A5064432123- LGBTQ Health, Identity, and Policy
- Sexuality, Behavior, and Technology
- Reproductive Health and Technologies
- Sexual Differentiation and Disorders
- HIV/AIDS Research and Interventions
- Gender Roles and Identity Studies
- Male Breast Health Studies
- Sex and Gender in Healthcare
- Adolescent and Pediatric Healthcare
- Intellectual Property Rights and Media
- Ethics and Legal Issues in Pediatric Healthcare
- Hormonal and reproductive studies
- Anesthesia and Pain Management
- Adolescent Sexual and Reproductive Health
- Gender Diversity and Inequality
- Racial and Ethnic Identity Research
- Medical Education and Admissions
- Medical History and Research
- Eating Disorders and Behaviors
- Gender, Feminism, and Media
- Reproductive Biology and Fertility
- Genetic and Clinical Aspects of Sex Determination and Chromosomal Abnormalities
- Feminist Theory and Gender Studies
- Obesity and Health Practices
- Ovarian function and disorders
Children's Hospital of Los Angeles
2016-2025
University of Southern California
2016-2025
Southern California University for Professional Studies
2024
University of California, Los Angeles
2023
Limited prospective outcome data exist regarding transgender and nonbinary youth receiving gender-affirming hormones (GAH; testosterone or estradiol).We characterized the longitudinal course of psychosocial functioning during 2 years after GAH initiation in a cohort United States. Participants were enrolled four-site prospective, observational study physical outcomes. completed Transgender Congruence Scale, Beck Depression Inventory-II, Revised Children's Manifest Anxiety Scale (Second...
Transmasculine youth, who are assigned female at birth but have a gender identity along the masculine spectrum, often report considerable distress after breast development (chest dysphoria). Professional guidelines lack clarity regarding referring minors (defined as people younger than 18 years) for chest surgery because there no data documenting effect of on minors.
Background: Transgender children and adolescents (ie, those who experience incongruence between assigned sex at birth internal gender identity) are poorly understood an understudied population in the United States. Since 2008, medical care for transgender youth has generally followed guidelines developed by professional consensus, given paucity of empirical research, particularly US setting. Objective: The objective this research was to provide evidence-based data inform clinical youth....
Abstract Context Transgender youth may initiate GnRH agonists (GnRHa) to suppress puberty, a critical period for bone-mass accrual. Low bone mineral density (BMD) has been reported in late-pubertal transgender girls before gender-affirming therapy, but little is known about BMD early-pubertal youth. Objective To describe Design Cross-sectional analysis of the prospective, observational, longitudinal Trans Youth Care Study cohort. Setting Four multidisciplinary academic pediatric gender...
Abstract Objective To examine the relationships between gender minority stressors and mental health outcomes among transgender diverse (TGD) youth explore moderating role of positive affect. Method Baseline data 315 TGD (ages 12–20 years old) from Trans Youth Care—United States study comprised analytic sample. completed three subscales Gender Minority Stress Resilience Measure for Adolescents (GMSR-A; nondisclosure identity/gender history, negative future expectations, internalized...
OBJECTIVES Guidelines for monitoring of medications frequently used in the gender-affirming care transgender and gender-diverse (TGD) adolescents are based on studies adults or other medical conditions. In this study, we aimed to investigate commonly screened laboratory measurements TGD receiving hormone therapy (GAHT). METHODS were recruited from 4 study sites United States before beginning GAHT. Hemoglobin, hematocrit, hemoglobin A1c, alanine transaminase, aspartate aminotransferase,...
This cohort study analyzes the association of sex steroids with cholesterol in different sex-chromosome contexts.
Abstract The extant literature has clearly demonstrated that transgender and nonbinary adolescents (TNBA) face extreme stress related to navigating gender identity expression across various social environments. Additionally, parents are perhaps the most critical aspect of support for TNBA, research repeatedly identified benefits parent adolescent mental health. However, few studies underscore how TNBA within same family perceive after disclose they or nonbinary. present qualitative study...
Purpose: Development of incongruent secondary sex characteristics in transgender youth can intensify or trigger the onset gender dysphoria. Guidelines from professional organizations recommend gonadotropin-releasing hormone agonists, including histrelin implants (Vantas and SupprelinLA) to suppress endogenous puberty. Although Vantas does not have a pediatric indication, it is anecdotally being used centers throughout United States because its substantially lower cost. This retrospective...
Background Prepubertal transgender, nonbinary, and gender-diverse (TGD) children (ie, those asserting gender identity, expressing gender-role behavior outside of culturally defined norms for their sex registered at birth, or both) are presenting in greater numbers to pediatric clinics across the United States abroad. A large subset TGD experiences dysphoria, that is, distress arises from incongruence between identity birth. lack consensus exists regarding care prepubertal due, part, a dearth...
Purpose: This article outlines the process of establishing Trans Youth Care Research Network, composed four academic clinics providing care for transgender and gender-diverse (TGD) youth. The Network was formed to design implement research studies better understand physiologic psychosocial outcomes gender-affirming medical among TGD Methods: Formed in response both Institute Medicine's report recommendation an increase data concerning sexual gender minority populations a transgender-specific...