Gender-affirming care for trans youth has been available in the United States for more than a decade and is endorsed by major medical associations.
Transgender medical treatment for children and teens is increasingly under attack in many states, labeled child abuse and subject to criminalizing bans. But it has been available in the United States for more than a decade and is endorsed by major medical associations.
Children who meet clinical guidelines are first offered medication that temporarily blocks puberty. This treatment is designed for youngsters diagnosed with gender dysphoria who have been counseled with their families and are mature enough to understand what the regimen entails. The drugs can be given as injections every few months or as arm implants lasting up to year or two. Their effects are reversible — puberty and sexual development resume as soon as the drugs are stopped.
Guidelines recommend starting these when kids are mature enough to make informed medical decisions. That is typically around age 16, and parents’ consent is typically required, said Dr. Gina Sequiera, co-director of Seattle Children’s Hospital’s Gender Clinic. Research on long-term hormone use in transgender adults has found potential health risks including blood clots and cholesterol changes.Gender-altering surgery in teens is less common than hormone treatment, but many centers hesitate to give exact numbers.
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