“Gender variant behavior and even the wish to be of the other gender can be either a phase or a normal developmental variant without any adverse consequences for a child’s current functioning.”>>>
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”First it is ascertained whether adolescents are suffering from a very early onset gender dysphoria that has increased around puberty, or whether something else brought them to the clinic (e.g., confusion about homosexuality or transvestic fetishism).”>>>
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“The possible relationship between the gender dysphoria and other diagnoses is investigated. >>>
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“In this way, for example, one can investigate whether an autistic boy’s fascination for fancy dresses and long hair is more part of his autism or whether his autism reinforces certain aspects of his gender dysphoria” >>>
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“Follow-up studies have demonstrated that only a small proportion of gender dysphoric children become transsexual at a later age, that a much larger proportion have a homosexual sexual orientation without any gender dysphoria...”>>>
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“The proportions of persistence [of GD]found in the initial studies were below 10%. More recent variations are 12-27%.”>>>
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“By informing parents about the various psychosexual trajectories, we want them to remain realistic about the actual situation. “>>>
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“If they speak about their natal son as being a girl with a [male genitalia], we stress that they have a male child who very much wants to be a girl, but will need an invasive treatment to align his body with his identity if this desire does not remit.”>>>
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My thoughts: Agree or disagree with the Dutch Protocol, the Endo society and AAP guidelines don’t come close to adequately addressing the above issues, which is why we’re in this situation. >>>
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More later. Dutch group argues for PB at 14, but don’t offer evidence beyond a self report study and their own in-clinic experience. ///
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End of conversation
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