(Q30345)
Statements
Pediatric gender-affirming medical care has strong research evidence and support, and transition-related regret is uncommon. (English)
PURPOSE (English)
Copyright © 2024 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved. (English)
2024
Misinformation about regret has nonetheless been used to limit adolescents from accessing this care. (English)
PURPOSE (English)
Copyright © 2024 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved. (English)
2024
This study is the first of a 3-part initiative to clarify long-term satisfaction and regret related to pediatric gender-affirming care (GAC). (English)
PURPOSE (English)
Copyright © 2024 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved. (English)
2024
An anonymous survey was distributed to individuals of age 15 and older who participated in at least one prior appointment at a large pediatric gender clinic. (English)
METHODS (English)
Copyright © 2024 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved. (English)
2024
The survey questions included (1) demographics; (2) use of gender-affirming interventions; (3) barriers to accessing medical interventions; (4) reasons for any discontinuation of medical interventions; (5) emotions associated with GAC; and (6) intervention-related regret. (English)
METHODS (English)
Copyright © 2024 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved. (English)
2024
Participants (N = 150; Mage = 18.6) were predominantly transmasculine-identified and/or assigned female at birth (86%). (English)
RESULTS (English)
Copyright © 2024 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved. (English)
2024
The most common emotions associated with GAC were satisfaction (88.0%) and confidence (86.7%). (English)
RESULTS (English)
Copyright © 2024 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved. (English)
2024
A total of 141 participants reported taking hormones, 30 of whom reported ever discontinuing (21.3%). (English)
RESULTS (English)
Copyright © 2024 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved. (English)
2024
Among these, 11 have already resumed hormones, and 16 might resume. (English)
RESULTS (English)
Copyright © 2024 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved. (English)
2024
Of the three with no plan to resume hormones, one is fully satisfied with the results, and the remaining two no longer identify as transgender. (English)
RESULTS (English)
Copyright © 2024 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved. (English)
2024
Only one participant (0.7% of those who ever took hormones) wishes they had never started testosterone or had top surgery, both of which occurred in adulthood. (English)
RESULTS (English)
Copyright © 2024 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved. (English)
2024
Individuals who accessed GAC as adolescents are largely satisfied with this care. (English)
DISCUSSION (English)
Copyright © 2024 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved. (English)
2024
Care-related satisfaction and regret are more nuanced than sometimes portrayed and should not be used to limit access. (English)
DISCUSSION (English)
Copyright © 2024 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved. (English)
2024
Luca (English)
Crabtree (English)
L
Kara J (English)
Connelly (English)
KJ
Jess T (English)
Guerriero (English)
JT
Eleanor A J (English)
Battison (English)
EAJ
Joshua (English)
Tiller-Ormord (English)
J
S Max (English)
Sutherland (English)
SM
Danielle N (English)
Moyer (English)
DN
18 October 2024
18 October 2024