Gender Dysphoria
Conditions
Brief summary
The investigators hypothesize that masculinizing top surgery (e.g., mastectomy and chest masculinization) leads to an improvement in self-report chest dysphoria, gender dysphoria, and gender congruence in assigned-female-at-birth, transgender and non-binary youth and young adults. This is a prospective, observational study that will enroll assigned-female-at-birth, transmasculine spectrum individuals age 13 to 25 years old who are or are not undergoing top surgery. Participants will complete a set of standard of care questionnaires regarding their chest dysphoria (e.g., distress about the chest), gender dysphoria (e.g., distress about a gender identity that does not match assigned sex), and gender congruence (e.g., degree to which an individual feels they are living in their authentic appearance and gender identity). They will complete this same set of questionnaires either three months after their top surgery or three months after the initial set of surveys.
Interventions
PROCEDUREMastectomy and chest masculinization
A surgical procedure in which the breasts are removed and the chest is given a masculine contour.
Sponsors
Ann and Robert H. Lurie Children's Hospital of Chicago
University of Illinois at Chicago
Northwestern University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
13 Years to 25 Years
Healthy volunteers
No
Inclusion criteria
* Assigned the female sex at birth * Affirmed gender identity of male, non-binary, or gender other than female * English-speaking * Undergoing top surgery or matches a top surgery participant on age and number of months on testosterone
Exclusion criteria
* Non English speaking * Unable to complete self-report questionnaires
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Chest Dysphoria | Three month | The disruption of individual comfort, physical functioning, and interpersonal relationships from a chest with breasts, as measured by the Chest Dysphoria Measure (Score 0-51, Higher number means greater chest dysphoria) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Gender Dysphoria | Three month | Distress about a gender identity that differs from assigned sex, measured by the Utrecht Gender Dysphoria Scale (Score 12-60, Higher number means greater gender dysphoria) |
| Gender Congruence | Three month | Feelings of living in an authentic gender identity and appearance, as measured by the Kozee Transgender Congruence Scale (Score 12-60, Higher number means greater gender congruence) |
Countries
United States
Outcome results
None listed