Section for Pediatric Endocrinology, Lerner College of Medicine, Cleveland Clinic Children's Hospital, Case Western Reserve University, Cleveland, Ohio.
Gender Education and Care Interdisciplinary Support Program, Children's Health, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Curr Opin Endocrinol Diabetes Obes. 2018 Feb;25(1):44-48. doi: 10.1097/MED.0000000000000378.
Transgender individuals including pubertal young people require hormonal therapy, in conjunction with mental health support. These youths are a unique population, with specific and individual desires and needs as they move through the physical and mental transition to the gender with which they identify.
The number of transgender youth presenting for treatment is increasing rapidly. They continue to have a high prevalence of mental health disorders, though not when supported in their sex identities by family in younger age. Older children are more susceptible to peer support or lack thereof. Treatment with gonadotropin-releasing hormone agonists remains a mainstay of early therapy, but is associated with high costs and decrease in bone mineral density; androgenic progestogens could be used as a lower cost alternative. Fertility preservation is discussed with the majority of transgender youth, but use of such services is low.
Transgender youth are an increasingly identified population in need of medical and mental health treatment, as well as social support throughout life.
跨性别者包括青春期的年轻人需要进行激素治疗，同时还需要心理健康支持。这些年轻人是一个独特的群体，他们在身体和心理上向自己认同的性别转变的过程中，有着特殊的个人愿望和需求。
寻求治疗的跨性别青年人数正在迅速增加。尽管在年幼时得到了家庭的支持，他们的性别认同得到了支持，但他们仍然普遍存在心理健康障碍。年龄较大的孩子更容易受到同伴的支持或缺乏支持的影响。促性腺激素释放激素激动剂的治疗仍然是早期治疗的主要方法，但它与高成本和骨密度降低有关；雄激素孕激素可作为一种成本较低的替代药物。大多数跨性别青年都讨论了生育力保存问题，但此类服务的利用率很低。
跨性别青年是一个日益被识别的群体，他们需要医疗和心理健康治疗，以及终生的社会支持。
