Exam 2 - Transgender children

Question 1

What types of medications are needed for transgender children?

Answer 1

Puberty delaying options and contra-hormones

Question 2

Are puberty delaying options reversible?

Answer 2

Yes - want to initiate when child is in Tanner stage 2 before secondary sex characteristics have still not formed

• If providers can deter development of secondary sex characteristics, can use lower doses or hormones and avoid surgery

Question 3

What three things should the provider consider before hormone therapy in children?

Answer 3

• Child is insistent in their gender identity
• Persistence
• Consistency

Question 4

What specific medications can be prescribed for transgender children?

Answer 4

• GnRH agonists (e.g. Lupron, Synarel, Trelstar)
  
  • May affect bone growth
  • Used for 3 years before introducing hormones
  • Can also be used to treat precocious puberty
• Testosterone or estrogen
  
  • Given in doses that are congruent with their age