Transgender Youth, Pediatric

Stanley R. Vance, Jr., MD and Stephen M. Rosenthal, MD Reviewed 10/2018

BASICS

DESCRIPTION

Transgender describes youth with incongruent gender identity and birth-assigned sex. These youth may have gender identities that are opposite from the birth-assigned sex, neither fem...

DIAGNOSIS

HISTORY

During well visits, ask children and their parents if there are concerns about the child’s gender development. During the confidential portion of adolescent visit, ask adolescents if ...

TREATMENT

GENERAL MEASURES

Published studies indicate that pubertal suppression in early pubertal transgender youth with gender dysphoria and pubertal induction with gender-affirming hormones (estrogen...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Youth in pubertal suppression
- Follow-up with medical visit every 3 months to monitor height, weight, and sexual maturity rating to ensure pubertal suppression.
- Year...

ADDITIONAL READING

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington, VA: American Psychiatric Association; 2013. [View Abstract on OvidInsig...

CODES

ICD9

302.6 Gender identity disorder in children

ICD10

F64.9 Gender identity disorder, unspecified
F64.8 Other gender identity disorders
F64.2 Gender identity disorder of childhood

SNOMED

87991007 Gend...

FAQ

Q: Does being transgender in childhood predict being transgender in adulthood?
A: The majority of gender nonconforming children do not go on to be transgender in adolescence or adulthood. It is not...

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