Endocrine Treatment of Gender-Dysphoric/Gender-Incongruent Persons
Publication Date: September 13, 2017
Last Updated: March 18, 2022
Diagnosis
Evaluation of Youth and Adults
Endocrine Society (ES) advises that only trained mental health professionals (MHPs) who meet the following criteria should diagnose GD/GI in adults: ( UGPS )
- Competence in using the Diagnostic and Statistical Manual of Mental Disorders (DSM) and/or the International Statistical Classification of Diseases and Related Health Problems (ICD) for diagnostic purposes
- The ability to diagnose GD/GI and make a distinction between GD/GI and conditions that have similar features (e.g., body dysmorphic disorder)
- Training in diagnosing psychiatric conditions
- The ability to undertake or refer for appropriate treatment
- The ability to psychosocially assess the person’s understanding, mental health, and social conditions that can impact gender-affirming hormone therapy, and
- A practice of regularly attending relevant professional meetings
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Treatment
Treatment of Adolescents
ES suggests that adolescents who meet diagnostic criteria for GD/GI, fulfill criteria for treatment, and are requesting treatment should initially undergo treatment to suppress pubertal development. (2-L)
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Overview
Title
Endocrine Treatment of Gender-Dysphoric/Gender-Incongruent Persons
Authoring Organization
Endocrine Society