Puberty Suppression.

Pediatric Transgender Medicine

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Theoretical Frame of Puberty Suppression

Fig.: Hormonal Controls of Puberty [Credit: Wikimedia Commons]

Concept of Gender Events

According to the prevailing theory of pediatric transgender care - children first are “assigned gender at birth” (AGAB) which can be “assigned male at birth” (AMAB) or “assigned female  at birth” (AFAB). This is first gender event and it is not “affirming event”since the gender is imposed on the unconscious neonate.

The gender affirmation is defined as follows:

“Gender affirmation, also referred to as gender transitioning, is a dynamic process whereby an individual affirms their gender through social (e.g., name, pronoun, and gender expression changes, gender identity disclosure) and medical (e.g., hormones, surgery) processes”

According to this reasoning, the first gender affirming event is not puberty but rather any social even in which a child says that he/she feels to be of the opposite sex and some…