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Di Ceglie et al. In all treatment protocols, compliance and outcome are enhanced by clear expectations concerning the effects of the treatment. Clinicians and the Care of Sexual Minorities. Endocrine treatment of transsexual persons [note: Unlike the developmental problems observed with delayed puberty, this protocol requires a MHP skilled in child and adolescent psychology to evaluate the response of the adolescent with GID after pubertal suppression. Therefore, we advise starting suppression of puberty before irreversible development of sex characteristics.

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Counseling transgender persons and their families

However, these favorable lipid changes were attenuated by increased weight, blood pressure, and markers of insulin resistance. Circuit Court of Appeals ruled that a school district in Wisconsin violated the rights of a transgender student and upheld a lower court injunction requiring that the district allow him to use a restroom that aligns with his gender identity. Findings from the review support current clinical care guidelines such as the WPATH Standards of Care, 6 which recommend the use of hormone therapy as a treatment option to reduce gender dysphoria. Your email address will not be published. In high doses, progestins are relatively effective in suppression of menstrual cycling in girls and women and androgen levels in boys and men. The more I work with transgender persons, the more impressed I am with their courage and resolve to be genuinely who they are in a world that can be hateful. Eligibility criteria Studies were eligible for this review if they enrolled transgender or transsexual or another term used to describe individuals with a gender identity different from their assigned sex at birth individuals who were seeking hormone therapy to masculinize or feminize the body.

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Management of gender dysphoria usually improves. The disorder must have been present for at least 6 months. The onset and time course of hyperprolactinemia during estrogen treatment are not known. However, this study was performed among a group of individuals with a relatively high socioeconomic background Connecticut Laws and Policies: Clear expectations for the extent and timing of sex hormone-induced changes may prevent the potential harm and expense of unnecessary procedures.

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