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Pediatric transgender

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https://www.readbyqxmd.com/read/30095668/gender-dysphoria-in-youth-an-overview-for-primary-care-providers
#1
Brayden N Kameg, Donna G Nativio
BACKGROUND AND PURPOSE: Primary care providers who encounter children are often the first line of contact for individuals with gender dysphoria, which occurs when sex assigned at birth is incongruent with one's true, expressed sexual identity. Because those with untreated gender dysphoria are at risk of a variety of negative outcomes, including mood symptomatology, suicidality, substance use disorders, and other psychosocial risk factors, it is critical that health care providers are adept in the provision of holistic, patient-centered care...
August 6, 2018: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/30072573/fertility-preservation-for-a-transgender-teenager
#2
Leena Nahata, Lisa T Campo-Engelstein, Amy Tishelman, Gwendolyn P Quinn, John D Lantos
In this article, we discuss a case in which a 16-year-old birth-assigned male came out to her parents as transgender. She is referred to the gender management program at a large pediatric academic center to discuss hormone therapy. She was initially evaluated by a psychiatrist, diagnosed with gender dysphoria and anxiety, and treated with medication and psychotherapy. When her anxiety was well controlled and she met eligibility and readiness criteria, she was referred to 1 of 2 pediatric endocrinologists in the gender management program to discuss hormone therapy...
August 2, 2018: Pediatrics
https://www.readbyqxmd.com/read/30065001/olson-kr-durwood-l-mclaughlin-ka-mental-health-of-transgender-children-who-are-supported-in-their-identities-pediatrics-2016-137-3-e20153223
#3
(no author information available yet)
No abstract text is available yet for this article.
August 2018: Pediatrics
https://www.readbyqxmd.com/read/29808159/advancing-the-practice-of-pediatric-psychology-with-transgender-youth-state-of-the-science-ongoing-controversies-and-future-directions
#4
Diane Chen, Laura Edwards-Leeper, Terry Stancin, Amy Tishelman
Growing numbers of transgender and gender-nonconforming (TGNC) youth are presenting for medical and mental health care, and increasingly, pediatric psychologists are being called upon to serve as critical members of interdisciplinary care teams. In this commentary, we present information on TGNC youth in three distinct developmental cohorts: prepubescent TGNC children, peripubertal TGNC youth, and pubertal TGNC adolescents. First, we describe the social, medical, and/or surgical treatments available to each cohort of youth...
March 2018: Clinical Practice in Pediatric Psychology
https://www.readbyqxmd.com/read/29806748/review-of-current-care-models-for-transgender-youth-and-application-to-the-development-of-a-multidisciplinary-clinic-the-seattle-children-s-hospital-experience
#5
Parisa Salehi, Sara A Divall, Julia M Crouch, Rebecca A Hopkinson, Leah Kroon, Jennifer Lawrence, Benjamin S Wilfond, David J Inwards-Breland
Care of transgender and gender diverse youth is complex and requires a multidisciplinary approach. Many transgender patients and providers feel the limited availability of affirming, knowledgeable professionals is a barrier to obtaining care. Such care can be provided through a clinic with providers from different disciplines who are trained in the unique care of transgender youth. In this paper, we discuss the care guidelines for transgender youth and the unresolved challenges that need to be addressed during the development of a transgender clinic...
April 2018: Pediatric Endocrinology Reviews: PER
https://www.readbyqxmd.com/read/29715194/trends-in-the-use-of-puberty-blockers-among-transgender-children-in-the-united-states
#6
Carla Marisa Lopez, Daniel Solomon, Susan D Boulware, Emily R Christison-Lagay
BACKGROUND: The objective of the study was to identify national trends in the utilization of histrelin acetate implants among transgender children in the United States. METHODS: We analyzed demographic, diagnostic and treatment data from 2004 to 2016 on the use of histrelin acetate reported to the Pediatric Health Information System (PHIS) to determine the temporal trends in its use for transgender-related billing diagnoses, e.g. "gender identity disorder"...
June 27, 2018: Journal of Pediatric Endocrinology & Metabolism: JPEM
https://www.readbyqxmd.com/read/29652872/medical-management-of-transgender-children-and-adolescents
#7
María Fernanda Castilla-Peón
Transgender or gender nonconforming (GN) persons identify themselves with a gender which is different from that correspondent to their birth sex. The demand for health services by families with transgender children or adolescents tends to increase. The prevalence of GN in children is unknown; however, it has been estimated to be > 1% in adolescents. Transgender persons are at increased risk of depression, suicide, illicit drug abuse, human immunodeficiency virus infection, and non-accidental injury. The most accepted model for the care of transgender persons assumes that these adverse outcomes are the consequence of social margination rather than the GI condition itself...
2018: Boletín Médico del Hospital Infantil de México
https://www.readbyqxmd.com/read/29564711/documenting-an-epidemic-of-suffering-low-health-related-quality-of-life-among-transgender-youth
#8
Yuanshu Zou, Rhonda Szczesniak, Alexis Teeters, Lee Ann E Conard, Daniel H Grossoehme
PURPOSE: To quantify HRQOL of TGN patients using the PedsQL 4.0 generic core scales, and to compare reported HRQOL of TGN adolescents with published data from comparison populations. METHODS: Transgender children and adolescents (N = 142; 68% natal females) ages 6-23 years (M = 15.9, SD = 3.7) attending an outpatient clinic for TGN care at an academic pediatric hospital and caregivers of children and adolescents (N = 95) completed the PedsQL 4.0 generic core scales...
August 2018: Quality of Life Research
https://www.readbyqxmd.com/read/29177196/to-refer-or-not-to-refer-general-pediatricians-perspectives-on-their-role-in-caring-for-transgender-youth
#9
Deirdre A Shires, Ashley Schnaar, Maureen D Connolly, Daphna Stroumsa
Little is known about general pediatricians' experience and knowledge regarding the care of transgender youth. We surveyed N =50 general pediatricians practicing in an integrated Midwest health system. Few respondents had participated in medical management care for transgender patients, but one-third were willing to do so if training opportunities were made available. Notably, <60% of respondents were comfortable providing routine care for transgender youth. At a minimum, pediatricians need the training to feel capable of providing routine care for transgender pediatric patients...
2017: Transgender Health
https://www.readbyqxmd.com/read/28947607/lgbtq-bullying-translating-research-to-action-in-pediatrics
#10
Valerie A Earnshaw, Sari L Reisner, Jaana Juvonen, Mark L Hatzenbuehler, Jeff Perrotti, Mark A Schuster
Lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth experience significant bullying that undermines their mental and physical health. National health organizations have called for the development of innovative strategies to address LGBTQ bullying. Pediatricians and other clinicians, medical and public health students, interdisciplinary researchers, government officials, school leaders, community members, parents, and youth from around the country came together at a national symposium entitled "LGBTQ Bullying: Translating Research to Action to Improve the Health of All Youth" in May 2016 to generate strategies to prevent LGBTQ bullying and meet the needs of LGBTQ youth experiencing bullying...
October 2017: Pediatrics
https://www.readbyqxmd.com/read/28922319/disparities-in-access-to-care-in-marginalized-populations
#11
REVIEW
Elizabeth A Silberholz, Nicola Brodie, Nancy D Spector, Amy E Pattishall
PURPOSE OF REVIEW: The current article reviews recent literature related to three groups whose health is affected by barriers to the healthcare system: refugee and immigrant populations; youth who are lesbian, gay, bisexual, transgender, queer, or questioning; and those with mental health problems. RECENT FINDINGS: Refugee and immigrant populations are increasing worldwide, and recent work has focused on improving their access to mental, dental, and preventive care...
December 2017: Current Opinion in Pediatrics
https://www.readbyqxmd.com/read/28660776/gender-affirming-pharmacological-interventions-for-youth-with-gender-dysphoria-when-treatment-guidelines-are-not-enough
#12
Leena Nahata, Gayathri Chelvakumar, Scott Leibowitz
Youth with gender dysphoria, also known as transgender youth, are increasingly presenting to multidisciplinary clinics within academic pediatric centers across the United States. Gender-affirming pharmacological interventions for adolescents with gender dysphoria may be used to promote positive psychological well-being and mental health outcomes. Interventions range from completely reversible to partially irreversible, based on the age and sexual maturity of the adolescent. For each intervention, dilemmas and controversies exist regarding age at treatment initiation, treatment duration, safety, and cost...
November 2017: Annals of Pharmacotherapy
https://www.readbyqxmd.com/read/28645619/supporting-and-caring-for-transgender-and-gender-nonconforming-youth-in-the-urology-practice
#13
REVIEW
L E Conard
INTRODUCTION: Gender identity is a person's internal sense of gender, which may be different than the sex they were assigned at birth. Pediatric urologists are starting to see more transgender and gender non-conforming (TGN) youth and need to be able to provide culturally competent and appropriate care for these patients and their caregivers. This review will discuss common transgender terminology, specific health concerns and treatment options. METHODS AND MATERIALS: A systematic literature review was performed on Medline® , PubMed® , and Google Scholar™ for key words transgender, gender dysphoria and gender identity disorder...
June 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28579848/gender-nonconforming-youth-current-perspectives
#14
REVIEW
Diane Ehrensaft
Beginning with a case vignette, a discussion follows of the reformulation of theories of gender development taking into consideration the recent upsurge of gender nonconforming and transgender youth presenting for gender services and also in the culture at large. The three predominant models of pediatric gender care are reviewed and critiqued, along with a presentation of the recently developed interdisciplinary model of gender care optimal in the treatment of gender nonconforming youth seeking either puberty blockers or cross-sex hormones...
2017: Adolescent Health, Medicine and Therapeutics
https://www.readbyqxmd.com/read/28562420/statement-on-gender-affirmative-approach-to-care-from-the-pediatric-endocrine-society-special-interest-group-on-transgender-health
#15
Ximena Lopez, Maja Marinkovic, Toni Eimicke, Stephen M Rosenthal, Jerrold S Olshan
PURPOSE OF REVIEW: The purpose of this Position Statement is to emphasize the importance of an affirmative approach to the health care of transgender individuals, as well as to improve the understanding of the rights of transgender youth. RECENT FINDINGS: Transgender youth have optimal outcomes when affirmed in their gender identity, through support by their families and their environment, as well as appropriate mental health and medical care. SUMMARY: The Pediatric Endocrine Society Special Interest Group on Transgender Health joins other academic societies involved in the care of children and adolescents in supporting policies that promote a safe and accepting environment for gender nonconforming/transgender youth, as well as adequate mental health and medical care...
August 2017: Current Opinion in Pediatrics
https://www.readbyqxmd.com/read/28402749/mental-health-concerns-and-insurance-denials-among-transgender-adolescents
#16
Leena Nahata, Gwendolyn P Quinn, Nicole M Caltabellotta, Amy C Tishelman
PURPOSE: Transgender youth are at high risk for mental health morbidities. Based on treatment guidelines, puberty blockers and gender-affirming hormone therapy should be considered to alleviate distress due to discordance between an individual's assigned sex and gender identity. The goals of this study were to examine the: (1) prevalence of mental health diagnoses, self-injurious behaviors, and school victimization and (2) rates of insurance coverage for hormone therapy, among a cohort of transgender adolescents at a large pediatric gender program, to understand access to recommended therapy...
June 2017: LGBT Health
https://www.readbyqxmd.com/read/28363716/fertility-preservation-for-transgender-adolescents
#17
Diane Chen, Lisa Simons, Emilie K Johnson, Barbara A Lockart, Courtney Finlayson
PURPOSE: To describe fertility preservation (FP) utilization by transgender adolescents within a pediatric gender clinic between July 2013 and July 2016. METHODS: A retrospective chart review was conducted to abstract demographic and clinical information among adolescents initiating gender-affirming hormones, including patient age at initial FP consultation, birth-assigned sex, race/ethnicity, and outcome of FP consultation. RESULTS: In our sample of 105 transgender adolescents, a total of 13 (seven transgender men and six transgender women) between the age of 14...
July 2017: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/28189577/fertility-preservation-for-pediatric-patients-current-state-and-future-possibilities
#18
REVIEW
Emilie K Johnson, Courtney Finlayson, Erin E Rowell, Yasmin Gosiengfiao, Mary Ellen Pavone, Barbara Lockart, Kyle E Orwig, Robert E Brannigan, Teresa K Woodruff
PURPOSE: This review provides an overview of pediatric fertility preservation. Topics covered include the patient populations who could benefit, the current state of fertility preservation options and research, and considerations related to ethics and program development. MATERIALS AND METHODS: A broad Embase® and PubMed® search was performed to identify publications discussing investigational, clinical, ethical and health care delivery issues related to pediatric fertility preservation...
July 2017: Journal of Urology
https://www.readbyqxmd.com/read/28161526/low-fertility-preservation-utilization-among-transgender-youth
#19
Leena Nahata, Amy C Tishelman, Nicole M Caltabellotta, Gwendolyn P Quinn
PURPOSE: Research demonstrates a negative psychosocial impact of infertility among otherwise healthy adults, and distress among adolescents facing the prospect of future infertility due to various medical conditions and treatments that impair reproductive health. Guidelines state that providers should counsel transgender youth about potential infertility and fertility preservation (FP) options prior to initiation of hormone therapy. The purpose of this study was to examine the rates of fertility counseling and utilization of FP among a cohort of adolescents with gender dysphoria seen at a large gender clinic...
July 2017: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/28065519/enhancing-pediatric-trainees-and-students-knowledge-in-providing-care-to-transgender-youth
#20
Stanley R Vance, Madeline B Deutsch, Stephen M Rosenthal, Sara M Buckelew
PURPOSE: To enhance pediatric trainees' and students' knowledge of the psychosocial and medical issues facing transgender youth through a comprehensive curriculum. METHODS: During the 2015-2016 academic year, we administered a transgender youth curriculum to fourth-year medical students, pediatric interns, psychiatry interns, and nurse practitioner students on their 1-month adolescent and young adult medicine rotation. The curriculum included six interactive, online modules and an observational experience in a multidisciplinary pediatric gender clinic...
April 2017: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
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