Chest Dysphoria in Transmasculine Spectrum Adolescents
Study Details
Study Description
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.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Top Surgery 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. |
Procedure: Mastectomy and chest masculinization
A surgical procedure in which the breasts are removed and the chest is given a masculine contour.
|
| Control 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. |
Outcome Measures
Primary Outcome Measures
- 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 Outcome Measures
- 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)
Eligibility Criteria
Criteria
Inclusion Criteria:
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Assigned the female sex at birth
-
Affirmed gender identity of male, non-binary, or gender other than female
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English-speaking
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Undergoing top surgery or matches a top surgery participant on age and number of months on testosterone
Exclusion Criteria:
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Non English speaking
-
Unable to complete self-report questionnaires
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Ann and Robert H Lurie Children's Hospital of Chicago | Chicago | Illinois | United States | 60611 |
| 2 | Northwestern University | Chicago | Illinois | United States | 60611 |
| 3 | University of Illinois Chicago | Chicago | Illinois | United States | 60612 |
Sponsors and Collaborators
- Northwestern University
- Ann and Robert H. Lurie Children's Hospital of Chicago
- University of Illinois at Chicago
Investigators
- Principal Investigator: Sumanas W Jordan, MD PhD, Northwestern University
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- SP0052757