Pediatr Ann. 2021 Sep;50(9):e384-e390. doi: 10.3928/19382359-20210818-03. Epub 2021 Sep 1.
Nonbinary and genderqueer youth represent well over a one-third of transgender youth. Historically, transgender health care has been based on the gender binary, and as a result, many nonbinary people have chosen to forego care or withhold their authentic needs or goals when accessing care. This article presents a paradigm shift in gender care, which addresses discrimination and stigma and outlines components of supportive and affirming care to gender expansive youth. Nonbinary youth are best served when providers use gender-affirming language and focus on embodiment goals. Medical interventions may include pubertal suppression, hormones, and surgeries, which are best reviewed by individual physical effects rather than with "masculinizing" or "feminizing" terminology. Individualized goals may be supported by estrogen, testosterone, or a combination of both. Providers should be prepared to facilitate supportive conversations, difficult decisions, and balancing of priorities with nonbinary patients and their families. .
非二元性别和性别酷儿青年占跨性别青年的三分之一以上。从历史上看，跨性别者的医疗保健是基于二元性别模式的，因此，许多非二元性别者选择放弃护理，或在获得护理时隐瞒自己的真实需求或目标。本文提出了性别护理的范式转变，它解决了歧视和污名化问题，并概述了支持和肯定性别扩张青年护理的组成部分。当提供者使用性别肯定的语言并关注体现目标时，非二元性别青年的服务效果最佳。医疗干预措施可能包括青春期抑制、激素和手术，最好根据个体的身体影响进行评估，而不是使用“男性化”或“女性化”的术语。个体化目标可以通过雌激素、睾丸素或两者的组合来支持。提供者应该准备好与非二元性别患者及其家属进行支持性对话、艰难的决策以及平衡优先级。
