Geschlechtsdysphorie

M. Döhnert; A. Richter-Unruh; E. Herrmann

doi:10.1055/s-0038-1660973

Kinder- und Jugendmedizin, Table of Contents

Kinder- und Jugendmedizin 2018; 18(03): 190-198
DOI: 10.1055/s-0038-1660973

Endokrinologie

Schattauer GmbH

Geschlechtsdysphorie

Ein Überblick über die aktuelle Studienlage und die kontroverse Diskussion zur Hormontherapie im Kindes- und JugendalterGender Dysphoriascientific overview including controversial discussion of early pubertal suppression and cross-sex hormone therapy

M. Döhnert

¹Universitätsklinikum Leipzig – AöR, Klinik und Poliklinik für Psychiatrie, Psychotherapie und Psychosomatik des Kindes- und Jugendalters

,

A. Richter-Unruh

²Universitätsklinikum Münster, Klinik für Kinder- und Jugendmedizin

,

E. Herrmann

¹Universitätsklinikum Leipzig – AöR, Klinik und Poliklinik für Psychiatrie, Psychotherapie und Psychosomatik des Kindes- und Jugendalters

› Author Affiliations

Abstract

Zusammenfassung

Kinder und Jugendliche mit Problemen bezüglich ihrer Geschlechtsidentität und Symptomen einer Geschlechtsdysphorie (GD) nehmen häufiger medizinische und psychologische Hilfe in Anspruch. Kinderärzte sind oft die ersten professionellen Helfer, die mit dieser Problematik konfrontiert werden. Der Übersichtsartikel befasst sich mit dem aktuellen Stand der Forschung zu diesem Thema und leitlinienorientierten Handlungsempfehlungen. Es wird eine multiprofessionelle Betreuung durch Kinder- und Jugendpsychiater, Kinder- und Jugendlichenpsychotherapeuten und pädiatrische Endokrinologen empfohlen. Die Entscheidung zu einer früh einsetzenden hormonellen Behandlung wird kontrovers diskutiert und bedarf einer gewissenhaften individuellen Entscheidung im Behandlungsteam.

Summary

Children and adolescents who suffering from gender identity disorder and gender dysphoria more often seek medical and psychological care. General pediatricians are often the first point of contact with the health care system. The objective of this overview is to provide the state of the art and existing clinical guidelines for gender nonconforming youth. Guidelines emphasize a multi-disciplinary approach with collaborators of mental health and medical providers with specialized knowledge about pediatric endocrinology. Early hormonal treatment needs a careful process of decision-making considering the scientific controversy and the individual case characteristics.

Schlüsselwörter

Geschlechtsdysphorie - Geschlechtsidentitätsstörung - Hormonbehandlung - Pubertätshemmung

Keywords

Gender nonconforming - transgender - gender identity - gender dysphoria - cross-sex hormones - pubertal suppression

Full Text

References

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