Medical experts say that understanding transgender identities, gender dysphoria and how gender-affirming treatments work is key to understanding the impact these bans may have on patients.
Gender-affirming care is about supporting someone’s identity, said Dr. Goodman. It helps align their physical appearance with their gender identity, and can include puberty blockers, hormone medications, and surgery.
Puberty blockers mimic the body’s natural hormone, called GnRH, which suppresses the release of testosterone for biological males or estrogen for biological females, according to the U.S. Department of Health and Human Services.Endocrine Society treatment guidelines Once kids are in the later stages of puberty, typically around the age of 15, they are no longer a candidate for puberty blockers and would transition to hormone therapy, explains Dr. Abdul-Latif. They are directly given estrogen or testosterone, based on their gender identity.
“A very important idea that I share with them is that they can change their mind anytime they want to, even when they start hormone therapy or puberty blockers,” Abdul-Latif said. “That is important for me to make sure that they are not continuing because of fearing that they will disappoint me. I certainly would not be disappointed. I'm there to serve them.”, gender-affirming surgery is only done on adolescents on a case-by-case basis.
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