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VII. SPECIAL CONSIDERATIONS FOR ADOLESCENTS
90. Adolescents with HIV require an individual and developmental
approach to therapy and care, ideally through an HIV specialist with
expertise in this population.
91. Adolescents with HIV should have a coordinated, deliberate
transition to adult care.
92. Vaccinations should be administered according to ACIP schedules
for children with HIV.
VIII. CONSIDERATIONS FOR TRANSGENDER AND GENDER
DIVERSE POPULATIONS AT LEAST 18 YEARS OF AGE
93. Transgender and gender diverse persons with HIV should have
access to gender-affirming, non-discriminatory, non-stigmatizing,
and culturally sensitive care.
94. Intake forms, medical records, and other documentation should
integrate gender-neutral language and include gender identity
options rather than be limited to sex at birth.
95. Transgender persons should be offered medical and/or surgical
therapy in order to achieve their desired gender characteristics, in
accordance with World Professional Association for Transgender
Health (WPATH) standards of care. HIV care providers should
be familiar with initial laboratory monitoring and gender-
affirming hormone treatment or provide referral to a clinician or
endocrinologist experienced in transgender care.
96. Cancer screening should be conducted based on guidelines for the
organs and tissues present in the individual.
