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How can I prepare for my gender transition journey?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am 18 years old, 5'7" tall, and weigh 62 pounds. I don’t have any symptoms right now, and I want to start transitioning.

Kindly help.

Thank you.

Answered by Dr. Ali Osman

Hello,

Welcome to icliniq.com.

I read your query, and thanks for sharing that. There’s nothing “wrong” with you for wanting to start transitioning, and you do not need symptoms to talk about gender transition.

The medical term doctors use when someone feels distress because their gender identity doesn’t match the sex assigned at birth is gender dysphoria. Only a qualified clinician can diagnose that after talking with you, but many people start by simply exploring how they feel.

Transitioning does not always mean starting medication right away. It can include social changes such as your name, pronouns, clothing, hairstyle, voice, and how you present yourself. It may also involve medical steps like puberty blockers or hormones, depending on your age and stage of puberty. Surgical options are usually considered only at an older age.

At 18, many places allow evaluation for gender-affirming care, but this typically involves a doctor, a mental health professional, and often parent or guardian consent, depending on local laws.

A good first step is to speak with a trusted parent, guardian, or adult, as well as a doctor or general practitioner, and a therapist experienced in gender identity. They can help you explore whether you want to begin with social transition or discuss medical options. Hormone treatment for teens is usually started only after a careful assessment.

You mentioned your weight as 62 lbs (pounds) at 5'7", which would be unusually low and may be a typo. If you meant 62 kg, that would be more consistent. If you’d like, I can help you figure out the first practical steps to begin transitioning at 18 based on whether you are considering social changes, hormones, or both.

I hope this helps.

Let me know if I can assist you further.

Regards.

Answered byDr. Ali Osman

Medically reviewed byiCliniq medical review team

Published At April 16, 2026
Reviewed AtApril 16, 2026

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ali Osman
Dr. Ali Osman

Obstetrics and Gynecology

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