Evaluation and Management of the Pediatric Gender-Diverse Patient

Transgender and gender diverse (TGD) youth face significant health disparities, underscoring the critical need for equitable, evidence-based care. Based on substantial evidence, the gender-affirming care model remains the standard of care. TGD youth may seek gynecologic expertize for a variety of reproductive health care concerns. This article outlines essential considerations for clinicians when providing gender-inclusive services to pediatric patients. Key areas addressed include creating a safe clinical environment, managing psychosocial comorbidities, administering gender affirming medical therapy, and addressing gynecologic needs such as menstrual suppression, contraception, sexual health screening, and fertility counseling.