ENDOCRINOLOGICAL APPROACH IN ADOLESCENTS WITH GENDER DYSPHORIA

Abstract

Gender Dysphoria (GD) is a condition which is characterized by incongruence between the experienced gender and the natal sex at least for 6-months, which also causes deterioration of functionality. After psychiatric evaluations, medical treatment for adolescents with GD consists of 3-phases. The first phase is the suppression of puberty with GnRH analogues. In the second phase, cross-sex steroid hormones are added to the GnRH analogue treatment. The final phase is surgical procedures after the age of 18-years and keeping sex hormone levels in normal ranges. Sex reassignment of the individuals with GD is a long and challenging process. However, with an increased social awareness and increased experience at medical clinics, these individuals will have easier access to the necessary treatments.

Keywords

• Gender dysphoria
• adolescents
• medical treatment
• sex reassignment

CİNSİYET HOŞNUTSUZLUĞU OLAN ADOLESANLARDA ENDOKRİNOLOJİK YAKLAŞIM

Abstract

Cinsiyet hoşnutsuzluğu (CH), en az 6 ay süreyle kişinin hissettiği/ dışa vurduğu cinsiyetiyle doğumdaki cinsiyeti arasında belirgin uyumsuzluk olması ve bu duruma işlevsellikte bozulmanın eşlik etmesi durumudur. Psikiyatrik değerlendirmeler sonrasında CH tanısı kesinleşen adolesanlarda medikal tedaviler üç aşamalıdır. Birinci aşama GnRH analog tedavisiyle puberte baskılanması, 2. aşama tedaviye cins steroidlerin eklenmesi, 3. aşamaysa 18 yaş sonrasında cerrahi düzeltme, cins steroid tedavisinin devamı ve hormon düzeylerinin normal aralıkta tutulmasıdır. Trans bireylerde cinsiyet dönüşümü uzun ve zorlu bir süreçtir. Ancak toplumsal farkındalık arttıkça ve kliniklerin artan deneyimleri ile bu bireylerin gerekli tedavilere erişimi kolaylaşacaktır.

Keywords

• Cinsiyet hoşnutsuzluğu
• adolesan
• medikal tedavi
• cinsiyet dönüşüm

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