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 (150 Responses)
  1. AbgcEncox

    https://thesiswritingtob.com/ – thesiswritingtob.com help thesis thesiswritingtob.com thesis writing service

    April 9, 2021 at 05:08 | Report abuse | Reply
  2. FbshEncox

    https://thesisacloud.com/ – thesisacloud.com help with a thesis statement thesisacloud.com thesis data analysis

    April 9, 2021 at 12:59 | Report abuse | Reply
  3. GvdbCrulk

    40 mg tadalafil http://boxtadafil.com/ – tadalafil over the counter usa tadalafil generic usa

    April 23, 2021 at 05:55 | Report abuse | Reply
  4. FbsfEncox

    Trecator SC http://uspharmus.com/ – mexican pharmacy online Provera

    April 24, 2021 at 03:49 | Report abuse | Reply
  5. FbsfEncox

    Malegra FXT plus https://uspharmus.com/ Valtrex

    April 24, 2021 at 04:06 | Report abuse | Reply
  6. LrbsEncox

    how much does levitra cost at walmart http://uslevitraanna.com/ levitra cost cvs

    April 24, 2021 at 07:59 | Report abuse | Reply
  7. JbsdEncox

    Toradol http://onlinecanda21.com/ Allopurinol

    April 24, 2021 at 12:43 | Report abuse | Reply
  8. RfvbZisse

    dapoxetine cialis http://cileve.com/ cialis kaufen mit paypal zahlen

    April 24, 2021 at 23:48 | Report abuse | Reply
  9. RfvbZisse

    viagra cialis https://cileve.com/ – how much does cialis cost at walmart 800 mg cialis

    April 25, 2021 at 00:51 | Report abuse | Reply
  10. GvdbCrulk

    what is tadalafil oral jelly http://boxtadafil.com/ tadalafil best price 20 mg

    April 25, 2021 at 08:41 | Report abuse | Reply
  11. LhdvZisse

    buy generic cialis 5mg http://asciled.com/ – generic cialis and overnight generic cialis tadalafil

    April 25, 2021 at 12:26 | Report abuse | Reply
  12. AbdgEncox

    canadian pharmacy meds http://canadianeve21.com/ Imodium

    April 26, 2021 at 02:22 | Report abuse | Reply
  13. LhdvZisse

    original cialis low price http://asciled.com/ cialis wiki

    April 26, 2021 at 09:43 | Report abuse | Reply
  14. AbdgEncox

    Atorlip-5 http://canadianeve21.com/ – Cardizem Viagra with Fluoxetine

    April 26, 2021 at 23:21 | Report abuse | Reply
  15. BbdfMile

    buying viagra https://gensitecil.com/ – female viagra reviews cipla viagra

    April 28, 2021 at 14:28 | Report abuse | Reply
  16. LrbsEncox

    how much does levitra cost canadian pharmacy generic levitra levitra vs viagra cost

    April 28, 2021 at 17:56 | Report abuse | Reply
  17. JbsdEncox

    Hydrea http://onlinecanda21.com/ ordering prescriptions from canada legally

    April 28, 2021 at 18:55 | Report abuse | Reply
  18. BbdfMile

    buy viagra online cheap https://gensitecil.com/ herbal viagra green box

    April 29, 2021 at 01:12 | Report abuse | Reply
  19. LrbsEncox

    viagra cialis levitra canada http://uslevitraanna.com/ best way to take levitra

    May 1, 2021 at 19:50 | Report abuse | Reply
  20. RfvbZisse

    canadian no prescription pharmacy cialis https://cileve.com/ 36 hour cialis

    May 1, 2021 at 20:05 | Report abuse | Reply
  21. RfvbZisse

    generic cialis fedex https://cileve.com/ buy cialis online usa

    May 1, 2021 at 21:22 | Report abuse | Reply
  22. JbsdEncox

    Viagra Soft Tabs http://onlinecanda21.com/ Super ED Trial Pack

    May 2, 2021 at 00:59 | Report abuse | Reply
  23. FbsfEncox

    Altace http://uspharmus.com/ weight loss

    May 2, 2021 at 04:26 | Report abuse | Reply
  24. FbsfEncox

    Cytotec http://uspharmus.com/ – canadian pharmacy without prescription drugs without prescription

    May 2, 2021 at 04:47 | Report abuse | Reply
  25. LhdvZisse

    generic cialis online purchase https://asciled.com/ – wallmart cialis cialis in melbourne australia

    May 2, 2021 at 11:01 | Report abuse | Reply
  26. GvdbCrulk

    remedio tadalafil https://boxtadafil.com/ trial tadalafil tablets

    May 3, 2021 at 01:28 | Report abuse | Reply
  27. GtnbCrulk

    where to buy female viagra http://jokviagra.com/ what happens if women take viagra

    May 3, 2021 at 22:31 | Report abuse | Reply
  28. LebnEncox

    Terramycin https://xlnpharmacy.com/ Brand Levitra

    May 5, 2021 at 00:15 | Report abuse | Reply
  29. JebgEncox

    canadadrugpharmacy https://pharmacylo.com/ drugs from canada

    May 5, 2021 at 03:49 | Report abuse | Reply
  30. FmrfEncox

    grapefruit juice and cialis http://cialisee.com/ – buy generic cialis online cialis with dapoxetine cheap

    May 5, 2021 at 05:02 | Report abuse | Reply
  31. FmrfEncox

    where can i buy original cialis https://cialisee.com/ – 5mg of cialis cialis 200 mg what is it

    May 5, 2021 at 05:23 | Report abuse | Reply
  32. GtnbCrulk

    what is viagra pills https://jokviagra.com/ free viagra

    May 5, 2021 at 12:11 | Report abuse | Reply
  33. RebfZisse

    online cialis https://rcialisgl.com/ – where can i buy cialis online in australia generic cialis india safe

    May 5, 2021 at 21:35 | Report abuse | Reply
  34. RebfZisse

    cialis paypal viagra https://rcialisgl.com/ cialis\\

    May 5, 2021 at 22:29 | Report abuse | Reply
  35. LbsoZisse

    cialis online without perscription http://ucialisdas.com/ – cialis with dapoxetine review cialis overnight delivery

    May 6, 2021 at 12:58 | Report abuse | Reply
1 2 3

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.