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Committee Opinion No. 685 Summary: Care for Transgender Adolescents

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doi: 10.1097/AOG.0000000000001856
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Abstract

Recommendations and Conclusions

The American College of Obstetricians and Gynecologists makes the following recommendations and conclusions:

  • Obstetrician–gynecologists should understand gender identity and be able to treat transgender patients or refer them appropriately for medical and surgical therapeutic options.
  • A patient with gender dysphoria may first present to a gynecologist; therefore, it is important for the clinician to be aware of this condition.
  • Obstetrician–gynecologists can provide referrals as well as support and resources to young patients.
  • It is important for obstetrician–gynecologists to be aware of the social and mental health risks for the transgender population.
  • Transgender male adolescents have a uterus, ovaries, and breast tissue and, thus, can develop medical complications of gynecologic organs and also become pregnant.
  • The need to discuss fertility preservation before initiation of cross-sex hormones is another important reason that obstetrician–gynecologists may be involved in the care of transgender adolescents.
  • Like all patients, transgender adolescents should have a source for ongoing primary care.

© 2016 by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.