Gender transition

Gender transition is the process of affirming and expressing one's internal sense of gender, rather than the sex assigned to them at birth. It is a recommended course of treatment for individuals experiencing gender dysphoria,[1][2] providing improved mental health outcomes in the majority of people.[3][4][5][6]

A social transition may include coming out as transgender,[a] using a new name and pronouns, and changing one's public gender expression.[7] This is usually the first step in a gender transition. People socially transition at almost any age,[8][9] as a social transition does not involve medical procedures. It can, however, be a prerequisite to accessing transgender healthcare in many places.[10][11]

In transgender youth, puberty blockers are sometimes offered at the onset of puberty to allow the exploration of their gender identity without the distress[12][13] of irreversible pubertal changes. Upon reaching the age of consent, they become eligible to pursue a medical transition if it is still desired.

A medical transition may include hormone replacement therapy (HRT), transgender voice therapy, and gender affirming surgeries. The ability to start a medical transition is typically offered after a diagnosis of gender dysphoria,[14] a form of medicalization. In recent years, there has been a push for an informed consent model of transgender healthcare which allows adults to access HRT without a formal diagnosis.[15]

Transitioning is a process that can take anywhere from several months to several years.

  1. ^ World Medical Association (October 2015). "WMA Statement on Transgender People". Retrieved 2025-03-22.{{cite web}}: CS1 maint: url-status (link)
  2. ^ "APA adopts groundbreaking policy supporting transgender, gender diverse, nonbinary individuals". American Psychological Association. February 28, 2024. Retrieved 2025-03-22.
  3. ^ Baker, Kellan E; Wilson, Lisa M; Sharma, Ritu; Dukhanin, Vadim; McArthur, Kristen; Robinson, Karen A (April 2021). "Hormone Therapy, Mental Health, and Quality of Life Among Transgender People: A Systematic Review". Journal of the Endocrine Society. 5 (4) (published 2 February 2021): bvab011. doi:10.1210/jendso/bvab011. PMC 7894249. PMID 33644622.
  4. ^ Shelemy, Lucas; Cotton, Sue; Crane, Catherine; Knight, Matthew (2024). "Systematic review of prospective adult mental health outcomes following affirmative interventions for gender dysphoria". International Journal of Transgender Health. 0 (0): 1–21. doi:10.1080/26895269.2024.2333525. ISSN 2689-5269.
  5. ^ Dhejne, Cecilia; Van Vlerken, Roy; Heylens, Gunter; Arcelus, Jon (2016). "Mental health and gender dysphoria: A review of the literature". International Review of Psychiatry. 28 (1): 44–57. doi:10.3109/09540261.2015.1115753. ISSN 1369-1627. PMID 26835611.
  6. ^ Cornell University (2018). "What does the scholarly research say about the effect of gender transition on transgender well-being?". What We Know Project. Retrieved 2025-03-22.
  7. ^ Brown, M. L. & Rounsley, C. A. (1996) True Selves: Understanding Transsexualism – For Families, Friends, Coworkers, and Helping Professionals Jossey-Bass: San Francisco ISBN 0-7879-6702-5
  8. ^ Cite error: The named reference :3 was invoked but never defined (see the help page).
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  14. ^ Johnson, Austin H. (2019). "Rejecting, reframing, and reintroducing: trans people's strategic engagement with the medicalisation of gender dysphoria". Sociology of Health & Illness. 41 (3): 517–532. doi:10.1111/1467-9566.12829. ISSN 0141-9889. PMID 30484870.
  15. ^ Schulz, Sarah L. (2017-12-13). "The Informed Consent Model of Transgender Care: An Alternative to the Diagnosis of Gender Dysphoria". Journal of Humanistic Psychology. 58 (1). SAGE Publications: 72–92. doi:10.1177/0022167817745217. ISSN 0022-1678.


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