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Health history (current and past medical and mental health conditions, surgical history, medications, allergies, smoking status, exercise, nutrition, family history, etc.)

Your understanding of long-term risks associated with hormone therapy

Your support network and strategies for thriving in your changing gender expression with family and friends, at work and at school.

Your health care provider will usuallyperform an exam. They will also likely ask you to do some laboratory work, such as a blood test.

If you are a youth seeking puberty blockers or hormone therapy, you will typicallyreceive a hormone readiness assessment with a qualified mental health professional. Then you will be referred to a pediatricendocrinologist who prescribes and monitors the treatment. For recommendations of mental health professionals who work with trans youth, Contact Us .

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How you understand your gender identity

The way you express your gender identity

How you feel about your body

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Age of majority (in BC, the age of majority is 18).

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For children and youth under the age of 18, the criteria for hormone therapy are:

A long-lasting and intense pattern of gender non-conformity or gender dysphoria

Gender dysphoria emerged or worsened with the onset of puberty

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