Gender-affirming Care for Below 18 in Hong Kong
PUBLIC SERVICE
Endocrinology of the Hong Kong Children's Hospital
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With referral from a public or private psychiatrist, one could be prescribed puberty blockers as appropriate.
Child and adolescent psychiatry (And clinical psychology, paediatrics)
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Each hospital cluster accepts transgender and gender diverse individuals. However, they do not offer any gender-affirming hormones.
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Only accepts registration from individuals 18 years old or above, bringing alone a referral letter in person. One has to be 18 or above on the issue date of the referral letter.

PROMOTING ACCEPTANCE OF GENDER DIVERSE EXPRESSIONS OF BEHAVIOUR AND IDENTITIES OF ADOLESCENTS
A real-life experience (RLE) letter may be helpful in communication with schools, etc. regarding gender-affirming and/or gender-friendly and/or gender-neutral arrangements.
Standards of Care for the Health of Transgender and Gender Diverse People (SOC-8) published by the World Professional Association for Transgender Health (WPATH): Recommends health care professionals work with families, schools, and other relevant settings:
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Actions that are supportive of youth drawn to engaging in gender-expansive (e.g., non-conforming) activities and interests;
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Communications that are supportive when youth express their experiences about their gender and gender exploration;
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Use of the youth’s asserted name/pronouns;
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Support for youth wearing clothing/uniforms, hairstyles, and items (e.g., jewellery, makeup) they feel affirm their gender;
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Positive and supportive communication with youth about their gender and gender concerns;
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Education about gender diversity issues for people in the young person’s life (E.g., family members, health care providers, social support networks), as needed, including information about how to advocate for gender diverse youth in community, school, health care, and other settings;
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Support for gender diverse youth to connect with communities of support (E.g., LGBTQIA+ groups, events, friends);
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Provision of opportunities to discuss, consider, and explore medical treatment options when indicated;
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Anti-bullying policies that are enforced;
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Inclusion of non-binary experiences in daily life, reading materials, and curricula (e.g., books, health, and sex education classes, assigned essay topics that move beyond the binary, LGBTQIA+, and ally groups);
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Gender inclusive facilities that the youth can readily access without segregation from nongender diverse peers (e.g., bathrooms, locker rooms).
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PUBERTY BLOCKERS
SOC-8 published by WPATH:
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Recommends health care professionals use gonadotropin-releasing hormone (GnRH) agonists to suppress endogenous sex hormones in eligible transgender and gender diverse people for whom puberty blocking is indicated.
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It is medically necessary for whom is indicated.
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The following information is for reference only. Please consult your doctor for details.

Lupron

Diphereline
常見問題 FAQ
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No puberty blockers
✓ With puberty blockers
Hypothalamus
Pulsatile release:
GnRH
Puberty blockers
Continuous release:
GnRHa
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Anterior pituiary gland
GnRH receptors receive the pulsatile release of GnRH:
Releasing
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Luteinizing hormone (LH)
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Follicle stimulating hormone (FSH)
Anterior pituiary gland
GnRH receptors receive the continuous release of GnRH, and are desensitized:
Stop releasing LH、FSH
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Gonads (Testes / ovaries)
Receiving LH & FSH:
Testes
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Produce androgens (Including testosterone)
Ovaries
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Produce estrogens (Including estradiol)
Gonads (Testes / ovaries)
Without receiving LH & FSH:
Gonads stop producing sex hormones.
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Sex hormones decrease to the level prior to puberty.
常見問題 FAQ
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