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Politics : Formerly About Advanced Micro Devices -- Ignore unavailable to you. Want to Upgrade?

To: FJB who wrote (1356878)	4/30/2022 8:11:41 PM
From: Wharf Rat	Respond to of 1577913

That would be pretty unusual; guidelines say the patient has to be over 18. Gender Affirming Surgery Requirements for Gonadectomy (Hysterectomy and Oophorectomy or Orchiectomy) Two referral letters from qualified mental health professionals, one in a purely evaluative role (see appendix); andPersistent, well-documented gender dysphoria (see Appendix); andCapacity to make a fully informed decision and to consent for treatment; andAge 18 years or older; andIf significant medical or mental health concerns are present, they must be reasonably well controlled; andTwelve months of continuous hormone therapy as appropriate to the member's gender goals (unless the member has a medical contraindication or is otherwise unable or unwilling to take hormones). -- Irreversible Surgical Interventions for MinorsThe World Professional Association for Transgender Health (WPATH) recommendations version 7 (Coleman, et al., 2011) states, regarding irreversible surgical interventions, that "[g]enital surgery should not be carried out until patients reach the legal age of majority in a given country, and patients have lived continuously for at least 12 months in the gender role that is congruent with their gender identity. patients reach the legal age of majority in a given country, andpatients have lived continuously for at least 12 months in the gender role that is congruent with their gender identity.The age threshold should be seen as a minimum criterion and not an indication in and of itself for active intervention." The WPATH guidelines state that "Chest surgery in FtM patients could be carried out earlier, preferably after ample time of living in the desired gender role and after one year of testosterone treatment. The intent of this suggested sequence is to give adolescents sufficient opportunity to experience and socially adjust in a more masculine gender role, before undergoing irreversible surgery. However, different approaches may be more suitable, depending on an adolescent’s specific clinical situation and goals for gender identity expression.” aetna.com