Chest Dysphoria in Transmasculine Spectrum Adolescents

N/ACompletedNCT04195659

Northwestern University81 enrolled

Overview

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.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Gender Dysphoria

Interventions

Mastectomy and chest masculinizationPROCEDURE

A surgical procedure in which the breasts are removed and the chest is given a masculine contour.

Eligibility

Sex: FEMALEMin age: 13 YearsMax age: 25 Years

Medical Language ↔ Plain English

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

Locations (3)

Ann and Robert H Lurie Children's Hospital of Chicago

Chicago, Illinois, United States

Northwestern University

Chicago, Illinois, United States

University of Illinois Chicago

Chicago, Illinois, United States

Outcomes

Primary Outcomes

Chest Dysphoria

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)

Time frame: Three month

Secondary Outcomes

Gender Dysphoria

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)

Time frame: Three month

Gender Congruence

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)

Time frame: Three month