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Gail Boone had a background in psychology, which helped her understand. Boone, an operations and project manager, had a harder time, but was brought around for the sake of his child.

At 16 and a half, after seeing a therapist, Kat began taking estrogen and a blood pressure drug, spironolactone, that is also used to block the actions of testosterone, to help her look more female.

In the fall of junior year, she showed up at school wanting to be called Katherine, or Kat, because she likes cats. She does not want anything to do with her birth name, Caden.

She also has discovered that she likes girls. It was the cutting that convinced them that if she could not live as a girl, Kat would kill herself.

She still has two angry scars on her left forearm. Boone said. Part of what brought her father around was the support network that has sprung up around transgender issues.

In Syracuse, it is the Q for queer or questioning Center, run by the nonprofit ACR Health. It is not easy to find.

Visitors have to be buzzed in through an unmarked back door in a shabby neighborhood. But inside, it is homey, with a well-appointed library, a kitchen and a meeting room outfitted with beanbag chairs.

A meeting of teenagers in April began with each one declaring a name and pronoun of the day. Their choices were not always intuitively obvious. But there were hints of the pain the children had to endure.

One child was required to use a separate bathroom at school, and a hidden camera was later found there. Kat told the group that she was looking forward to surgery in six days.

They clapped. But the drive to treat children is relatively new. One of the first and biggest hormone programs for young teenagers in the United States is led by a Harvard-affiliated pediatric endocrinologist, Dr.

Spack recalled being at a meeting in Europe about 15 years ago, when he learned that the Dutch were using puberty blockers in transgender early adolescents.

The puberty-blocking protocol gained legitimacy in , when it was endorsed by the Endocrine Society, the leading association of hormone experts, on the recommendation of a task force including Dr.

The protocol calls for administering puberty-blocking drugs, generally Lupron, an injection, or histrelin, an implant, that are normally used to treat precocious puberty as well as prostate cancer and endometriosis, abnormal growth of uterine tissue.

The theory is that this drug-induced lull from about 12 to 16, sometimes younger, will help teenagers decide if they truly are transgender, without committing to irreversible physical changes.

Puberty blockers are reversible. If a psychological evaluation confirms gender dysphoria, teenagers are treated with cross-sex hormones estrogen for boys, testosterone for girls , so they will, in effect, go through opposite-sex puberty.

A consequence of going through the whole protocol is infertility. Spack said his clinic had treated about children since , and less than 20 percent had been covered by insurance.

Doctors say that if children are started on puberty blockers young enough, insurance is less likely to question it.

While hormones for minors are sometimes covered by insurance, surgery almost never is. But several doctors said they had performed surgery on minors.

Teenagers who are 18 and 19 years old are, in most nations, both teenagers and adults. The way the word is used varies.

Most societies have rites of passage to mark the change from childhood to adulthood. These ceremonies may be quite elaborate.

Adolescence is the name for this transition period from childhood to adulthood. In the United States , children and young teens from the ages 11—14 go to middle school , while teenagers from the ages of 14—18 typically go to high school.

Teenagers attending secondary school high school in the US generally graduate at the age of 18, In the UK after finishing GCSE 's.

On average, girls begin puberty at ages 10—13; boys at ages 11— From Simple English Wikipedia, the free encyclopedia. Africa dances.

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