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Pediatricians may feel ill-equipped to care for the growing and vulnerable group of children and adolescents requesting care for gender dysphoria — the distress experienced when there is discordance between gender identity and gender assigned at birth. These authors reviewed relevant articles published between 1950 and 2018 to provide guidance for primary care providers. Among the key points:
The authors endorse gender-affirming care (an approach that “does not view gender variance as pathological”).
Patients and families look to providers for advice on when to initiate pubertal blockade and other aspects of medical management but may also seek guidance on the timing of social transitioning, including change of name and pronouns.
Guidelines fr…