His Gender Management Service clinic, which opened at the hospital in 2007, averages about 19 patients each year, compared with about four per year treated for gender issues at the hospital in the late 1990s.\n\n\n\nThe report details 97 girls and boys treated between 1998 and 2010; the youngest was 4 years old. Kids that young and their families get psychological counseling and are monitored until the first signs of puberty emerge, usually around age 11 or 12. Then children are given puberty blocking drugs, in monthly $1,000 home injections or implants imbedded in the arm.\n\n\n\nIn another Pediatrics report, a Texas doctor says he\u0027s also provided sex changing treatment to an increasing number of children; so has a clinic at Children\u0027s Hospital Los Angeles where the 8 year old is a patient.\n\n\n\nThe drugs used by the clinics are approved for delaying puberty in kids who start maturing too soon.

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