Hormones and hormone blockers for minors

Some children and teens have a gender identity different from their sex assigned at birth. The affirmative model of care created by experts allows gender transition options for youth whose gender identity and gender expression is consistent, insistent, and persistent.

While many of these youth make a social transition, in some cases, they also take legal and medical steps after a healthcare professional and their family decide a gender transition is appropriate.

Medical steps can include hormones and hormone blockers. Experts have established treatment protocols for youth which vary based on age.

Among youth who are approved to take medical steps, hormone blockers alone are the most common option.

In some cases, experts will prescribe both hormones blockers and hormones.

Hormone blockers

  • These drugs have been safely used for decades to control sexual maturation in youth who are not gender incongruent.
  • They are used for the same purpose in gender incongruent youth. This allows youth to avoid an unwanted puberty and to delay decisions on further medical steps.


  • These drugs have been safely used for decades by transgender adults.
  • They are used for the same purpose in gender incongruent youth.


  • In rare cases, teens have been approved for surgery, such as top surgery for trans boys and bottom surgery for trans girls.
  • This usually comes after a long period of social transition and hormones.
  • Most do not have any surgery until they are old enough to give legal consent.

See also

Getting transgender hormones as a minor


Children’s Hospital Los Angeles (chla.org)

Disclaimer: This is medical talk, not medical advice. Some of this may not apply in your case. It is presented without warranty. It may contain errors or omissions. You must do your own research.