home
RSS
Not conforming to gender is not a disorder, says group
September 27th, 2011
01:57 PM ET

Not conforming to gender is not a disorder, says group

People who do not conform to their gender roles or cultural expectations do not have a disorder, declared the health association for professionals who treat transgender patients.

The World Professional Association for Transgender Health, composed of doctors, psychologists and others professionals, updated its standard of care for the first time in 10 years and announced its revisions this week at its conference in Atlanta, Georgia.  This international group, called WPATH, meets every two years.

“People who don’t fit cultural expectations of what it means to be male or female are not inherently disordered,” said Eli Coleman, who chaired a committee to update the WPATH standard of care. “Society stigmatizes these individuals and we have prejudice and discrimination. This causes a lot of people distress.”

Transgender kids: Painful quest to be who they are

But some people have gender dysphoria, a condition in which they feel uncomfortable with their bodies because they don’t match their gender.  This causes mental distress that can be relieved by making changes to their appearance, body or hormones, Coleman said.  At other times, gender dysphoria does not need medical interventions.

“It’s not a lifetime diagnosis,” said Coleman, professor and director of Human Sexuality at the University of Minnesota Medical School.  “Some people learn that they can feel comfortable if they’re allowed to express their gender in some manner that doesn’t necessarily require hormonal or surgical sex requirements.”

WPATH also called reparative therapies – those that seek to change the person - “unethical.” Coleman likening them to treatments that were designed to turn gay people into heterosexuals.

“Treatment aimed at trying to change a person’s gender identity and expression to become more congruent with sex assigned at birth has been attempted in the past without success, particularly in the long term,” the guidelines stated.  “Such treatment is no longer considered ethical.”

Also another controversial issue around transgender health is when children should receive medical interventions.

Hormone treatments prevent children from experiencing puberty of their sex. Girls who feel more like boys take hormone-suppressing medications so they will not develop breasts and start menstruating. Boys who identify as girls can take blockers to avoid developing broad shoulders, deep voice and facial hair. The drugs put their puberty on pause, so they can figure out whether to transition gender.

The protocol is that hormonal interventions should not be given to a child until he or she has started puberty and has a documented history of gender dysphoria, Coleman said.  The guidelines do not state an age when it’s OK to start hormone-blockers, because puberty starts at different ages for all kids.

Here are the guidelines for hormone treatment for teens:

•        The teenager has a long-lasting pattern of gender nonconformity or gender dysphoria

•        Gender dysphoria emerged or worsened with the onset of puberty. Tanner Stages are predictable sequences of puberty.  Children should be at least be at Tanner Stage 2, in which boys will get enlarging scrotum and testes, and girls will see the signs of breast development.

•        Any co-existing psychological, medical, or social problems that could interfere with treatment have been addressed.

•        The teenager has given informed consent or parents or guardians have consented to treatment and support the individual.

The Endocrine Society also has recommendations - for endocrine specialists and also advises that hormone blockers start only after girls and boys show signs of physical changes confirmed by levels of estrogen and testosterone.

Hormone blockers are reversible, because once a child stops taking drugs,  natural puberty begins.

If a teen decides he or she wants to transition to the other gender, that individual can elect to receive either estrogen or testosterone.  The use of cross-gender hormones is partially irreversible and that decision should be made with the teenager, the family and the treatment team.

But irreversible interventions like gender reassignment surgery should be held off until adulthood, the group recommended.


soundoff (101 Responses)
  1. NlbxZisse

    generic cialis reviews genic cialis viagra,cialis india http://cialijomen.com/ – free cialis medication ’

    January 20, 2021 at 11:19 | Report abuse | Reply
  2. KbctMile

    cialis ontario no prescription generic cialis bootleg cialis http://mycialedst.com/ – generic cialis 20 mg online ’

    January 21, 2021 at 21:15 | Report abuse | Reply
  3. JbdcEncox

    brand viagra online viagra with out prescription buy viagra for women sydney http://llviabest.com/ – craigslist and viagra ’

    January 22, 2021 at 01:30 | Report abuse | Reply
  4. LcxEncox

    viagra arizona viagra super overnight viagra express delivery http://genqpviag.com/ – viagra with out prescription in rite aid ’

    January 22, 2021 at 16:47 | Report abuse | Reply
  5. FmfvEncox

    cialis w/o perscription cialis online melbourne buy cialis in mexico http://sjcialis.com/ – generic cialis 40mg ’

    January 24, 2021 at 00:12 | Report abuse | Reply
  6. AhmdEncox

    brand cialis 20 mg purchase cialis online 20mg cialis best price http://cialmenshoprx.com/ – cialis with dapoxetine for sale ’

    January 24, 2021 at 00:36 | Report abuse | Reply
  7. JnhCrulk

    buy cialis online overnight delivery cialis without prescription generic cialis tadalafil http://loncialis.com/ – viagra cheap generic cialis ’

    January 24, 2021 at 12:03 | Report abuse | Reply
  8. FbgZisse

    viagra 100mg price uk generic viagras names viagra gold for sale https://canadianpharmacy-usx.com/organic.htm – cheap viagra ’

    January 24, 2021 at 22:24 | Report abuse | Reply
  9. NmilZisse

    generic viagra buy viagra for saale where to buy viagra sydney http://xz-pharmacyonline.com/en/career-opportunities.html – how to talk to a doctor about viagra ’

    January 25, 2021 at 06:18 | Report abuse | Reply
  10. KbbtMile

    shop cialis drugstore online shopping cialis wallmart https://xz-pharmacyonline.com – safe canadian online pharmacies ’

    January 26, 2021 at 05:23 | Report abuse | Reply
  11. tinder dating

    what is tinder , tider https://tinderdatingsiteus.com/

    January 26, 2021 at 23:44 | Report abuse | Reply
  12. FmnfEncox

    cialis online aust cialis payment with paypal how much is cialis in canada https://impotencecdny.com/info/history.php – canadian cialis online ’

    January 29, 2021 at 06:46 | Report abuse | Reply
  13. AhmdEncox

    cialis super active viagra generic canadian pharmacy buy cialis and receive in 48 hrs https://impotencecdny.com/ – canadian drugstore ’

    January 29, 2021 at 07:18 | Report abuse | Reply
  14. JnscCrulk

    viagra great price brand viagra viagra cena http://erectilejyzd.com/index.php?called=terms – buy viagra ’

    January 29, 2021 at 18:35 | Report abuse | Reply
  15. FhnhZisse

    canada viagra Cialis Soft Tabs canadian discount pharmacy https://canadianpharmacy-yy.com/ – Zenegra ’

    January 30, 2021 at 04:35 | Report abuse | Reply
  16. NgscZisse

    viagra 150 mg prices generic sildenafil 50mg generic drug for viagra http://canadianpharmacy-yy.com/Fitness/how-to-get-a-six-pack.html – viagra online pharmacies ’

    January 30, 2021 at 12:39 | Report abuse | Reply
  17. KbbgMile

    viagra grapefruit interaction Maxalt viagra 20 mg price http://erectilejyzd.com/ – Seroquel ’

    January 31, 2021 at 11:30 | Report abuse | Reply
  18. free thai dating site

    dating sites free https://freedatingsiteall.com

    January 31, 2021 at 21:22 | Report abuse | Reply
  19. LbsxEncox

    walgreens pharmacy where can i find the best and cheapest overnight viagra? pharmacy

    February 4, 2021 at 10:50 | Report abuse | Reply
  20. JbnbCrulk

    canadian prescription drugs gastro health best 10 online canadian pharmacies

    February 5, 2021 at 20:10 | Report abuse | Reply
  21. FvfcZisse

    pharmacies online but viagra with no prescription buy viagra onoine

    February 5, 2021 at 20:31 | Report abuse | Reply
  22. AhkdEncox

    pharmacy without dr prescriptions canadian pharmaceuticals online reviews buy prescription drugs from canada

    February 5, 2021 at 23:41 | Report abuse | Reply
  23. FqhhEncox

    generic viagra online pharmacy online pharmacy usa canada meds

    February 6, 2021 at 05:57 | Report abuse | Reply
  24. KbcxMile

    canadian pharmacy online viagra prescription drugs from canada aarp recommended canadian pharmacies

    February 6, 2021 at 21:54 | Report abuse | Reply
  25. Kuikseelt

    viagra with depoxatine overnight shipping vid shop viagra where to buy cheap viagra

    February 7, 2021 at 09:10 | Report abuse | Reply
  26. JbbvEncox

    generic viagra online drugs from canada online online pharmacy without a prescription

    February 7, 2021 at 16:21 | Report abuse | Reply
  27. AqcfTeneseelt

    cialis shipping cialis reviews patients where can i buy cialis online

    February 10, 2021 at 05:32 | Report abuse | Reply
  28. LabxEncox

    can women drink cialis cialis 20mg asli cialis 5 mg cpr

    February 11, 2021 at 07:54 | Report abuse | Reply
  29. NbnhZisse

    over the counter viagra pills canadian pharmacy viagra no prescription sildenafil 100 capsules

    February 12, 2021 at 01:11 | Report abuse | Reply
  30. JbnvCrulk

    cash loans stockbridge ga payday loans no credit check instant decision online payday loan debt relief

    February 12, 2021 at 21:40 | Report abuse | Reply
  31. FqbbEncox

    cash advance madisonville ky cash loans websites payday loan 73099

    February 13, 2021 at 12:29 | Report abuse | Reply
  32. FbsgZisse

    cialis 20mg usa http://llecialisjaw.com/ buying cialis online

    February 13, 2021 at 14:32 | Report abuse | Reply
  33. KvaxMile

    citibank au cash advance banks that loan money on land payday advance san lorenzo ca

    February 13, 2021 at 17:28 | Report abuse | Reply
  34. Kbbfseelt

    viagra overnight http://kloviagrli.com/ online generic viagra

    February 13, 2021 at 23:20 | Report abuse | Reply
  35. JbbnEncox

    cialis leg muscle pain what r the side effects of cialis pengalaman minum cialis

    February 15, 2021 at 04:39 | Report abuse | Reply
  36. froleprotrem

    The following time I learn a blog, I hope that it doesnt disappoint me as much as this one. I mean, I know it was my option to learn, however I actually thought youd have something interesting to say. All I hear is a bunch of whining about one thing that you could possibly repair should you werent too busy looking for attention.

    http://www.froleprotrem.com/

    February 19, 2021 at 08:33 | Report abuse | Reply
1 2

Post a comment


 

CNN welcomes a lively and courteous discussion as long as you follow the Rules of Conduct set forth in our Terms of Service. Comments are not pre-screened before they post. You agree that anything you post may be used, along with your name and profile picture, in accordance with our Privacy Policy and the license you have granted pursuant to our Terms of Service.

Advertisement
About this blog

Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.