Cross-search engines produce multiple, including work by results by a D. W. Hastings of the University of Minnesota. Publications by D. W. Hastings have appeared in Lancet and Clinics in Plastic Surgery. Additional results by other researchers also appear, especially a case study of a thirteen-year-old FTM who was fully reassigned at age eighteen, principle author being one P.T. Cohen-Kettenis of Utrecht University.
Abstract of the aforementioned is as follows: "Early cross-sex hormonal interventions (that is, between 16 and 18) as a treatment for young transsexuals are often considered to be risky. However, the delay of such treatment until after the development of secondary sex characteristics has obvious drawbacks for transsexual individuals. This paper reports a postoperative follow-up case-study of a female-to-male transsexual who was treated with a combination of an LHRH agonist (which delayed her secondary sex characteristics development) and psychotherapy at age 13, and subsequently underwent sex reassignment at 18." Additional excerpts: "Given after puberty, pubertal development will not proceed. The treatment does not appear to influence final adult height (4)." "Such a relatively late treatment start, however, has it drawbacks. Some individuals who have shown a pattern of extreme cross-sex identification from toddlerhood onwards may develop psychiatric disorders, e.g., depression, anorexia or social phobias, as a consequence of their hopelessness. Social and intellectual development may be adversely influenced. Also, the physical treatment outcome following interventions in adulthood is far less satisfactory than when treatment is started at an age at which secondary sex characteristics have not yet been fully developed. This is obviously an enormous and life-long disadvantage." Full text is available, if you believe this to be the correct article, or a useful addition to your research.
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