Chest Dysphoria in Transmasculine Spectrum Adolescents

Northwestern University

Status: Completed

Conditions: Gender Dysphoria

Treatments: Procedure: Mastectomy and chest masculinization

Study type: Observational

Funder types: Other

Identifiers

NCT04195659

SP0052757

Details and patient eligibility

About

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.

Enrollment: 81 patients

Sex: Female

Ages: 13 to 25 years old

Volunteers: No Healthy Volunteers

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

Trial design

81 participants in 2 patient groups

Top Surgery

Description:

Individuals assigned the female sex at birth, who identify as a gender other than female, are between the ages of 13 and 25 years, and who are undergoing mastectomy and chest masculinization in one of three plastic surgery practices in Chicago.

Treatment:

Procedure: Mastectomy and chest masculinization

Control

Description:

Individuals assigned the female sex at birth, who identify as a gender other than female, are between the ages of 13 and 25 years, were seen in a gender development clinic in Chicago, and who are not planning to undergo top surgery. Controls will be matched with top surgery patients on age and number of months of testosterone.