The Treatment of Adolescent Transsexuals: Changing Insights
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- 1 August 2008
- journal article
- Published by Oxford University Press (OUP) in The Journal of Sexual Medicine
- Vol. 5 (8) , 1892-1897
- https://doi.org/10.1111/j.1743-6109.2008.00870.x
Abstract
Treatment of individuals with gender identity disorder (GID) has in medicine nearly always met with a great deal of skepticism. Professionals largely follow the Standards of Care of the World Professional Association for Transgender Health. For adolescents, specific guidelines have also been issued by the British Royal College of Psychiatrists. To describe the stepwise changes in treatment policy which, in recent years, have been made by the team of the Gender Identity Clinic at the VU University Medical Center in Amsterdam, The Netherlands. The first step taken to treat adolescents was that, after careful evaluation, (cross-sex hormone) treatment could start between the ages of 16 and 18 years. A further step was the suppression of puberty by means of gonadotropin-releasing hormone analogs in 12-16 year olds; the latter serves also as a diagnostic tool. Very recently, other clinics in Europe and North America have followed this policy. Results. The first results from the Amsterdam clinic show that this policy is promising. Professionals who take responsibility for these youth and are willing to help should yet be fully aware of the impact of their interventions. In this article, the pros and cons of the various approaches to youngsters with GID are presented, hopefully inciting a sound scientific discussion of the issue.Keywords
This publication has 26 references indexed in Scilit:
- The biology of human psychosexual differentiationHormones and Behavior, 2006
- Sigmoid vaginoplasty: Long-term resultsUrology, 2006
- Sex steroid-related genes and male-to-female transsexualismPsychoneuroendocrinology, 2005
- Masculine Girls and Feminine Boys: Genetic and Environmental Contributions to Atypical Gender Development in Early Childhood.Journal of Personality and Social Psychology, 2005
- Early Physical Intervention for Young People with Atypical Gender Identity DevelopmentClinical Child Psychology and Psychiatry, 2000
- TranssexualismJournal of Psychosomatic Research, 1999
- The Feasibility of Endocrine Interventions in Juvenile TranssexualsJournal of Psychology & Human Sexuality, 1996
- A sex difference in the human brain and its relation to transsexualityNature, 1995
- Witches, multiple personalities, and other psychiatric artifactsNature Medicine, 1995
- A Psychological Comparison of Heterosexuals, Transvestites, Preoperative Transsexuals, and Postoperative TranssexualsJournal of Nervous & Mental Disease, 1985