Sexual and reproductive health considerations among transgender and gender-expansive youth

Gender Dysphoria disrupting the course of treatment of a recurrent Juvenile Granulosa Cell Tumor in an adolescent female - a case report.

“…It is also worth mentioning here that, as shown by the available literature, a large proportion of adolescents with the GD spectrum do not develop a permanent form of transsexualism [2,4]. Gynecologists must take special care of the reproductive health of patients [19], even if the latter under care for oncological reasons do not consider having offspring [1,18].…”

“…It should be noted that, in the case of recurrent JGCT, total abdominal hysterectomy and bilateral salpingo-oophorectomy is the recommended method [16,17]. However, in the case of such a young patient, gynecologists should also take care of her reproductive health [1,9]. Even the slightest chance to avoid such radical surgery should be considered by experts and applied if possible, as in the case of this patient.…”

“…This should also be understood as challenges associated with the therapeutic process, as in this case [9]. GD patients require a multidisciplinary approach [1].…”

“…However, this is not su cient to make a GD diagnosis [4,5]. Detailed examinations for GD should be conducted by mental health professionals (MHPs) [12] who have su cient training and experience in assessing related mental health conditions and are willing to participate in the ongoing care throughout the endocrine transition [1,4,12]. In the case of our patient, the endocrinologist and oncologistgynecologist should be included in the diagnostic process due to the hormonal disorders and recurrent ovarian tumor [3,13].…”

“…There is still insu cient research about how gender identity and gender variance actually evolve [1][2][3].…”