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For example if you a tiny sac can be seen in the uterus, but the baby and its heart beat may not be detected yet.

5 ½ weeks gestation means 5 ½ weeks from the first day of the last menstrual period, which is usually about 3 ½ weeks from the date of conception (confusing, isn’t it!

We also understand that young people experiencing difficulties in this area (and their families) may not feel ready to accept help from us directly.

In some cases it might also be impractical to attend.

We think that relationships are as important as other factors in contributing to the patient's difficulties.

We therefore pay attention in our work to what is happening within the patient's relationship with the family, school and other social agencies.

We have a multidisciplinary staff, with experts in child and adolescent psychiatry, psychology, social work, psychotherapy, family therapy and paediatric endocrinology.

We aim to understand the nature of the obstacles in the development of gender identity, and to try minimise their negative influence.

We currently have few exclusion criteria other than age (we see children and young people under the age of 18).

However, we sometimes need to request more information from referrers if there is little detail given about the child or young person's gender development.

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