, The Lancet Diabetes and Endocrinology, Volume 5, October 2017
The World Professional Association for Transgender Health's standards of care recommend suspending puberty, preferably with the use of gonadotropin-releasing hormone agonists, in certain gender non-conforming minors (aged under 18 years) who have undergone a psychiatric assessment and have reached at least Tanner stage II of puberty. This approach seeks to lessen the discordance between assigned natal sex and gender identity by temporarily halting the development of secondary sexual characteristics, essentially widening the temporal window for gender clarification.
, General and Comparative Endocrinology, Volume 157, July 2008
All organisms respond to environmental cues that allow them to organize the timing and duration of life history stages that make up their life cycles. Superimposed on this predictable life cycle are unpredictable events that have the potential to be stressful. Environmental and social stresses have deleterious effects on life history stages such as migration, reproductive function and molt in vertebrates. Global climate change, human disturbance and endocrine disruption from pollutants are increasingly likely to pose additional stresses that could have a major impact on organisms.