Statements of Recommendations 10.1- We suggest a multidisciplinary team, knowledgeable in diversity of gender identity and expression as well as in intersexuality, provide care to individuals with intersexuality and their families. 10.2- We recommend health care professionals providing care for transgender youth and adults seek training and education in the aspects of intersex care relevant to their professional discipline. 10.3- We suggest health care professionals educate and counsel families of children with intersexuality from the time of diagnosis onward about the child’s specific intersex condition and its psychosocial implications. 10.4- We suggest both providers and parents engage children/individuals with intersexuality in ongoing, developmentally appropriate communications about their intersex condition and its psychosocial implications. 10.5- We suggest health care professionals and parents support children/individuals with intersexuality in exploring their gender identity throughout their life. 10.6- We suggest health care professionals promote well-being and minimize the potential stigma of having an intersex condition by working collaboratively with both medical and non-medical individuals/organizations. 10.7- We suggest health care professionals refer children/individuals with intersexuality and their families to mental-health providers as well as peer and other psychosocial supports as indicated. 10.8- We recommend health care professionals counsel individuals with intersexuality and their families about puberty suppression and/or hormonal treatment options within the context of the individual's gender identity, age, and unique medical circumstances. 10.9- We suggest health care professionals counsel parents and children with intersexuality (when cognitively sufficiently developed) to delay gender-affirming genital surgery, gonadal surgery, or both, so as to optimize the children’s self-determination and ability to participate in the decision based on informed consent. 10.10- We suggest only surgeons experienced in intersex genital or gonadal surgery operate on individuals with intersexuality. 10.11- We recommend health care professionals who are prescribing or referring for hormonal therapies/surgeries counsel individuals with intersexuality and fertility potential and their families about a) known effects of hormonal therapies/surgery on future fertility; b) potential effects of therapies that are not well studied and are of unknown reversibility; c) fertility preservation options; and d) psychosocial implications of infertility. 10.12- We suggest health care professionals caring for individuals with intersexuality and congenital infertility introduce them and their families, early and gradually, to the various alternative options of parenthood.

建議 10.1- 我們建議一個多學科團隊，在性別認同和表達的多樣性以及雙性人方面知識淵博，為雙性人及其家人提供護理。 10.2- 我們建議為跨性別青年和成人提供護理的醫療保健專業人員尋求與其專業學科相關的雙性人護理方面的培訓和教育。 10.3- 我們建議醫療保健專業人員從診斷之日起就對雙性人兒童的家庭進行教育和諮詢 繼續了解孩子的特定雙性狀況及其社會心理影響。 10.4- 我們建議提供者和父母雙方讓具有雙性人的兒童/個人參與持續的、適合發展的溝通，了解他們的雙性狀況及其社會心理影響。 10.5- 我們建議醫療保健專業人員和父母支持雙性兒童/個人在他們的一生中探索他們的性別認同。 10.6- 我們建議醫療保健專業人員通過與醫療和非醫療個人/組織合作來促進福祉並最大限度地減少雙身為雙性人的潛在恥辱感。 10.7- 我們建議醫療保健專業人員將雙性兒童/個人及其家人轉介給心理健康提供者以及同伴和其他社會心理支持。 10.8- 我們建議醫療保健專業人員根據個人的性別認同、年齡和獨特的醫療情況，就青春期抑制和/或激素治療選擇向雙性人及其家人提供諮詢。 10.9- 我們建議醫療保健專業人員建議父母和雙性人兒童（當認知充分發展時）推遲性別肯定生殖器手術、性腺手術或兩者，以優化兒童的自我決定和在知情同意的情況下參與基於決策的能力。 10.10- 我們建議只有在雙性生殖器或性腺手術方面經驗豐富的外科醫生才能對雙性人進行手術。 10.11- 我們建議正在開處方或轉診進行激素療法/手術的醫療保健專業人員向具有雙性和生育潛力的個人及其家人提供以下方面的諮詢：a) 激素療法/手術對未來生育能力的已知影響；b) 不屬於該療法的潛在影響研究充分且可逆性未知；c) 保留生育能力的選擇；和 d) 不育的社會心理影響。 10.12- 我們建議照顧雙性人和先天性不育症患者的醫療保健專業人員儘早並逐漸向他們及其家人介紹各種可供選擇的生育選擇。