Offering current guidelines on the relatively new practice of puberty suppression for gender-dysphoric adolescents, Pubertal Suppression in Transgender Youth provides a succinct, easy-to-digest overview of this timely topic. This concise, clinically-focused resource by Dr. Courtney Finlayson covers all relevant topics, from a brief history of medical care of transgender youth to emerging developments in the field. - Covers the use of gonadotropin-releasing hormone agonist (GnRHa) therapy in transgender youth, including models of care and current treatment guidelines, fertility issues, ethical considerations and the consent process, and more. - Discusses psychosocial, medical, and surgical side effects of treatment. - Consolidates today's available information on this timely topic into one convenient resource.
NAMED A BOOK OF THE YEAR BY THE ECONOMIST AND ONE OF THE BEST BOOKS OF 2021 BY THE TIMES AND THE SUNDAY TIMES "Irreversible Damage . . . has caused a storm. Abigail Shrier, a Wall Street Journal writer, does something simple yet devastating: she rigorously lays out the facts." —Janice Turner, The Times of London Until just a few years ago, gender dysphoria—severe discomfort in one’s biological sex—was vanishingly rare. It was typically found in less than .01 percent of the population, emerged in early childhood, and afflicted males almost exclusively. But today whole groups of female friends in colleges, high schools, and even middle schools across the country are coming out as “transgender.” These are girls who had never experienced any discomfort in their biological sex until they heard a coming-out story from a speaker at a school assembly or discovered the internet community of trans “influencers.” Unsuspecting parents are awakening to find their daughters in thrall to hip trans YouTube stars and “gender-affirming” educators and therapists who push life-changing interventions on young girls—including medically unnecessary double mastectomies and puberty blockers that can cause permanent infertility. Abigail Shrier, a writer for the Wall Street Journal, has dug deep into the trans epidemic, talking to the girls, their agonized parents, and the counselors and doctors who enable gender transitions, as well as to “detransitioners”—young women who bitterly regret what they have done to themselves. Coming out as transgender immediately boosts these girls’ social status, Shrier finds, but once they take the first steps of transition, it is not easy to walk back. She offers urgently needed advice about how parents can protect their daughters. A generation of girls is at risk. Abigail Shrier’s essential book will help you understand what the trans craze is and how you can inoculate your child against it—or how to retrieve her from this dangerous path.
What would you do if a child in your life rejected their natal gender? Would you blindly follow the counsel of a culture that advocates for hormone treatment at an early age in order to suppress puberty and facilitate gender transition? Before you commit to long-term use of a powerful, expensive, and experimental synthetic hormone treatment plan, would you be willing to take the time to examine the ethics surrounding a course of action that will permanently affect the life of the child? Several serious questions are presently being overlooked in the rush to treat gender dysphoric and TGNC children with puberty-suppressing hormones, such as: Are puberty-suppressing hormones medically necessary? Is there any evidence to prove that hormone treatment is helpful, and not harmful, to gender-dysphoric children? Does hormone treatment resolve gender dysphoria? Do other treatment options exist to address the underlying causes of gender dysphoria? Are parents, medical providers, and ministry professionals morally obligated to provide puberty suppressors for patients who self-diagnose? Does Scripture offer any insight into the treatment of gender dysphoric children? And finally, who really benefits from advocating for the early use of GnRH agonists? This book will answer these questions.
This book serves as a guide to key topics regarding pediatric gender identity to help clinicians better care for transgender and gender diverse youth. Written by experts in the field, it covers critical considerations for child health providers from a variety of disciplines in a range of clinical settings. Patients, families and other community agencies can also find useful information about current practices and recommendations for care and support. The text begins by overviewing terminology, epidemiology, gender identity development, and relevant neurobiology. Next, the text focuses on the emergence of affirmative treatment paradigms using a patient-centered, consent based framework. Topics include psychotherapeutic support, gender-affirming medical and surgical care, management of co-existing psychiatric conditions, sexual health and fertility, legal considerations, international considerations, and more. Pediatric Gender Identity can be used as a framework to address core clinical issues and offers practical considerations for gender-affirming care. Using the growing science and understanding of gender development, this book is an excellent resource for all professionals working with gender diverse youth, including child and adolescent psychiatrists, pediatricians, pediatric surgeons, psychologists, therapists, researchers, school and educational leaders, and students.
What would you do if a child in your life rejected their natal gender? Would you blindly follow the counsel of a culture that advocates for hormone treatment at an early age in order to suppress puberty and facilitate gender transition? Before you commit to long-term use of a powerful, expensive, and experimental synthetic hormone treatment plan, would you be willing to take the time to examine the ethics surrounding a course of action that will permanently affect the life of the child? Several serious questions are presently being overlooked in the rush to treat gender dysphoric and TGNC children with puberty-suppressing hormones, such as: Are puberty-suppressing hormones medically necessary? Is there any evidence to prove that hormone treatment is helpful, and not harmful, to gender-dysphoric children? Does hormone treatment resolve gender dysphoria? Do other treatment options exist to address the underlying causes of gender dysphoria? Are parents, medical providers, and ministry professionals morally obligated to provide puberty suppressors for patients who self-diagnose? Does Scripture offer any insight into the treatment of gender dysphoric children? And finally, who really benefits from advocating for the early use of GnRH agonists? This book will answer these questions.
Although transgender persons have been present in various societies throughout human history, it is only during the last several years that they have become widely acknowledged in our society and their right to quality medical care has been established. In the United States, endocrinologists have been providing hormonal therapy for transgender individuals for decades; however, until recently, there has been only limited literature on this subject, and non-endocrine aspects of medical care for transgender individual have not been well addressed in the endocrine literature. The goal of this volume is not only to address the latest in hormonal therapy for transgender individuals (including pediatric and geriatric age groups), but also to familiarize the reader with other aspects of transgender care, including primary and surgical care, fertility preservation, and the management of HIV infection. In addition to medical issues, psychological, social, ethical and legal issues pertinent to transgender individuals add to the complexities of successful treatment of these patients. A final chapter includes extensive additional resources for both transgender patients and providers. Thus, an endocrinologist providing care to a transgender person will be able to use this single resource to address most of the patient’s needs. While Transgender Medicine is intended primarily for endocrinologists, this book will be also useful to primary care physicians, surgeons providing gender-confirming procedures, mental health professionals participating in the care of transgender persons, and medical residents and students.
Presents an overview of the research, clinical insights, and ethical dilemmas relevant to clinicians who treat intersex youth and their families. Exploring gender development from a cross-cultural perspective, scholar Cohen-Kettenis and practitioner Pfäfflin focus on assessment, diagnosis, and treatment issues. To bridge research and practical application, they include numerous case studies and definitions of relevant terminology. The volume begins with an overview of typical and atypical development with regard to sexual differentiation and gender identity, then goes on to discuss the clinical management of intersex conditions and gender problems. Legal issues relating to intersexuality and transsexualism also are discussed.
Winner, 2019 PROSE Award for Anthropology, Criminology and Sociology, presented by the Association of American Publishers A groundbreaking look at the lives of transgender children and their families Some “boys” will only wear dresses; some “girls” refuse to wear dresses; in both cases, as Ann Travers shows in this fascinating account of the lives of transgender kids, these are often more than just wardrobe choices. Travers shows that from very early ages, some at two and three years old, these kids find themselves to be different from the sex category that was assigned to them at birth. How they make their voices heard—to their parents and friends, in schools, in public spaces, and through the courts—is the focus of this remarkable and groundbreaking book. Based on interviews with transgender kids, ranging in age from 4 to 20, and their parents, and over five years of research in the US and Canada, The Trans Generation offers a rare look into what it is like to grow up as a trans child. From daycare to birthday parties and from the playground to the school bathroom, Travers takes the reader inside the day-to-day realities of trans kids who regularly experience crisis as a result of the restrictive ways in which sex categories regulate their lives and put pressure on them to deny their internal sense of who they are in gendered terms. As a transgender activist and as an advocate for trans kids, Travers is able to document from first-hand experience the difficulties of growing up trans and the challenges that parents can face. The book shows the incredible time, energy, and love that these parents give to their children, even in the face of, at times, unsupportive communities, schools, courts, health systems, and government laws. Keeping in mind that all trans kids are among the most vulnerable to bullying, violent attacks, self-harm, and suicide, and that those who struggle with poverty, racism, lack of parental support, learning differences, etc, are extremely at risk, Travers offers ways to support all trans kids through policy recommendations and activist interventions. Ultimately, the book is meant to open up options for kids’ own gender self-determination, to question the need for the sex binary, and to highlight ways that cultural and material resources can be redistributed more equitably. The Trans Generation offers an essential and important new understanding of childhood.
This book is especially focused on the surgical aspect on Gender Dysphoria. Male to female surgery is widely discussed as well as the female to male conversion. Full information on hormone administration and surgical procedures are provided. Mental health issues are also described, as well as ethics, the law and psychosocial issues. The text is extensively referenced and includes numerous photos, tables and figures to clearly illustrate information. Based on collaboration between international experts in transgender health, this book is an essential guide for health care professionals, educators, students, patients and patients’ families concerning the psychological, hormonal, surgical and social support of transgender individuals.
This book provides a state of the art review on the care and treatment of and current scientific knowledge on gender dysphoria (GD) and disorders of sex development (DSD). The book elucidates the history, the present situation, and the newest developments and future perspectives in both research on GD and DSD and the clinical management of individuals with GD and DSD of all ages. With contributions from a selection of leading scientists and established clinicians in the field of GD and DSD, this is a unique and comprehensive book focusing on the etiology and developmental trajectories of GD and DSD regarding gender identity development, psychiatric comorbidity, classification dilemmas, ethical dilemmas in treatment, influences of societal stigmatization, and discussion of the medical and psychological implications and outcomes of treatment, and providing treatment guidelines for individuals with GD and DSD (distinct guidelines each for children, adolescents, and adults). By presenting not only an historic overview and the current state of the art, but also challenges for the future, the book aims to demonstrate the need for further research and to stimulate the development and improvement of the clinical care of individuals with GD and DSD.
