Policy Issued In
- GnRH analogs are considered medically necessary for adolescents with gender dysphoria when all of the following criteria are met:
- Fulfills the DSM V criteria for gender dysphoria; and
- Has experienced puberty to at least Tanner stage 2; and
- Has (early) pubertal changes that have resulted in an increase of their gender dysphoria; and
- Does not suffer from a psychiatric comorbidity that interferes with the diagnostic work-up or treatment; and
- Has psychological and social support during treatment; and
- Demonstrates knowledge and understanding of the expected outcomes of GnRH analog treatment.