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Gender transition is the process of affirming and expressing one's internal sense of gender, rather than the gender assigned to them at birth. It is the recommended course of treatment for individuals struggling with gender dysphoria, providing improved mental health outcomes in the majority of people.[1]
A social transition may include coming out as transgender,[a] using a new name and pronouns, and changing one's public gender expression.[2] This is usually the first step in a gender transition. People socially transition at almost any age,[3][4] as a social transition does not involve medical procedures. It can, however, be a prerequisite to accessing transgender healthcare in many places.[5][6]
In transgender youth, puberty blockers are sometimes offered at the onset of puberty to allow the exploration of their gender identity without the distress[7][8] of irreversible pubertal changes. Upon reaching the age of consent, they become eligible to pursue a medical transition if it is still desired.
A medical transition may include hormone replacement therapy (HRT), transgender voice therapy, and gender affirming surgeries. The ability to start a medical transition is typically offered after a diagnosis of gender dysphoria,[9] a form of medicalization. In recent years, there has been a push for an informed consent model of transgender healthcare which allows adults to access HRT without a formal diagnosis.[10]
Transitioning is a process that can take anywhere from several months to several years. As a personal journey, there will never be a one-size-fits-all approach to transition.
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