Archives of Sexual Behavior

, Volume 40, Issue 4, pp 649–650 | Cite as

Gender Transitioning before Puberty?

  • Thomas D. SteensmaEmail author
  • Peggy T. Cohen-Kettenis
Letter to the Editor

In the last decade, delaying puberty by means of GnRH analogs in gender dysphoric adolescents has become an increasingly accepted treatment (Hembree et al., 2009). The induced pubertal delay is meant to give gender dysphoric adolescents time to reflect on their wish for gender reassignment, quietly and without the alarming physical puberty development. During puberty suppression, a complete social transition (change in clothing and hair style, first name, and use of pronouns) is not required. However, most youth who are on puberty delaying hormones appear not to wait with transitioning until they can start cross-sex hormone treatment.

A similar trend can be observed in gender variant prepubertal children. For quite some time, gender variant children who came to clinical attention were treated by psychotherapy with the purpose of decreasing cross-gender behavior and identification (Zucker, 2008). More recently, a more gender affirmative approach has been proposed (e.g., Saeger, 2006)....


Gender Role Gender Dysphoria Gender Identity Disorder Prefer Gender Role Gender Identity Disorder 
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  1. Hembree, W. C., Cohen-Kettenis, P. T., Delemarre-van de Waal, H. A., Gooren, L. J., Meyer, W. J., Spack, N. P., et al. (2009). Endocrine treatment of transsexual persons: An Endocrine Society practice guideline. Journal of Clinical Endocrinology and Metabolism, 94, 3132–3154.PubMedCrossRefGoogle Scholar
  2. Saeger, K. (2006). Finding our way: Guiding a young transgender child. Journal of GLBT Family Studies, 2, 207–245.CrossRefGoogle Scholar
  3. Steensma, T. D., Biemond, R., de Boer, F., & Cohen-Kettenis, P. T. (2011). Desisting and persisting gender dysphoria after childhood: A qualitative follow-up study. Clinical Child Psychology and Psychiatry. doi: 10.1177/1359104510378303.
  4. Wallien, M. S., & Cohen-Kettenis, P. T. (2008). Psychosexual outcome of gender-dysphoric children. Journal of the American Academy of Child and Adolescent Psychiatry, 47, 1413–1423.PubMedCrossRefGoogle Scholar
  5. Zucker, K. J. (2008). Children with gender identity disorder: Is there a best practice? Neuropsychiatrie de l’Enafance et de l’Adolescence, 56, 358–364.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Department of Medical PsychologyVU University Medical CenterAmsterdamThe Netherlands

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