TY - JOUR
T1 - NASPAG Clinical Opinion
T2 - The Care of Transgender and Gender Nonbinary Adolescents and Young Adults
AU - NASPAG Education Committee
AU - Grimstad, Frances
AU - Trotman, Gylynthia
AU - Krempasky, Chance
AU - Belkind, Uri
AU - Jarin, Jason
AU - Cizek, Stephanie
N1 - Publisher Copyright:
© 2024 North American Society for Pediatric and Adolescent Gynecology
PY - 2024/12
Y1 - 2024/12
N2 - Transgender and gender nonbinary (TGNB) adolescents and young adults (AYA) may present to clinicians with reproductive health expertise for the spectrum of gynecologic, sexual, and reproductive care. As such, clinicians should be knowledgeable in the many facets of gender-affirming care. This clinical opinion reviews language associated with gender diversity and gender-affirming care; current clinical, social, and political barriers faced by TGNB AYA; and the creation of welcoming and inclusive clinical spaces for TGNB AYA. It discusses social, medical, and surgical affirmation processes, and focuses on gynecologic care topics which may arise in the care of TGNB AYA, including those who undergo medical or surgical therapies. This includes menstrual suppression, breakthrough bleeding on testosterone, sexual health, fertility, and the pelvic care of individuals following gender affirming vulvovaginoplasty.
AB - Transgender and gender nonbinary (TGNB) adolescents and young adults (AYA) may present to clinicians with reproductive health expertise for the spectrum of gynecologic, sexual, and reproductive care. As such, clinicians should be knowledgeable in the many facets of gender-affirming care. This clinical opinion reviews language associated with gender diversity and gender-affirming care; current clinical, social, and political barriers faced by TGNB AYA; and the creation of welcoming and inclusive clinical spaces for TGNB AYA. It discusses social, medical, and surgical affirmation processes, and focuses on gynecologic care topics which may arise in the care of TGNB AYA, including those who undergo medical or surgical therapies. This includes menstrual suppression, breakthrough bleeding on testosterone, sexual health, fertility, and the pelvic care of individuals following gender affirming vulvovaginoplasty.
KW - Health services for transgender persons
KW - Reproductive health services
KW - Transgender persons
UR - http://www.scopus.com/inward/record.url?scp=85203830124&partnerID=8YFLogxK
U2 - 10.1016/j.jpag.2024.07.007
DO - 10.1016/j.jpag.2024.07.007
M3 - Article
C2 - 39111690
AN - SCOPUS:85203830124
SN - 1083-3188
VL - 37
SP - 533
EP - 541
JO - Journal of Pediatric and Adolescent Gynecology
JF - Journal of Pediatric and Adolescent Gynecology
IS - 6
ER -