ENDOCRINOLOGICAL APPROACH IN ADOLESCENTS WITH GENDER DYSPHORIA/CINSIYET HOSNUTSUZLUGU OLAN ADOLESANLARDA ENDOKRINOLOJIK YAKLASIM

Gender Dysphoria (GD) is a condition which is characterized by incongruence between the experienced gender and the natal sex at least for 6-months, which also causes deterioration of functionality. After psychiatric evaluations, medical treatment for adolescents with GD consists of 3-phases. The first phase is the suppression of puberty with GnRH analogues. In the second phase, cross-sex steroid hormones are added to the GnRH analogue treatment. The final phase is surgical procedures after the age of 18-years and keeping sex hormone levels in normal ranges. Sex reassignment of the individuals with GD is a long and challenging process. However, with an increased social awareness and increased experience at medical clinics, these individuals will have easier access to the necessary treatments. Keywords: Gender dysphoria, adolescents, medical treatment, sex reassignment Cinsiyet hosnutsuzlugu (CH), en az 6 ay sureyle kisinin hissettigi/ disa vurdugu cinsiyetiyle dogumdaki cinsiyeti arasinda belirgin uyumsuzluk olmasi ve bu duruma islevsellikte bozulmanin eslik etmesi durumudur. Psikiyatrik degerlendirmeler sonrasinda CH tanisi kesinlesen adolesanlarda medikal tedaviler uc asamalidir. Birinci asama GnRH analog tedavisiyle puberte baskilanmasi, 2. asama tedaviye cins steroidlerin eklenmesi, 3. asamaysa 18 yas sonrasinda cerrahi duzeltme, cins steroid tedavisinin devami ve hormon duzeylerinin normal aralikta tutulmasidir. Trans bireylerde cinsiyet donusumu uzun ve zorlu bir surectir. Ancak toplumsal farkindalik arttikca ve kliniklerin artan deneyimleri ile bu bireylerin gerekli tedavilere erisimi kolaylasacaktir. Anahtar Kelimeler: Cinsiyet hosnutsuzlugu, adolesan, medikal tedavi, cinsiyet donusum