What are some of the issues faced by Pre-Teen Transgender children?

Decisions about Puberty Blockers

The Pre-Teen years (approximately 9-11) are a particularly important time in the life of a Transgender Child, (and Family) because this is the first time that a possible medical intervention could be started.  Decisions about using use ‘Puberty Blockers’ or ‘Puberty Inhibitors’ are typically made at this time.

Puberty can be intensely stressful and uncomfortable for a gender variant child – as their body would acquire typically male or female attributes.  Many Transgender people report having felt desperate, depressed and hopeless when their bodies began to change in the ‘wrong’ way.  A child might have been able to put their gender-variance out of their minds for long periods of time, but if puberty starts this is no longer possible.

The ‘blockers’ serve to block or delay these characteristics so that 1. The child doesn’t have to experience the discomfort of acquiring body characteristics that are unwanted, and 2. A later medical transition to the other sex would be easier and require less medical intervention – especially for a Male-to-Female transition.

for natal boys they block:

  • Testosterone and its effects
  • facial hair growth
  • the growth of adam’s apple
  • male angularity and musculature
  • growth of body hair

for natal girls they block:

  • feminizing hormones and their effects
  • menstruation
  • breast development
  • fuller hips and typical female fat distribution

Puberty blockers would be prescribed by a Pediatric Endocrinologist (M.D. Doctor), familiar with Transgender medicine after the child and family had worked with a knowledgeable gender therapist.  They would typically be administered by a monthly injection or by an implant method.  The effects are believed to be reversible should the child stop taking the blockers.   Some interventions can be made with Puberty blockers even if the child has already reached puberty (such as stopping menstruation in natal girls).  Most insurance companies do not cover this type of treatment, although that has been slowly changing and it can be expensive.

Transgender Teens, medical issues, Puberty Blockers


One Response to What are some of the issues faced by Pre-Teen Transgender children?

  1. Patricia says:

    My grand daughter has been in therapy not quite a year, she just came out a few weeks ago to her grandfather, my ex husband, done of her cousins and then she told me….
    We knew before from my daughter but were asked not to say anything till she felt she was ready….
    Everyone was accepting of her decision as a transgender and we all told her we loved her with whatever decision she makes in life…..
    Today my daughter is having a very very hard time, as she expressed to me…..
    My grand daughter has been using binders for awhile, and kinda dressing boyish, but what hit home today for my daughter is that now she’s changing more over to a boy and doesn’t want anyone calling her by her birth name…
    She has chosen a boy name and wants everyone to call her by that name, she doesn’t want to be introduced as her daughter but as her son……
    My daughter has stood behind her daughter every step of the way, but now that my grand daughter is wanting to fully change overt she is emotional right now she feels she is losing her only daughter to have now two sons……..