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How do Italian pediatric endocrinologists approach gender incongruence?
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- المؤلفون: Ciancia S;Ciancia S; Iughetti L; Iughetti L
- المصدر:
Italian journal of pediatrics [Ital J Pediatr] 2023 Jun 14; Vol. 49 (1), pp. 70. Date of Electronic Publication: 2023 Jun 14.
- نوع النشر :
Letter
- اللغة:
English
- معلومة اضافية
- المصدر:
Publisher: BioMed Central Country of Publication: England NLM ID: 101510759 Publication Model: Electronic Cited Medium: Internet ISSN: 1824-7288 (Electronic) Linking ISSN: 17208424 NLM ISO Abbreviation: Ital J Pediatr Subsets: MEDLINE
- بيانات النشر:
Original Publication: London : BioMed Central
- الموضوع:
- نبذة مختصرة :
Background: Gender incongruence (GI) is a term used to describe a marked and persistent incompatibility between the sex assigned at birth (SAAB) and the experienced gender. Some persons presenting with GI experience a severe psychological distress defined as gender dysphoria (GD).. Although the prevalence of GI is probably underestimated, recently a great increase in numbers of transgender and gender diverse (TGD) youths presenting at the gender clinics has been registered. After a careful multidisciplinary evaluation and upon acquisition of informed consent from the youth and the legal guardian(s), puberty suppression can be started in TGD youths, followed by the addition of gender affirming hormones (GAH) by the age of 16 years. Although Italian specific guidelines are available, their application is often complex because of (among other reasons) lack of specialized centers and healthcare professional with experience in the field and the regional differences within the Italian healthcare system.
Main Body: To investigate the care offered to TGD youths across Italy, we proposed a survey of 20 questions to the directors of the 32 Italian Centers of pediatric endocrinology participating to the Study Group on Growth and Puberty of the Italian Society of Pediatric Endocrinology (ISPED). Eighteen pediatric endocrinologists representative of 16 different centers belonging to 11 different regions responded to the survey. In the large majority of centers TGD youths are taken in charge between the age of 12 and 18 years and at least three healthcare professional are involved. Most of Italian pediatric endocrinologists follow only a very limited number of TGD youths and reference centers for TGD youths are lacking.
Conclusion: There is an urgent need for gender clinics (homogeneously distributed on the national territory) where TGD youths can access high standard care.
(© 2023. The Author(s).)
- References:
Int J Transgend Health. 2020 Apr 15;21(2):125-137. (PMID: 33015664)
J Clin Endocrinol Metab. 2017 Nov 1;102(11):3869-3903. (PMID: 28945902)
Int J Transgend Health. 2022 Sep 6;23(Suppl 1):S1-S259. (PMID: 36238954)
J Sex Med. 2018 Apr;15(4):582-590. (PMID: 29463477)
Eur Psychiatry. 2019 Jan;55:61-66. (PMID: 30390473)
J Endocrinol Invest. 2014 Jul;37(7):675-87. (PMID: 24862877)
Arch Dis Child. 2018 Jul;103(7):631-636. (PMID: 29650510)
- Contributed Indexing:
Keywords: Gender affirming hormones; Gender dysphoria; Gender incongruence; GnRHa; Puberty
- الموضوع:
Date Created: 20230614 Date Completed: 20230616 Latest Revision: 20230616
- الموضوع:
20231215
- الرقم المعرف:
PMC10268452
- الرقم المعرف:
10.1186/s13052-023-01471-2
- الرقم المعرف:
37316939
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