Feminization Assignment

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These treatments may prevent transgender adolescents from attempting suicide, suffering from depression, and refusing to attend school.Spack (2013) stated that GD is poorly understood from both mechanistic and clinical standpoints.

These treatments may prevent transgender adolescents from attempting suicide, suffering from depression, and refusing to attend school.Spack (2013) stated that GD is poorly understood from both mechanistic and clinical standpoints.

D.) whereas male to female (MTF) trans identified individuals hoped to begin feminizing hormone therapy as early as age 12.5 /- 4.0, before presenting secondary sex characters.

After confirmation of strong and persistent trans gender identification, adolescents with GD should be treated with cross-gender hormone or puberty-delaying hormone to prevent developing undesired sex characters.

Gender-specific services may be medically necessary for transgender persons appropriate to their anatomy.

Examples include: Aetna considers gonadotropin-releasing hormone medically necessary to suppress puberty in trans identified adolescents if they meet World Professional Association for Transgender Health (WPATH) criteria (see CPB 0501 - Gonadotropin-Releasing Hormone Analogs and Antagonists).

Awareness of the condition appears to be increasing, probably because of greater societal acceptance and available hormonal treatment.

Therapeutic options include hormone and surgical treatments but may be limited by insurance coverage because costs are high.

These investigators reported the experience of one provider with the endocrine treatment of transgender persons over the past 2 decades.

Data on demographics, clinical response to treatment, and psychosocial status were collected on all transgender persons receiving cross-sex hormone therapy since 1991 at the endocrinology clinic at Albany Medical Center, a tertiary care referral center serving upstate New York.

For patients seeking MTF affirmation, hormone treatment includes estrogens, finasteride, spironolactone, and Gn RH analogs.

Surgical options include feminizing genital and facial surgery, breast augmentation, and various fat transplantations.

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