Reproductive endocrinology

Early puberty suppression and gender-affirming hormones do not alter final height in transgender adolescents

Eur J EndocrinolPublished Retrospective study

Authors' conclusion

Early puberty suppression and GAH do not impact FH, supporting the safety of the treatment; however, trans adolescents achieve a FH in line with SRAB, rather than EG.

Study context

Population
Transgender adolescents at final height treated with early puberty suppression (Tanner stages 2 and 3) via gonadotropin-releasing hormone agonists (GnRHas) followed by gender-affirming hormones
Participants
10 vs 22
Exposure
Final height vs target height and predicted adult height in trans boys and trans girls after early puberty suppression (ePS) and GAH
  • Trans boysn = 10
  • Trans girlsn = 22
Outcome
Impact of ePS and GAH on final height (FH)

Main finding

As reported in the abstract

Difference between FH and target height for sex registered at birth (most accurate predictor of FH)
GroupValueP
Trans boys1.57 ± 3.1 cmP = .168
Trans girls−0.98 ± 4.17 cmP = .319

Value

Trans boys1.57 ± 3.1 cm
Trans girls−0.98 ± 4.17 cm

P

Trans boysP = .168
Trans girlsP = .319

Observational data: associations, not effects.

Further findings

Total height gain since start of ePS

Achieved before start of GAH Trans boys 70%

Achieved before GAH Trans girls 61%

Age at start of PS

OutcomeTrans boysTrans girls
Difference between FH and PAH at start of PS for sex registered at birth2.62 ± 3.79 cm−2.35 ± 5.2 cm
PP = .056P = .051

Difference between final height (FH) and predicted adult height (PAH) at start of PS for sex registered at birth

Nonsignificant in both trans boys and girls

Original publication

Early puberty suppression and gender-affirming hormones do not alter final height in transgender adolescents. Eur J Endocrinol. Published 13 September 2023. doi:10.1093/ejendo/lvad125

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