Back to the Future: Is GnRHa Treatment in Transgender and Gender Diverse Adolescents Only an Extended Evaluation Phase?
Alessandra Daphne FisherJiska RistoriAlessia RomaniEmanuele CassioliFrancesca MazzoliCarlotta CocchettiMarina PierdominiciMatteo MarconiValdo RiccaMario MaggiLinda VignozziGiovanni CastelliniPublished in: The Journal of clinical endocrinology and metabolism (2024)
Psychological improvement in TGDA on GnRHa seems to be related to the objective body changes induced by a GnRHa. Therefore, the rationale for treatment with a GnRHa may not only be considered an extension of the evaluation phase, but also the start of a medical (even if reversible) gender-affirming path, especially in TGDAs whose puberty has already progressed.