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ESPE and PES International Survey of Centers and Clinicians Delivering Specialist Care for Children and Adolescents with Gender Dysphoria

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DOI

  1. Diagnosis, Genetics, and Therapy of Short Stature in Children: A Growth Hormone Research Society International Perspective

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  2. GHD Diagnostics in Europe and the US: An Audit of National Guidelines and Practice

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  1. Prenatal paraben exposure and anogenital distance and reproductive hormones during mini-puberty: A study from the Odense Child Cohort

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. The influence of prenatal exposure to phthalates on subsequent male growth and body composition in adolescence

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  • Nicos Skordis
  • Gary Butler
  • Martine C de Vries
  • Katharina Main
  • Sabine E Hannema
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Increasing numbers of children and adolescents seek medical care because they experience incongruence between their physical sex and their gender identity. Methods: The ESPE working group on gender dysphoria (GD) undertook a survey to investigate the structure and the type of medical care in centers that offer specialist care for transgender adolescents. Results: The personnel of each center varied from country to country, and a nationally organized network or plan for managing GD did not exist in all centers. The majority of young people were transitioning from female to male, and the number of new referrals increased remarkably during the past 3 years. Almost all centers follow the guidelines issued by the Endocrine Society and World Professional Association for Transgender Health. GnRH analogues were used as the initial treatment in the majority of the centers. The age from which adolescents are treated with gender-affirming hormones varied between centers. Several legal restrictions that concern or influence the treatment of children and adolescents with GD were finally addressed. Conclusion: This first international survey examining the variations in availability and provisions of services for children and adolescents with GD serves as a starting block for further dialogue and future studies.

Original languageEnglish
JournalHormone research in paediatrics
Volume90
Issue number5
Pages (from-to)326-331
Number of pages6
ISSN1663-2818
DOIs
Publication statusPublished - 2018

    Research areas

  • Adolescents, Gender dysphoria, Gender-affirming hormones, Gender Dysphoria/psychology, Humans, Male, Gender Identity, Transgender Persons, Health Services Accessibility, Adolescent, Female, Child, Health Care Surveys

ID: 56511514