Gender Dysphoria Resources
Support Groups
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Queerspace
Telephone: (03) 9663 6733 -
The Village is a 7 week program for parents of gender diverse and gender non-conforming children
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Switchboard Victoria
(Qlife): Call 1800 184 527 Chat: qlife.org.au 3pm-Midnight, every day. A phone and web counselling service that is free, non-judgemental, confidential and anonymous. All of counsellors are dedicated trained volunteers who identify as LGBTQI.
Safe Binding Resources
Menstrual Suppression Tips
First go to is Primolut 5mg BD - usually stops bleeding and is flexible in dosing regime. Can go up to 10mg TDS daily and then slowly wean down to lowest dose needed (5mg daily). Use every day and benefit of not having oestrogens. Remind patient that it is not a contraceptive and even if they do not get periods, they can still get pregnant.
COPC works well too if young person is ok with oestrogens and they might also desire contraceptive effect. Run pill packs back to back and avoid inactive pills. Can get breakthrough bleeding and might need a break every few months to get a bleed and start again.
Mirena IUS - good option for combined reduction in bleeding as well as contraception, "set and forget" for 5 years. Can be very dysphoric to talk about uterus etc, but some young people are open to this option and it's very safe and rapidly reversible.
Depo-provera - q3mo injections. These impact bone density so if not needed for contraception there are generally better options, but works very well to suppression HPO axis and stop periods. Takes 3 mo to get out of system so not quickly reversible
Puberty suppression with GnRHa - a bit of overkill but if other means not working and high degree of distress, can be considered but not ideal due to impact on bone density.