Effect of assigned sex on the age at which individuals seek specialist gender affirming care

Abstract

Background: Citing fears of possible social contagion, opponents of medical care for transgender youth have raised concerns over recent observations that adolescents assigned female at birth are presenting to specialist gender clinics worldwide in higher proportions than adolescents assigned male at birth. As population surveys report roughly equal numbers of adults assigned male and female at birth among those confiding gender diversity, we hypothesized that gender diverse individuals assigned male at birth are less likely to be referred during their adolescent years and instead present later during adulthood. Methods: In this retrospective analysis, we collected data from the medical recor..