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- "Puberty blockers are a group of medications or hormones that we use in the transgender population to stop puberty from progressing." - "We call them in endocrinology gonadotropin releasing hormone analogs or agonists." - "Their job is to really interfere with the signaling from the brain to either the ovaries or the testicles that produce the hormones." - "When somebody starts puberty, we can use them to stop the puberty from progressing, thereby allowing somebody to really explore their gender without the pressure of having secondary sex characteristics that are often permanent." - "And the really nice thing about puberty blockers is that they are reversible, so it's a really nice way for an adolescent to be able to explore their gender." - "We like to use them in birth assigned males who have already even gone through a full male puberty because they are able to then use a lower dose of estrogen."

Talking is definitely a topic that comes up for transgender and gender diverse folks, particularly people who have a feminine or female gender identity and were perhaps assigned male sex at birth. Gender dysphoria is that negative or that uncomfortable distressed feeling that possibly comes with having a gender identity that's different than your sex assigned at birth. So when I think about talking, wanna make sure that people are talking in safe ways. talk to a gender affirming medical provider that's involved in their, child's care or that's involved in your care. I would really recommend that people take breaks from tucking. Pain might feel like an uncomfortable sensation or a tingly sensation, and that's definitely something you'd wanna take a break from and then talk with your medical provider about.

I offer support to find gender affirming care for youth, even if they need to go out of state. If parents are unsupportive, some kids choose to get emancipated at 16 to make their own medical decisions. Dealing with transphobic parents can be tough, especially if they are very right-leaning. It's important to find a chosen family of friends who accept you. I can send you a binder discreetly if needed.

Children can begin to understand differences in gender at a young age. Some figure out their gender identity early on, which may not align with their assigned sex at birth. The assumption that a child is definitively male or female based solely on their genitals is incorrect.

Instead of saying someone is a transgender, it is more appropriate to say they are transgender. Instead of saying someone transgendered, it is better to say they transitioned. Instead of saying someone changed genders, it is more accurate to say they transitioned or affirmed their gender. Instead of saying someone was born a girl, it is more correct to say they were assigned female at birth. Instead of saying someone became a boy, it is more suitable to say they fully transitioned. Instead of saying someone was a girl, it is more accurate to say they presented as a woman. Instead of saying being trans means you're gay, it is important to understand that gender identity and sexual orientation are not the same. Lastly, it is important to mind your own business.

The reaction to having two trans kids is often one of shock. Before transitioning, I felt incomplete and was nervous about telling my parents. Being trans means feeling different from the gender assigned at birth. Recently, I started hormone blockers to prevent menstruation and breast development, which can be mentally challenging. People often question if I'm too young to know I'm trans, but I wonder if they are too young to know they're cis. Olivia identified as transgender from age 4 and socially transitioned at 5. Some think younger kids mimic older siblings, which made us hesitant about her transition, but this is who she is. Initially, I felt defensive about Olivia transitioning, thinking it was my experience, but I now see her as a girl, and she always will be.

There is not one surgery that every transgender person wants. Many transgender people have no interest in having surgery. For other people, they undergo medical transition involving use of gender affirming hormone treatments. And for others, they may have one or more surgeries. They may have top surgery, which is surgery on the chest or breasts. They may have bottom surgery, surgery on the genitals. They may have facial feminization. Trans women may have a tracheal shave to reduce their Adam's apple. No two trans people have the same needs to resolve their gender dysphoria. So you can never make an assumption that any trans person wants any particular surgery or any surgery at all.

Most trans kids know they're trans between ages two and seven, with the speaker's daughter knowing around two and a half. The speaker emphasizes that children know things that adults don't, and these are the things to which adults should listen. The speaker states their child is not mentally ill. To begin gender affirming care, the speaker had to consult with numerous healthcare professionals.

The speaker's four-year-old child declared, "Mom, you know I'm really a girl. I'm a girl on the inside." This prompted appointments with a psychologist and endocrinologist to rule out medical issues. The child increasingly expressed herself as a girl, wanting to wear dresses and sparkly shoes. Restricting this expression led to depression, and the speaker allowed her to attend school in girl's clothes, which improved her happiness. While the children and teachers were initially accepting, some parents reacted negatively, influenced by "adult bigotry." The family lost friends and family and went into hiding for a year while the daughter grew her hair out. They re-emerged with a happy and confident daughter.

A child will often know that they are transgender from the moment that they have any ability to express themselves, and parents will often tell us this. We have parents who tell us that their kids, they knew from the minute they were born practically, and actions like refusing to get a haircut or standing to urinate, trying on siblings' clothing, playing with the quote opposite gender toys, things like that. There is more and more a group of adolescents that we are seeing that really are coming to the realization that they might be trans or gender diverse a little bit later on in their life. So what we're seeing from them is that they always sort of knew something was maybe off and didn't have the understanding to know that they might be trans or have a different gender identity than the one they had been assigned. So that is a growing population that we are seeing and that's being recognized as being trans and able to be treated.

Transitioning carries risks, including potential sterility, loss of breastfeeding ability, and changes in sexual function. It may also impact bone health and height. Despite these risks, the most crucial aspect is to accept and love your child for who they are, regardless of their gender identity.

There has been a 5000% increase in adolescents suddenly expressing discomfort with their bodies, which parents report seems to appear "out of the blue." This rapid onset gender dysphoria is often found in kids with conditions like autism, depression, anxiety, trauma, or abuse, and in difficult family situations. This phenomenon tends to happen in clusters, with many kids identifying as transgender or non-binary having friends who also identify that way. This suggests an element of social contagion, where feelings, behaviors, or beliefs spread within a friend group. Some children's social lives are primarily online, where they are influenced to question their identity and assume a new one, sometimes by older individuals.

Admiral Rachel Levine, a pediatrician and the assistant secretary for the Department of Health and Human Services, addresses concerns about children transitioning before 18. She emphasizes the challenges of adolescence, particularly for those experiencing gender dysphoria. If a child feels female but is undergoing male puberty, it can be distressing. Critics argue that children are too young to make such decisions. Levine clarifies that for prepubertal children, no medical procedures are performed; instead, they are supported through therapy to explore their feelings.

The speaker's four-year-old child declared, "Mom, you know I'm really a girl. I'm a girl on the inside." Following this, the child became more insistent about expressing herself as a girl. Medical professionals were consulted to rule out underlying medical issues. The child's insistence on expressing her true gender led to depression when forced to present as a boy. Allowing her to dress as a girl improved her happiness. While the children at school were accepting, some parents were not, leading to the loss of friends and family. The family went into hiding for a year while the child grew her hair out. They re-emerged with a happy and confident daughter.

Detransition is often portrayed negatively, but research shows that it is not necessarily traumatic with proper support. The Trans Youth Project, a longitudinal study on trans youth, found that retransitioning is not experienced as traumatic when there is a supportive environment. If individuals are allowed to explore their gender identity without judgment, they are generally fine. Most of this exploration happens before any medical interventions are made. Retransition and detransition are about letting people see themselves and supporting them in their journey. If gender nonconformity wasn't stigmatized, detransition would be more accepted. These important considerations about detransition are not widely shared.

"No matter what, bathrooms can definitely be tricky for not just transgender kids and teenagers, but non binary folks, or even cisgender folks who are gender non conforming." "Some of the, I think, helpful tips and tricks are find a close family member or friend who you feel comfortable with, who they're like your bathroom buddy." "It might seem silly at first, but it's really helpful and brings about a sense of security to have someone who you know has your back." "Sometimes using the bathrooms, if we can find a single user bathroom or a gender all inclusive one, often those are even just labeled family bathrooms, but they're there for people to use and they're there for transgender and gender diverse folks to use." "If those are there, think those are great options as well."

Michigan Medicine strives to be a safe, welcoming place for transgender individuals and to provide excellent health care regardless of gender. The goal of this video is to improve the comfort and competency of frontline staff in caring for transgender individuals. We will start by talking about gender identity, challenges the transgender community has faced in the health care system, and Michigan's policies regarding gender non-discrimination. The second half of this training is job specific. To discuss gender identity, it is important to understand the difference between sex and gender. Sex refers to one's reproductive organs, native hormones, and chromosomes, while gender identity refers to one's internal sense of gender, a person's basic sense of being a man or boy, a woman or girl, or another gender. Gender identity can be expressed by how individuals present themselves socially, including clothing, physical characteristics, speech, and mannerisms. All people, whether they are transgender or cisgender, meaning not transgender, have a gender identity and expression. Transgender is a term for individuals whose gender identity differs from the gender identity typically associated with their sex assigned at birth. There are many identities that fall under the umbrella of transgender. Transgender men, trans men, or trans masculine refer to people who are assigned female sex at birth but identify as men or masculine. Transgender women, trans women, or trans feminine refer to people who were assigned male sex at birth but identify as women or feminine. Other individuals may identify as genderqueer, agender, genderfluid, two spirited, bigender, or another identity that does not fit neatly into the categories of men or women. All major American medical societies, including the American Medical Association and American Psychological Association, endorse gender affirming care as the standard of care for transgender individuals. This means caring for people in a way that supports their gender transition and gender identity. Transgender people may undergo any one of a number of gender affirming medical interventions, including hormonal therapies like estrogen, testosterone, or hormone blockers, and surgical treatment to change body contours or genitalia. However, it is important to note that one does not have to undergo any medical or surgical treatment to be transgender. Some people are easily read as the gender they affirm while others are visibly gender non conforming or androgynous appearing.

Many patients in the GEMS Clinic know their gender well before adulthood; some children know from birth or seemingly from the womb, and they will usually express identity with phrases like "I'm a girl" or "I'm a boy" and continue to explore through age two and three, and usually up to the ages of nine. At the clinic, a psychologist discusses gender with the child and their family and helps ensure they have space and support to explore their gender and do well throughout their development. Parents’ questions are common, and the main guidance is to be supportive—"just be supportive" and "love your child and support them and just allow them to express themselves"—since parental support protects against depression, suicidality, and anxiety. Resources in the GEMS program include individual gender assessments and GEMZ parent nights to learn about interventions and psychosocial aspects.

"Sometimes it may be just a phase of development where they're exploring their gender identity and they're kind of getting a sense of who they are, but a lot of children do end up identifying as that gender into young adulthood and adulthood." "The only real way we know for sure that they're going to continue in that gender identity is just to allow them to develop over time." "And so that's what we recommend to parents is to give them the space." "Even if parents are concerned that it's a phase, we never want to tell the child that they shouldn't be expressing their gender identity or that they should be, ashamed for the way that they're expressing their identity because that can be quite harmful." "We just want to give the child a chance to develop and explore on their own."

Affirmation of gender identity is not a binary concept, similar to health, safety, and welfare. Family courts and judges consider the overall situation, and if both parents accept their child's gender identity, it won't heavily influence the decision. Gender affirmation varies for each person, but family acceptance and social support are crucial. It's important to recognize that people, regardless of age, are constantly evolving and changing. What affirmation means at one stage of growth may differ significantly from another stage.

Boys and girls have distinct identities from a young age. It's common for children to wonder if they might change their gender, but it's something we can laugh about now. This uncertainty is a normal part of childhood.

If you're transgender or nonbinary and feel uncomfortable with your puberty experiences, you're not alone. Puberty blockers can temporarily halt the changes caused by hormones like testosterone and estrogen, giving you more time to figure out your gender identity. It's okay to not have all the answers right now, as understanding yourself takes time. Talking to a trusted adult, nurse, or doctor can be helpful. To learn more, visit plannedparenthood.org/teens.

At the age of 2, she insisted that she was a girl, not a boy, despite being called a cute little boy. She struggled with tantrums, which were initially thought to be due to sensory processing disorder. However, when she was 4 and a half, she visited the gender clinic at Lurie Children's Hospital in Chicago. The doctor asked if she was a girl, and she confirmed it. From that moment, everything changed. She became the easiest kid to navigate the world with, put on clothes, and had no more tantrums.

Using correct names and pronouns is important for adolescents' mental health. Pronouns show understanding and respect. If your child wants to try different pronouns, try your best to use them. Mistakes are okay, just correct yourself and move on. Respecting a child's pronouns leads to better self-esteem and less anxiety and depression in the long run.

The speaker mentions their 15-month-old child, using they/them pronouns until the child expresses their gender identity. They emphasize the difference between sex (related to genitals) and gender (related to how one presents themselves in the world). Gender includes clothing choices, behavior, and identity shared with others.