For transgender teens who first take puberty blockers and then estrogen and testosterone treatments, the Endocrine Society warns that the treatment can affect fertility later in life. But Turban says more research is needed on the subject. The Endocrine Society recommends clinicians counseling all transgender people seeking hormone treatments about their fertility preservation options before starting taking estrogen or testosterone. “The term `puberty blocker` is probably not the best,” Tangplicha said. “It`s a scary term. We should probably use the term “GnRH agonist.” The simplified version is GnRH goes into the pituitary gland to essentially close the sex steroid axis. Because it is administered as a bolus every month or 3 months, the pituitary gland loses its ability to release the hormone LH and FSH, which fails to penetrate the gonads of the terminal organs to make sex steroids. Although parents may think they should start puberty blockers very early so that a child never has to undergo physical changes related to unwanted sex, experts say it best to at least wait until the early stages of puberty have begun. Dr. Stephen Rosenthal, medical director of the Child and Youth Gender Center at U.C.S.F. Benioff Children`s Hospitals, co-authored the Endocrine Society`s 2017 guidelines for transgender health care. He recommended starting puberty blockers no earlier than when breast budding or testicular enlargement has begun.
“GnRH agonists are already FDA approved for children with precocious puberty,” Tangplicha said. “Banning the use of GnRH agonists for gendered adolescents would be a form of discrimination, as they are already approved for a specific indication for children. The argument we hear is safety, but if these are safe for children with precocious puberty, I do not understand why it seems like they are not safe for children with gender dysphoria. Maryland court annuls congressional card as illegal Democratic gerrymander: A Maryland state court has struck down the congressional map drawn by Democrats as an illegal partisan gerrymander. Instructing the state legislature to redraw the lines for the 2022 elections. The new districts — drawn by the Democratic-dominated legislature and vetoed by Republican Gov. Larry Hogan — could turn into an 8-0 lead. Sweep for Democrats in the state in blue-leaning years. Seven districts in the state are solidly Democratic, while Maryland`s only Republican-held county, the East Coast seat currently held by Republican Representative Andy Harris, has been transformed from a Republican vote into a hypercompetitive district. Biden carried the new version into 2020 by less than a percentage point. The Endocrine Society recommends regular lab work to measure height and weight, bone health, and hormone and vitamin levels while teens take puberty blockers. Puberty blockers may also impact future gender-specific surgeries for transgender women.
A recent study showed that transgender women who started blocking puberty at the onset of puberty were 84 times more likely to need abdominal surgery if they wanted to undergo sex reassignment surgery. Because the tissues of the penis and testicles are used to build a neovagina, and puberty blockers prevent the growth of these organs, material from the colon or omentum may need to be used. Wife. Liafsha, a nurse from Lexington, South Carolina, put together a three-inch-thick folder filled with printouts of various laws, medical directives, pharmaceutical records, and more. There, she recorded the data and details of Sebastian`s puberty blocker injections every three months for two and a half years, starting at age 14. The legislation could also have unintended consequences for children with other endocrine diseases. Puberty blockers, also known as synthetic pituitary hormone blockers, have long been used to treat central precocious puberty and some pediatric growth disorders. If a child has had puberty blockers for years, “most endocrinologists will say that when you`re 16, you make a decision. Either you come from the blocker or you start using estrogen or testosterone to mineralize your bone,” Turban said.
Some people don`t realize they are transgender until they reach puberty or later in adulthood.