Pediatric and Adolescent Gender Education Program (PAGE)

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The Pediatric and Adolescent Gender Education (PAGE) program offers medical and mental health support for individuals whose gender identity differs from their sex assigned at birth.

Created in 2015, PAGE remains the first and only program in Louisville, Kentucky, and the commonwealth to serve transgender, gender-diverse, gender-creative, gender-noncongruent and nonbinary youth.

PAGE is a single source for children and families to receive gender-affirming support and care. PAGE specialists, including board-certified pediatric and adult endocrinologists, endocrine nurses, behavioral and mental health specialists, and social workers work with families to create a care plan that meets the child where they are.


What Is Transgender and Gender Diverse?

The term transgender refers to a person whose sex assigned at birth (usually based on external genitalia) does not match their gender identity, which is their personal sense of gender. Gender identity is different from gender expression. Gender expression is the way in which a person presents to the world in a gendered way. Gender identity also is different from sexual orientation. Sexual orientation refers to the types of people someone is sexually attracted to.

Gender diverse is a term that describes the wide variety of terms, or labels, that people may use when their gender identity does not conform to the binary “girl or boy” or “man or woman.” For gender-diverse people, identity is about presenting what is authentic to them, whether they identify as differently gendered or have no gender. Gender diversity acknowledges and respects that there are many ways to identify outside of boy or girl/man or woman.

What Is Gender Dysphoria?

Gender dysphoria is the medical name for psychological distress that occurs when one’s gender identity does not match their sex assigned at birth. Gender dysphoria can begin in childhood, although some may not experience it until after puberty or later. To be diagnosed with gender dysphoria, a person must exhibit symptoms for at least six months or more, including:

  • A marked difference between one’s expressed gender and their primary sex characteristics (e.g., internal and external genitalia present at birth), secondary sex characteristics (e.g., those that emerge during pre-puberty and puberty, such as breasts or facial hair) or anticipated secondary sex characteristics
  • A strong desire to prevent the development of sex characteristics of their assigned gender
  • A strong desire for the sex characteristics of their expressed gender
  • A strong desire to be their expressed gender, as well as identified by their expressed gender
  • A strong conviction that they have the feelings and reactions of their expressed gender or an alternative gender that is different from their sex assigned at birth

About Norton Children’s

Norton Children’s, part of Norton Healthcare, is an inclusive health care provider. We believe every person has a right to a positive health care experience and high-quality treatment options. No matter your gender identity, it’s important to be open and honest with your medical provider so that we can work together to meet your health needs.

Norton Healthcare is taking steps to ensure our LGBTQ+ community can always expect the following when seeking medical care:

  • Confidentiality: All patients want a safe, trusted environment in which to heal. Confidentiality means protection of identity, and personal and health information.
  • Acceptance: Every patient is treated the same, regardless of differences. Acceptance fosters strong relationships that ensure patients feel safe and return for follow-up care. We ask that all patients answer gender identity questions and identify their preferred pronouns on patient forms.
  • Knowledgeable care: Health care providers understand the unique health needs of LGBTQ+ patients and can recommend screenings and health advice to keep patients well.
  • Network of care: We offer an inclusive network of providers who understand the needs of LGBTQ+ patients and provide a safe space to seek care.

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