Transgender

Transgender is term for anyone whose gender does not align with their sex assigned at birth. Cisgender means not transgender. Early signs are psychological and a marked incongruence between their gender and their assigned gender at birth lasting at least 6 months. Things like a girl trying to prevent breast development. Doctors and parents are encouraged to take a gender-affirming approach. Some children can change their name say from Mary to John or change clothes or hair style. Hormone treatments research is still ongoing. Some people don't realize they are transgender until they reach puberty or later in adulthood. Medical guidelines do not recommend genital gender-affirming surgeries before age 18. Endocrine Society’s 2017 guidelines mentioned the need for more research on the effects of the prolonged delay of puberty in adolescents.