Division of Endocrinology, Department of Pediatrics, Harbor-UCLA Medical Center, David Geffen School of Medicine at University of California, Los Angeles; The Lundquist Institute of Biomedical Innovation at Harbor-UCLA Medical Center, 1000 West Carson Street, Harbor Box 446, Torrance, CA 90509, USA.
Division of Endocrinology, Department of Pediatrics, Harbor-UCLA Medical Center, David Geffen School of Medicine at University of California, Los Angeles; The Lundquist Institute of Biomedical Innovation at Harbor-UCLA Medical Center, 1000 West Carson Street, Harbor Box 446, Torrance, CA 90509, USA.
Adv Pediatr. 2023 Aug;70(1):187-198. doi: 10.1016/j.yapd.2023.04.006. Epub 2023 May 26.
Children and adolescents may present with transgender or gender diverse (TGD) identity during the course of development. Pediatricians may be the first health care providers to whom TGD identity is revealed. Pediatricians can optimize health care outcomes by promoting a gender-affirming clinical environment, initiating the evaluation for gender incongruence, supporting social transition, and initiating medical interventions. Clinical practice guidelines are available from the World Professional Association for Transgender Health (WPATH, Standards of Care, version 8, 2022) and the Endocrine Society (2017). This article outlines a general approach to providing social and medical affirming care from the pediatrician's office.
儿童和青少年在发育过程中可能会表现出跨性别或性别多样化（TGD）的身份。儿科医生可能是第一个发现 TGD 身份的医疗保健提供者。儿科医生可以通过营造一个支持性别认同的临床环境、启动性别不一致的评估、支持社会过渡以及启动医疗干预来优化医疗保健结果。世界专业跨性别健康协会（WPATH）和内分泌学会（Endocrine Society）都有临床实践指南（WPATH，护理标准，第 8 版，2022；Endocrine Society，2017）。本文概述了一种从儿科医生办公室提供社会和医疗支持的一般方法。
