Disorders of Sexual Development (DSD) and Gender Management Service (GeMS) Programs and Services

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Disorders of Sexual Development Program

Medical treatment of Disorders of Sexual Development (DSDs) has changed dramatically, thanks to heightened sensitivity to and understanding about the medical and psychological issues starting in the newborn period and continuing throughout the developmental stages of children and young adults.

Our goal is to guide families through the complex decisions involved in the care of children and adolescents with DSDs. We address issues of reproductive and sexual function, and provide assessment of psychosocial needs starting at a young age.  Though patients may already have a primary endocrinologist/urologist, the Program provides an opportunity to focus specifically on these sensitive issues through a multi-disciplinary approach.

Gender Management Service (GeMS)

The Gender Management Service (GeMS) at Boston Children’s Hospital believes that all children deserve to grow into confident and happy individuals who are able to take their rightful place in society. We specialize in providing comprehensive care to the unique group of gender non-conforming children and adolescents.Our team works closely with specialists in other departments in the hospital, such as urology, endocrinology, psychology, social work and gynecology, to develop individual care plans that meet every child's medical and emotional needs, as well as their family's need for information and support.

  • The first step in this process involves interacting with our clinical social worker to talk more about your child’s specific gender issue in more detail. Our clinical social worker will make sure that you fully understand our protocol and assist you with referrals and resources.  Your child will be referred to a therapist in your community who is familiar with gender issues in youth. It is a requirement of GeMS that your child be in therapy for at least 6 months before proceeding with our evaluation.

  • The next step is consultation at Boston Children’s about your child’s specific mental health needs and gender non-conformity. Your child will meet with our psychologist for specialized gender-related testing. The results from these evaluations will allow the rest of the medical team to gain a full understanding of your child’s situation and any related concerns.

  • Once we determine that your child meets the necessary mental health criteria, you and your child will meet with a  pediatric endocrinologist to plan a course of treatment.

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Send RequestIf you do not see the specialty you are looking for, please call us at: 617-355-6000.International visitors should call International Health Services at +1-617-355-5209.
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This department is currently not accepting appointment requests online. Please call us at: 617-355-6000. International +1-617-355-6000.

This department is currently not accepting appointment requests online. Please call us at: 617-355-6000. International +1-617-355-6000.

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Contact DSD/GEMS

  • 617-355-4367
The future of pediatrics will be forged by thinking differently, breaking paradigms and joining together in a shared vision of tackling the toughest challenges before us.”
- Sandra L. Fenwick, President and CEO