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re: 12-year-old boy who transitioned to female changes his mind just two years later
Posted on 9/7/17 at 2:23 pm to el Gaucho
Posted on 9/7/17 at 2:23 pm to el Gaucho
So what we've been taught in medical school is to wait until they go through puberty before really having a discussion on hormone therapy.
Because the vast majority of children that have this idea early in life (the number quoted was near 90%) revert back so their assigned sex and gender align.
If however after puberty they still have strong gender dysphoria and it is overwhelming in nature, then they need referral to a specialist in childhood psych, along with a referral to a specialist in hormone therapy.
To start it at 10 is radical in my eyes.
But who knows how the medical community is going to swing on this. They could set the bar down lower and lower, it all depends on how insistent the child/parents and the doctor who is treating the child are.
Because the vast majority of children that have this idea early in life (the number quoted was near 90%) revert back so their assigned sex and gender align.
If however after puberty they still have strong gender dysphoria and it is overwhelming in nature, then they need referral to a specialist in childhood psych, along with a referral to a specialist in hormone therapy.
To start it at 10 is radical in my eyes.
But who knows how the medical community is going to swing on this. They could set the bar down lower and lower, it all depends on how insistent the child/parents and the doctor who is treating the child are.
This post was edited on 9/7/17 at 2:25 pm
1
Posted on 9/7/17 at 2:29 pm to Kcoyote
The problem I see in the future is the "specialist trap". Once the primary care doctor (someone like me) makes the decision to refer the patient, the specialist who is not seeing a randomized population, will be more biased to intervene vs. not intervene simply because they've been referred a patient that another provider deemed was necessary for referral.
It's like the old adage, to a surgeon, everything is surgical. To a hospitalist, nothing is surgical.
To a pediatric endocrinologist specializing in gender, everything is true gender dysphoria.
(I'm not saying that that's how it actually works in the medical field, just that it COULD be a problem in the future)
It's like the old adage, to a surgeon, everything is surgical. To a hospitalist, nothing is surgical.
To a pediatric endocrinologist specializing in gender, everything is true gender dysphoria.
(I'm not saying that that's how it actually works in the medical field, just that it COULD be a problem in the future)
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