Čes-slov Pediat 2025, 80(5):252-255 | DOI: 10.55095/CSPediatrie2025/040
Gender dysphoria and gender incongruence in children and adolescents: a guide for pediatric practice
- Psychiatrická klinika, FN Brno, Masarykova univerzita
The role of the paediatrician is crucial in the care of children and adolescents with gender issues. Basic concepts facilitate communication with patients, their families, and among professionals. The new version of the International Classification of Diseases (ICD-11) offers a
new perspective on the topic and introduces the term gender incongruence. In recent years, there has been a significant increase in the number of individuals, particularly adolescents, seeking medical care for gender issues, and the patient spectrum has also shifted. Consequently, recently developed and currently used care guidelines are undergoing reassessment because,
considering changes in the patient population, they may no longer be universally applicable. At the same time, despite heated debates, it is crucial to maintain the quality of care for children and adolescents with gender issues, as has long been established in the Czech Republic, while staying informed about new scientific findings.
Keywords: gender incongruence, ROGD
Accepted: September 3, 2025; Published: June 1, 2025 Show citation
References
- . Šnajderová M, Zapletalová J, Magnová O, et al. Nesoulad rodu a pohlaví v dětství a adolescenci: současné názory a přístupy, situace v České republice. Ces-slov Pediat 2022; 77(suppl 3): 30-35.
Go to original source... - . Leonhardt A, Fuchs M, Gander M, et al. Gender dysphoria in adolescence: examining the rapid-onset hypothesis. Neuropsychiatr 2025; 39(1): 1-10. doi: 10.1007/s40211-024-00500-8
Go to original source...
Go to PubMed... - . Dočekalová H. Právní aspekty změny pohlaví. Diplomová práce. Dostupné na: https://dspace.cuni.cz/bitstream/handle/20.500.11956/125366/ 150051971.pdf?sequence=1&isAllowed=y
- . Kaltiala-Heino R, Bergman H, Työläjärvi M, et al. Gender dysphoria in adolescence: current perspectives. Adolesc Health Med Ther 2018; 9: 31-41. doi: 10.2147/AHMT.S135432
Go to original source...
Go to PubMed... - . Martin CL, Ruble DN. Patterns of gender development. Ann Rev Psychol 2010; 61(1): 353-381.
Go to original source... - . Turban J. What is gender dysphoria. Dostupné na: https://www.psychiatry.org/patients-families/gender-dysphoria/what-is-gender-dysphoria
- . Yarbrough E, Kidd J, Parekh R. Gender dysphoria diagnosis - American Psychiatric Association. Dostupné na: https://www.psychiatry.org/psychiatrists/diversity/education/transgender-and-gender-nonconforming-patients/gender-dysphoria-diagnosis
- . American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Arlington, VA: American Psychiatric Publishing 2013.
Go to original source... - . Brown GR. Gender Incongruence and Gender Dysphoria. Merck Manuals. Dostupné na: https://www.merckmanuals.com/professional/psychiatric-disorders/gender-incongruence-and-gender-dysphoria/gender-incongruence-and-gender-dysphoria
- . World Health Organization (WHO). International Classification of Diseases, Eleventh Revision (ICD-11), 2019/2021. Dostupné na: https://icd.who.int/browse11
- . MKN-11 pro statistiky úmrtnosti a nemocnosti. 2025-01. Dostupné na: https://icd.who.int/browse/2025-01/mms/cs
- . Neumann D, Fifková H, Zapletalova J, et al. Pohlavní/rodová neshoda v dětství. Ces-slov Pediat 2022; 77(3): 170-174.
Go to original source... - . Cass H. Independent review of gender identity services for children and young people: Final report. 2024. Dostupné na: https://cass.independent-review.uk/home/publications/final-report/
- . Biggs M. The Dutch protocol for juvenile transsexuals: origins and evidence. J Sex Marital Ther 2022; 49(4): 348-368.
Go to original source... - . Fifková H, Weiss P, Neumann D. Doporučený postup péče o děti a dospívající s poruchami pohlavní identity (GID). Sexuologická společnost ČLS JEP. Dostupné na: http://www.sexuologickaspolecnost.cz/dokumenty/dop_postup_GID.doc
- . Expósito-Campos P, Salaberria K, Pérez-Fernández JI, et al. Gender detransition: A critical review of the literature. Actas Esp Psiquiatr 2023; 51(3): 98-118.
- . The World Health Organization Announces Transgender Guideline Plans - SEGM. Dostupné na: https://segm.org/world-health-organization-transgender-guidelines
This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.




