Considerations for Providing Pediatric Gender-Affirmative Care During the COVID-19 Pandemic

The document emphasized the importance of continuing gender-affirming care (GAC) for gender diverse youth during the COVID-19 pandemic. It highlighted the effectiveness of telemedicine in providing mental health services and consultations, especially for those in rural areas. The pandemic posed unique challenges, such as increased mental health disparities and the need for supportive family environments. Medical considerations included the use of chest binders, pubertal blockade, and gender-affirming hormones, with adjustments based on local policies and safety. Fertility preservation and surgical transitions were also discussed, stressing the need for open communication and prioritization of GAC as essential and medically necessary.