ESPE2023 Poster Category 2 Sex Differentiation, Gonads and Gynaecology, and Sex Endocrinology (27 abstracts)
1Pediatric Endocrinology unit, Pediatric department, Puerta del Mar University Hospital, Cadiz, Spain. 2Endocrinology department, Puerta del Mar University Hospital, Cadiz, Spain. 3Biomedical Research and Innovation Institute of Cadiz (INIBiCA), Cadiz, Spain
Introduction: Transgender people and the gender transition process requires a series of processes with psychosocial, legal and physical implications. In our community, with the establishment of the care plan for trans youth, reference units were created in 2015. We had an interest to analyze the different epidemiological variables and the type of care demand of this population cared for in our unit.
Methodology: An observational, descriptive, longitudinal and retrospective study of a series of cases that attend the provincial care unit for transsexual people under 14 years of age has been designed, from June 2015 to June 2022. With the main objective of comparing the differences in regarding gender.
Results: 119 transgender you were recruited, of which 53.8% were trans girls and the rest were tran boys. There is an upward trend in demand over the years, with changes in the trend with a higher proportion of trans boys. The average age of social transition was 9.10(3.2) years. They attended the unit for the first time with a median age of 10.7 (2.7), with differences between transsexual girls and transsexual boys (9.8(3) vs 11.7(1.9), respectively; P-value: <0.01). As of June 2022, 80 (67.2%) have started BP, 44 (36.9%) have started THC, mastectomy (older 18 years old) in trans boys 3 (5.5%) and genitoplasty(older 18 yo) in trans girls 3 (4.7 %). There are significant differences between girls and boys, among which it stands out that transsexual boys are older, have a higher Tanner stage, a higher proportion with onset of pubertal block, and an older age at the start of hormonal therapy. crusade regarding transgender girls..
Conclusions: The demand of care for trans people has increased in recent years. In our environment, the ratio between transsexual girls and boys has been reversed. The transsexual boys who attended the unit were older and had a more advanced Tanner stage, which could explain the higher proportion of people with pubertal block compared to trans girls.