DÄ internationalArchive18/2009Gender Identity Disorders in Childhood and Adolescence – Currently Debated Concepts and Treatment Strategies: Irreversible Physical Changes

Correspondence

Gender Identity Disorders in Childhood and Adolescence – Currently Debated Concepts and Treatment Strategies: Irreversible Physical Changes

Dtsch Arztebl Int 2009; 106(18): 318. DOI: 10.3238/arztebl.2009.0318a

Jacobeit, J; Wüsthof, A

LNSLNS The authors advocate the use of puberty blocking LHRH analogues in adolescents with a gender identity disorder "after the individual’s psychosexual development is complete", at the earliest. This is not consistent with the published treatment recommendations of others and does not follow the recommendations of the North American Endocrine Society—to be released for publication shortly—which recommends suppressing puberty once genital development has reached Tanner stage 2-3, and which deems that treatment with hormones of the opposite sex is indicated from age 16.

As soon as a diagnosis of transsexualism has been made by child and adolescent psychiatrists, we think that it is not acceptable to withhold hormone therapy from the affected patients and thereby practically force them to experience the irreversible physical changes that puberty visits on their bodies.
DOI: 10.3238/arztebl.2009.0318a


Dipl.-Med. Jens Jacobeit
Dr. med. Achim Wüsthof
Endokrinologikum
Zentrum für Hormon- und Stoffwechselerkrankungen
Reproduktionsmedizin und Pränatale Medizin
Lornsenstr. 4–6
22767 Hamburg, Germany
achim.wuesthof@endokrinologikum.com
1.
Hembree WC, Cohen-Kettenis P, Delamarre HA, Gooren LJ, Meyer WJ, Spack NP, Tangpricha V, Montori VM: Endocrine treatment of transsexual persons: an endocrine society clinical practice guideline developed by a task force. In press.
2.
Korte A, Goecker D, Krude H et al.: Gender identity disorders in childhood and adolescence—currently debated concepts and treatment strategies [Geschlechtsidentitätsstörungen im Kindes- und Jugendalter – Zur aktuellen Kontroverse um unterschiedliche Konzepte und Behandlungsstrategien]. Dtsch Arztebl Int 2008; 105(48): 834–41.
1. Hembree WC, Cohen-Kettenis P, Delamarre HA, Gooren LJ, Meyer WJ, Spack NP, Tangpricha V, Montori VM: Endocrine treatment of transsexual persons: an endocrine society clinical practice guideline developed by a task force. In press.
2. Korte A, Goecker D, Krude H et al.: Gender identity disorders in childhood and adolescence—currently debated concepts and treatment strategies [Geschlechtsidentitätsstörungen im Kindes- und Jugendalter – Zur aktuellen Kontroverse um unterschiedliche Konzepte und Behandlungsstrategien]. Dtsch Arztebl Int 2008; 105(48): 834–41.