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+---
+title: Children
+x-toc-enable: true
+...
+
+**There is a private clinic in the UK which prescribes HRT quickly,
+including to children. You can request blockers or full HRT, even at age
+12. They have prescribed full HRT to children in the past! Go to the
+[GenderGP](https://gendergp.co.uk/) clinic. You do not have to go to
+them physically, you can do everything over the internet, and they are
+licensed doctors. If you want \*prescribed\* HRT (or just blockers, if
+that's what you want, but they also will prescribe full HRT if you want
+it), then this is your best bet. The NHS, by comparison, will make you
+wait, and by that time you're screwed because you have breasts. Or a
+beard. Or a deep voice. Or periods. Don't delay! These people are here
+to help you.**
+
+You need to self-medicate on puberty blockers, purchased on the internet
+========================================================================
+
+You will not get puberty blockers before your puberty damages you if using NHS. The only way to guarantee it is to self-medicate. The supplier that you use will ship the blockers to you quickly, usually within a week.
+=========================================================================================================================================================================================================================
+
+Go to our [HRT self-medication](hrt-internet.md) page for information about how to get HRT on the internet (also includes some advice on dosages). (also see note about GenderGP above, if you don't want to self-medicate)
+===========================================================================================================================================================================================================================
+
+If you are of puberty age, and you're trans, it's vital that you start
+on puberty blockers immediately. Go on the NHS to get them, but be
+warned: **you will be severely delayed in starting it, because of
+underfunding and understaffing of transgender services on the NHS. You
+can blame our right-wing government for that, for not having the
+foresight to provide adequate additional funding for the NHS in the
+UK.**
+
+NHS guidelines say that children of puberty age should be given puberty
+blockers until they are 16, at which point they can also take estradiol
+or testosterone, depending on which way they're going.
+
+### PARENTS: this is IMPORTANT!
+
+You need to make sure that your child **DOES NOT** go through their
+genetical puberty, the one that their body is programmed to go through.
+It makes most trans people depressed, or worse, suicidal, especially as
+they get older. If you love your child, you will let them take hormones,
+including hormone blockers, as early as physically possible.
+
+The NHS is *SLOW* and your child will likely go through most of their
+puberty by the time they get blockers. You can purchase blockers on the
+internet. Check out our [self-medication HRT page which shows how to
+purchase hormone blockers on the internet](hrt-internet.md) - NOTE: most
+private trans care providers won't see children, so you're stuck with
+the NHS, and you're stuck with self-medication.
+
+DO NOT DELAY. **You have a moral responsibility as a parent to ensure
+the safety and happiness of your child as they grow up. If you allow
+them to go through their genitical puberty, you could very well end up
+with a dead child. Transgender people under the age of 25 are 5x more
+likely to commit suicide than their non-transgender peers, according to
+official statistics. This is directly related to trauma brought about by
+their puberty (if they went through their self-mutilating genetical
+puberty), and abuse that they might receive because of that, especially
+if they start \*not passing as their desired gender\* as a result.**
+
+**We are deadly serious about this. No child should ever be forced to
+suffer body dysphoria.**
+
+Moving on\...
+=============
+
+Most private clinics only see adult patients (17 or older, in some cases
+21 or older). You will need to [come out](coming-out.md) to your parents,
+because you typically need parental permission.
+
+Book an appointment with your GP, and say that you are transgender and
+wish to transition. Whether trans woman, trans man or non-binary, you
+should then ask your GP to refer you to a Gender Identity Clinic.
+
+Some GPs are assholes. Please report them. Also report the awesome ones!
+------------------------------------------------------------------------
+
+Even with private care, you'll still use your GP for a lot of things
+probably, including blood tests and endocrinologist referrals, unless
+you get those privately too. The following external website maintains a
+register of good and bad GPs:\
+<http://transfigurations.org.uk/trans-friendly-doctors/>
+
+Get a blood test BEFORE endo, and take the results with you.
+
+A trans person in the UK who had a bad bad GP spoke to their local
+elected MP and got her to write to the government. [This letter from the
+UK Government's Department of Health outlines GP requirements and states
+that they are required by law to immediately refer you to a gender
+clinic when you request gender transitioning
+services](https://av.trans.chat/common/gp_letter.pdf).
+
+When you go to that GP, regardless of whether you think it will go well
+(most GPs are OK), take a printout of that letter with you just in case.
+
+Thanks go to Gina Denham of the
+[Transpire](http://transpiresouthend.org/) support group for sharing
+this letter.
+
+Going about the process
+-----------------------
+
+Here is a list of NHS gender identity clinics (for UK residents):
+<http://www.nhs.uk/Livewell/Transhealth/Pages/local-gender-identity-clinics.aspx>
+The clinic that you choose will send you some forms to fill in. Fill
+them in ***and make sure to book the earliest appointment possible***.
+
+Children are not currently given full HRT, in the UK or even most
+countries. If you're a trans woman, you might be able to get
+antiandrogens (puberty blockers) which block testosterone; this blocks
+your genetic puberty (e.g. they block body/facial hair development,
+block voice deepening, etc). For trans men, you might get prescribed
+antiestrogens which block breast development, etc.
+
+Teenage trans children are not typically given estrogen until they're
+17. Teenage trans men are not typically given testosterone until
+they're 17. Testosterone is also a controlled substance in most
+countries, which make it more difficult to self-medicate on it.
+
+For non-binary children, we're not sure. You should probably take
+puberty blockers to block your natural puberty, and then decide what you
+want to do later. Or you might not. It's always different because there
+is a lot more variance with non-binary people.
+
+Genital surgery is not typically provided for trans children. They must
+first become adults.
+
+***We at TransChat believe that children should be able to full
+transition. If you're a 12 year old trans woman (12 is when puberty
+usually begins in trans women, without puberty blockers), we think that
+you should be able to start taking estrogen. If you're a 10 year old
+trans man (10 is the usual puberty starting age for trans men, without
+hormone blockers), we think you should be able to start testosterone
+immediately.***
+
+***If you're a parent of a trans child, and your child has only just
+become of puberty age, it is your \*moral duty\* to make sure that they
+do \*\*\*NOT\*\*\* start their genetic puberty \*\*\*AT ALL\*\*\*. For
+most trans kids, this will result in extreme dysphoria which will, as
+their puberty progresses and as they become adults, they will become
+severely depressed and even suicidal in many cases. If you love your
+child, then you should allow them to go through the puberty of their
+real gender, the one that they came out to you as.***
+
+***Parents of trans children: please read our [HRT self-medication
+guide](hrt-internet.md) which describes how to purchase hormones on the
+internet and how to take them at safe doses. Hormone blockers are not
+enough. You need to make sure that your child transitions early,
+otherwise they are going to grow up depressed (most trans kids have
+gender dysphoria, a type of depression and anxiety resulting from a
+mismatch in their body with their internal gender identity, which gets
+worse over time). By not letting your child transition, you risk losing
+your child. More than half of transgender people under the age of 25
+currently commit suicide because of trauma from their teenage years, and
+abuse/discrimination resulting from not passing, if they were forced to
+go through their genetic puberty. If you do not let your child
+transition, you risk losing your child - permanently.***
+
+For surgery, we have a page about this. See [/surgery/](surgery.md) - for
+children, surgery is not available in the UK or most countries, but you
+might be able to get surgery for your child privately in another
+country. We wish to research this and put information about it on the
+website, but we currently have no information about this.
+
+Sex education booklet for trans youth
+----------------------
+http://cdn0.genderedintelligence.co.uk/2012/11/17/17-14-04-GI-sexual-health-booklet.pdfhttp://cdn0.genderedintelligence.co.uk/2012/11/17/17-14-04-GI-sexual-health-booklet.pdf