青春期前跨性别的激素治疗
对于已经确诊的儿童期性别焦虑的儿童,某些诊所将使用促性腺激素释放激素激动剂进行治疗,以预防青春期所产生的影响。当患者已经达到法定成年年龄时,这些诊所会考虑提供跨性别激素治疗。极少数组织提倡在患者本应出现跨性别青春期的阶段,以及在达到法定成年年龄之前给予跨性别激素治疗。这个建议仍具争议,因此吸引很多支持者和反对者,甚至来自于相隔几百英里的相邻国家的诊所。[22]Korte AG, Lehmkuhl U, Goecker D. Gender identity disorders in childhood and adolescence: currently debated concepts and treatment strategies. Dtsch Arztebl Int. 2008;105:834-841.http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2697020/http://www.ncbi.nlm.nih.gov/pubmed/19578420?tool=bestpractice.com[23]Hembree WC, Cohen-Kettenis P, Delemarre-van de Waal HA, et al. Endocrine treatment of transsexual persons: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab. 2009 Sept;94(9):3132-54.http://press.endocrine.org/doi/full/10.1210/jc.2009-0345http://www.ncbi.nlm.nih.gov/pubmed/19509099?tool=bestpractice.com[24]British Society for Paediatric Endocrinology and Diabetes. Statement on the management of gender identity disorder (GID) in children and adolescents. December 2009 [internet publication].http://www.bsped.org.uk/clinical/docs/BSPEDStatementOnTheManagementOfGID.pdf[25]Baranyi A, Piber D, Rothenhausler HB. Male-to-female transsexualism: sex reassignment surgery from a biopsychosocial perspective [in German]. Wien Med Wochenschr. 2009;159:548-557.http://www.ncbi.nlm.nih.gov/pubmed/19997841?tool=bestpractice.com