Gender dysphoria and children

J Psychosoc Nurs Ment Health Serv. 2014 Aug;52(8):27-30. doi: 10.3928/02793695-20140625-01. Epub 2014 Jun 25.


The age at which gender dysphoria can be diagnosed with enough certainty to justify medical intervention is controversial. The aim of this article is to explore current literature as it relates to the gender reassignment process and diagnostic indicators supporting an appropriate age for intervention. The timing of diagnosis and treatment of gender dysphoria remains the center of debate between the long-term effects of early intervention versus delay of treatment. Limited research is available on gender dysphoria treatment protocols for children. However, preliminary studies suggest that early intervention improves the quality of life in individuals who are transgender. Ongoing research suggests that it may be possible to confirm gender dysphoria at an earlier age.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Age Factors
  • Child
  • Child, Preschool
  • Female
  • Gender Identity*
  • Gonadal Steroid Hormones / therapeutic use
  • Humans
  • Male
  • Sex Reassignment Procedures / methods*
  • Sex Reassignment Procedures / psychology
  • Transgender Persons / psychology*
  • Transsexualism / diagnosis
  • Transsexualism / psychology*
  • Transsexualism / therapy*


  • Gonadal Steroid Hormones