ◽  
Vol 57 (4) ◽  
pp. 367-373 ◽  
Author(s):  
Lieke Josephina Jeanne Johanna Vrouenraets ◽  
A. Miranda Fredriks ◽  
Sabine E. Hannema ◽  
Peggy T. Cohen-Kettenis ◽  
Martine C. de Vries
Keyword(s):  
Medical Treatment ◽  
Children And Adolescents ◽  
Gender Dysphoria

Brief Report: Autistic Features in Children and Adolescents with Gender Dysphoria

2015 ◽  
Vol 45 (8) ◽  
pp. 2628-2632 ◽  
Author(s):  
Elin Skagerberg ◽  
Domenico Di Ceglie ◽  
Polly Carmichael
Keyword(s):  
Children And Adolescents ◽  
Gender Dysphoria

Observations in a Gender Diversity Clinic

2019 ◽  
Vol 44 (2) ◽  
pp. 1-4
Author(s):  
Monique Robles ◽  
Keyword(s):  
Children And Adolescents ◽  
Social Worker ◽  
Gender Dysphoria ◽  
Gender Diversity ◽  
Adolescent Medicine ◽  
Ethical Concerns ◽  
Pediatric Endocrinologist ◽  
Number Of Patients ◽  
Medicine Physician ◽  
Treatment Plans

Recently, I was a physician-observer in a clinic for children and adolescents who are struggling with gender identity. Since the clinic opened several years ago, the number of patients seen annually has grown well over six hundred. The staff includes an adolescent-medicine physician, a pediatric endocrinologist, a nurse, and a social worker. I spent twenty-four hours over three clinic days observing the interactions of staff and listening to intake synopses of patients and discussions of treatment plans. My aim was to better understand the working diagnosis of gender dysphoria, the protocols used in treatment, and the ethical concerns. These objectives were not achieved in the way I expected.

Two dilemmas for medical ethics in the treatment of gender dysphoria in youth

2021 ◽  
pp. medethics-2021-107260
Author(s):  
Teresa Baron ◽  
Geoffrey Dierckxsens
Keyword(s):  
Decision Making ◽  
Medical Ethics ◽  
Medical Treatment ◽  
Children And Adolescents ◽  
Gender Dysphoria ◽  
Ethical Dilemmas ◽  
Treatment Options ◽  
Healthcare Providers ◽  
Bioethical Issues ◽  
The Subject

Both the diagnosis and medical treatment of gender dysphoria (GD)—particularly in children and adolescents—have been the subject of significant controversy in recent years. In this paper, we outline the means by which GD is diagnosed in children and adolescents, the currently available treatment options, and the bioethical issues these currently raise. In particular, we argue that the families and healthcare providers of children presenting with GD currently face two main ethical dilemmas in decision making regarding treatment: the pathway dilemma and the consent dilemma.

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