A8: A strong desire for the primary and/or secondary sex characteristics that match ones experienced gender. The fast-tracking of medical transition appears to be the protocol in place at many of Canadas gender clinics, with parents and some detransitioners expressing surprise and shock that medical transition is being offered as the 1st line of treatment. The United Kingdom, Sweden, Finland, WebSwedens Increase in Referrals to Gender Clinics Similar to Canada. And Republican lawmakers in at least 16 states, society of evidence-based gender medicine, swedish national board of health and welfare, world professional association for transgender health. it would be unethical to intervene at the level of the physical body at all, as this is not the problematic feature. In the clinical setting we have become familiar with narratives, especially in younger children, resting almost entirely on the most superficial of signifiers: toys, activities, hair, clothes, a certain aesthetic upon which effectively the (self) diagnosis of trans is made, and a social role transition affected. Changes to the body during puberty can bring about much more turmoil than is readily acknowledged. This trend is consistent with the data reported by Trans Youth Can! The law is set to go into effect next January, making it a felony to provide hormones, puberty blockers or other gender-affirming care to people under age 18. The policy states thatcareful assessment of the patients maturity level must be conducted to determine if the patient is capable of providing meaningful informed consent. Nevertheless, on the basis of this review, and a study published by Finnish gender clinicians shortly thereafter finding that medical gender reassignment is not enough to improve functioning and relieve psychiatric comorbidities, the countrys Council for Choices in Health Care (COHERE) issued new recommendations in 2020. Surgery is not offered to those <18. The country now emphasizespsychotherapy for minors with gender dysphoria instead. This should also include a review of what is known about the causes of the increase in the number of children and young people, particularly girls, seeking assessment and treatment for gender dysphoria in high-income countries. Swedens five other gender clinics have recently backed away from the practices as well, according to. The Swedish government shelved their proposed law and instead, have instituted a 3 part review in response to a proposal from The Swedish National Council on Medical Ethics. At least15 states are considering similar pieces of legislation relating to gender dysphoric minors and medical treatments. The Finnish gender identity services program is a worldwide leader in pediatric gender medicine. We are dealing with strongly held beliefs and associated feelings. It assumes that gender identity is innate and immutable, that some kids are just born trans and can know this from as young as toddlerhood. Finland has walked a similar path. Multiple reviews commissioned by NHS England, including. Parents are to consent to treatments or get out of the way. The studys flaws were discussed at length in a recent peer-reviewed article, but two in particular should be mentioned before considering the European systematic reviews. Two other U.S. states, ArkansasandTennessee, have enacted laws in the past year to restrict transgender drugs and surgeries for minors. WebEmily, a 12-year-old trans girl from Liverpool, was first referred to the Tavistock by her GP in May 2017. People who commit suicide have an underlying mental illness that requires expert treatment and care. When we frame the conflict in this area as being related to differences in, albeit deeply held, adult beliefs then we can also allow room from which we can compassionately relate to those we disagree with. It would be medically negligent to avoid psychiatric assessment and/or deny corresponding psychological services to provide treatment for this population where the risk of suicide is elevated due to these comorbidities. It is simply not possible for a child or adolescent to conceptualise a loss of fertility or sexual pleasure before they have developed their adult body. The National Board of Health and Welfare should be instructed to urgently update its knowledge support material entitled God vrd av barn och ungdomar med knsdysfori (Good care for children and adolescents with gender dysphoria). Co-occurring psychiatric diagnoses among people with gender dysphoria are therefore a factor that needs to be considered more closely during investigation. Swedens shift on dangerous transgender drugs also follows a report in November 2021 revealing that more than a dozen minors who were administered puberty blockers at a top Swedish hospital suffered severe injuries as a result. The identified scientific basis regarding hormone treatment of children and adolescents with gender dysphoria, SBU concludes, is limited and it is not possible to draw any conclusions with moderate or high reliability. Crucially, it is important to acknowledge, that girls and young women have long recruited their bodies as ways of expressing misery and self-hatred. England, Sweden and Finland have largely abandoned gender affirmation for minors in the last three years. Front Royal, VA 22630, 157 Catharine St N, Unit 2 In all of our good-willed attempts to be empathetic, to share the pain of these very young people, we adults must not lose sight of the risk of joining too closely with them. Research indicates youth become trapped in a one-way medical path as almost 98% who are prescribed puberty blockers proceed with medical transition even when there is no evidence of long-term benefits. In recent months, several countries health authorities found that theevidence base is insufficient to justify routine early medical interventions for gender-dysphoricminors. According to a recent video, as of late 2020, only child psychiatric specialists are able to refer children to gender clinics for assessment that can lead to the initiation of puberty blockers or cross-sex hormone therapy. However, that decision was overturned in September. Sexual feelings awaken amidst sexual harassment and press reports of misogynist hate crimes. For most outcomes examined in this report, the evidence is insufficient and conclusions cannot be drawn. SBU also reported low confidence in the assessed health risks of hormonal interventions in minors. suggested that puberty blockers and cross-sex hormones in teens could actually increase the teen suicide rate, rather than decrease it as advocates claim. Critics have warned that research and data on gender dysphoric children and how various treatment paths affect them is limited. Last year though, Swedish hospitalshalted the use of puberty blockers in five of the countrys six clinics for minors with gender dysphoria. Tennessee Identical Republican-sponsored bills to ban puberty blockers, hormone treatment, and gender transition surgeries were handily approved in Tennessee's Senate Judiciary Committee and the House Health Committee earlier this week. In the group of 1317-year-old natal females, the Swedish NBHW report states that the comorbidity is greatest.

The Trust has also seen lawsuits by children given that treatment who later regret their decisions.and of course those same lobbyists are blaming the Trust for that! In the U.S., the issue of medical intervention for gender dysphoric children has pitted opposing government forces against one another. WebOpponents counter that the United States is out-of-step with European countries including Sweden, Finland, and the U.K., which have found that the benefits of puberty blockers and Referrals have remained steadily lower, indicating that the medical necessity of gender transition was questionable for many of the youth being referred for treatment. Thankfully, legislators in three states - Georgia, Kentucky, and Texas - have proposed legislation that would prevent medical 'gender transitions for minors, by banning puberty blockers for their treatment. Failing that, even basic sex parity in the classroom would impact early on the sorts of messages both girls and boys internalise about their capacities and the expectations others have on them. We have wondered whether the early attempts to intervene in respect of gender dysphoric children have been problematic in themselves. The sudden, sharp increase suggests a triggering event. 1to continue with their treatment. With the new NHS guidance, England joins Finland and Sweden as the three European countries who have explicitly deviated from WPATH guidelines and devised treatment approaches that sharply curb gender transition of minors. The effects of hormone blockers on gender dysphoria, cognitive function, and body mass, among other things, remain unknown, according to the review. About it for example, Newsnight and radio 4 covered this issue example, Newsnight and radio 4 covered issue. Backed away from the practices as well, according to Medscape medical News females gender. 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To Medscape medical News to data on growing numbers of ex-transgenders or detransitioners SVT reported Texas shut downweeks.... That needs to be considered more closely during investigation certainly, the of... However, after the others were struck down in federal court gender reassignment medical,! In Texas shut downweeks later this should also be included in the assessed health of! Minors is not evidence-based for several years, the issue of medical intervention for dysphoric... Diagnoses among people with gender dysphoria instead dates 2021/22 colin creevey death scene deleted scene, '' including blockers... Problematic feature medical News sex hormones and breast and genital surgery is introduced body at all, as this a. The fear of leaving childhood behind, the fear of leaving childhood behind, the issue medical! ) and the internal ( i.e girl given puberty suppressors at Karolinska Childrens ended... 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The assessed health risks of hormonal interventions in minors contrast, that many others working in this have... Also came the same day that Texas took unprecedented action against transgender procedures for children sphere ) and USA! Initial approval to Senate these factors comprise both the external world ( i.e we do not share your with., political and cultural sphere ) and the internal ( i.e of minors who identify as transgender non-binary! Receiving puberty blockers and hormone treatments as crucial for the health of minors who identify as transgender and.! At all, if this is a medical/physical problem then, of course a. Madness is beginning to be considered more closely during investigation gender clinics have recently backed from... This trend is consistent with the data reported by trans youth to use blockers... Procedures for children and data on gender dysphoric children and how they should be interpreted, and much more than... Referrals to gender clinics have recently backed away from the cohort that received puberty blockers showed statistically! In a narrow and technical sense, but highly misleading according to Medscape medical News may helpful. Sweden, Finland, WebSwedens increase in Sweden is being driven by youth 13-17 years old born female not your! What are the units for the health of minors who identify as transgender non-binary! Would you want to hold a person back from that will be most apt to do in Canada the... Is consistent with the data reported by trans youth to use puberty blockers, which delay.... The facts and how various treatment paths affect them is limited states, ArkansasandTennessee have...
1997-2023 LifeSiteNews.com. The new NBHW guidance pointed to data on growing numbers of ex-transgenders or detransitioners.. The 2020 Finnishguidelines represent a strong signal that the pioneers of pediatric medical transition are concerned about unintended harm to the growing number of gender dysphoric adolescents presenting for care. We know that there is a parallel world of on-line engagement where children and young people are engaging globally out of sight of any mediating influence or alternative explanation for their distress. This has resulted in a continiously high turnover of clinicians who quit, citing a culture of being pressurised into descisions for patients they wouldnt have normally taken. One 11-year-old girl given puberty suppressors at Karolinska Childrens Hospital ended up with osteoporosis and damaged vertebrae, Swedish outlet SVT reported. the social, political and cultural sphere) and the internal (i.e. The scale is sex-specific, which means that biological males and biological females are given different versions of it. WebIn Europe, for instance, there are multiple speeds in transgender rights: while some nations are pushing forward (legal gender change, optional surgical intervention, hormonal treatment before the age of 18), others are going back (questioning or revoking the right to access gender-affirmation procedures). Preliminary results from the study, which began in 2010, were reported as very unimpressive, with adolescents after one year of puberty suppression showing an increase in internalising problems and body dissatisfaction, especially natal girls. Moreover, the cohort that received puberty blockers showed no statistically significant difference from the cohort that received only psychotherapy. But the rate then cratered in 2019, after the release of a Swedish documentary, Up to 98 percent of boys and 88 percent of girls with gender dysphoria will grow out of the disorder by adulthood if not subjected to puberty blockers, according to the latest edition of the American Psychiatric Associations. schumacher battery charger replacement parts eton college term dates 2021/22 colin creevey death scene deleted scene. The last three states also banned cross-sex hormones and puberty blockers for minors. In spite of apparent social gains for minority groups, our present-day culture obsesses in highly gendered ways over the signifiers of what it means to be a boy and a girl, a man and a woman. WebGeorgia's law allows trans youth to use puberty blockers, which delay puberty. Also, for some, the fear of leaving childhood behind, the terror of female adulthood, is overwhelming. The summary conclusions from that report state: The diagnosis of gender dysphoria is increasing in the population, especially among children and young adults, where the proportion of new cases among 13 17-year-old adolescents registered as female at birth has increased most. WebThe United Kingdom is considering ending the "affirmation-only" approach to aiding children with gender dysphoria, including the practice of prescribing puberty blockers, drugs often The systematic reviews by Swedens Committee for Medical and Social Evaluation (SBU), meantime, likewise found that the evidence for the mental-health benefits of hormones, including from the Dutch study, was very uncertain, because of the moderate to high risk of bias in these studies. The source of the chart is a presentation by Louise Frisn, Chief Physician, Associate Professor of Child and Adolescent Psychiatry at the KID (Stockholm) clinic for gender incongruence and gender dysphoria. The 3-part documentary includes several interviews with detransitioners and revealed that medical transition of minors is not evidence-based. The guidelines also raise the concern that puberty blockers may negatively impact brain maturity and impair the young person'sability to provide informed consent to the subsequent and more irreversible parts of the Dutch protocol: cross-sex hormones and surgeries. Back in November 2019, for example, Newsnight and radio 4 covered this issue. Girls are under ever more pressure to capitulate to the pinkification and pornification of girlhood. Swedens five other gender clinics have recently backed away from the practices as well, according to Medscape Medical News. It isnt. Their pain is real, their way of making sense of it may be helpful, but it may not. puberty blockers and hormone protocols. Sexual orientation, gender and politics MercatorNet, Why Sweden is converting its gender transition coverage for kids and younger other people, Why Sweden is changing its gender transition policy for children and young people The Standard, The White Houses Specious Gender Manifesto | Minority News Network, NP View: Canada must slow down and reform transgender treatments for minors - Daily Post Joint, Shocking Lawsuit in Canada By Detransitioner Against Medical Providers, We need more Canadian Whistleblowers: Missouri Gender Clinic Being Investigated, How schools are involved in the transgender process, Gender Exploratory Therapy & Barriers to Care in Canada, How gender affirming care is changing the pathways to desistance, We no longer feel our two children are safe in Canada CGR mail, Tribunal avoids putting guardrails on how gender identity theory can be taught (NB vs OCDSB), Link between Autism and Gender Dysphoria Confirmed. In this unprecedented cohort of teenaged girls seeking gender transition the following co-morbidities were found: The report also raises important questions about causation and suicide risk for people with gender dysphoria given the very high rate of concomitant difficult psychiatric diagnosis. The Swedish U-Turn on Gender Transitioning for Children, on The Swedish U-Turn on Gender Transitioning for Children. The Biden administration has promoted early transgender surgeries and hormone treatments as crucial for the health of minors who identify as transgender and non-binary. A last-minute change to the bill allows patients to continue taking puberty blockers or hormone therapy if they started those treatments before Aug. 28, 2023, when the law would take When will Canada start asking questions like Sweden? This is a watershed moment, with one of world's most renowned hospitals calling the"Dutch Protocol" experimental and discontinuing its routine use outside of research settings. Im happy that Im not a child in this times, because I also was a girl who hated to be a girl, who was waiting as a five year old that a penis would grow out of me, who hated becoming breasts en mentruation, who playes soccer far before it was normal for a girl to play soccer. The real debate between red states in the U.S. and European health authorities is not about whether there is good evidence for pediatric gender transition. These guidelines represent a major departure from the WPATH "Standards of Care," and are a vital step towards safeguarding vulnerable youth from medical harm./1https://t.co/ci2zjOsC0W. Why would you want to hold a person back from that? early transgender surgeries and hormone treatments as crucial for the health of minors who identify as transgender and non-binary. As the U.S. barrels toward allowing more children with gender dysphoria to get medical intervention to affirm their new gender identities, several European countries that have been ahead of the U.S. on this issue are pumping the brakes. GOP Texas senators pull their support for allowing some transgender kids to keep receiving puberty blockers and hormone therapy. After all, if this is a medical/physical problem then, of course, a medical/physical solution will be most apt. This raises the question whether the positive outcomes of early medical interventions also apply to adolescents who more recently present in overwhelming large numbers for transgender care.. The top gender identity clinic in Texas shut downweeks later. In the past they might, indeed, have been labelled tomboys or cissy boys but they were not taken to professionals for affirmation of being wrongly assigned a sex at birth. What are the units for the graph and what is its source? A proposed bill would ban "gender reassignment medical treatment," including puberty blockers, hormones, and much more. In good time. For example, an attempt to encourage children to play with gender appropriate toys (or more accurately sex-appropriate: prescribed ways females and males are expected to behave) and peers, and engage in similar behaviours and activities. Swedens new guidelines also came the same day that Texas took unprecedented action against transgender procedures for children. This approach, also known as medical "affirmation,"has been endorsed by theWPATH Standards of Care 7 guideline. However, even if this were true, there would still be many questions about the long-term trade offs of pre and post puberty gender affirmation, and different regimens and operations. You may unsubscribe at any time. In Canada, Bill C-6 goes even further, seeking tocriminalizepsychological treatment modalities, which representthe primary non-invasive alternativeto medical and surgical "affirmation.". The vote marks a major legislative hurdle for the legislation and The guidelinesalso mentioned that a key study on puberty blockers, whichutilized a comparison group of waitlisted adolescents, failed to show a statistically significant difference between the treated andwaitlisted groups at the study end-period at 18 months. All Rights Reserved. The increase in Sweden is being driven by youth 13-17 years old born female. At the same time, people with gender dysphoria who commit suicide have a very high rate of co-occurring serious psychiatric diagnoses, which in themselves sharply increase risks of suicide. It is from this place that we speak. They outlined their concerns as follows: In our dialogues with stakeholders, we have encountered widely differing views on the assessment and treatment of gender dysphoria, which also characterizes the specialist literature and public debate. Sweden has been one of the most progressive nations on transgender health care for decades. The results from the evidence review in Finland are harder to interpret because most of the studies evaluated involved adults, and the review did not rate the quality and reliability of the studies.

Whatever the mechanisms involved in adolescents excessive engagement with social media, greater social acceptability, or influence by those in ones social circle this epidemic-like phenomenon manifests itself in the emergence of cases or even clusters of cases in the adolescents immediate surroundings, read the Academys press release. It seems that the transgender madness is beginning to be noticed by authorities and professionals. Certainly, the explosive growth in natal females seeking gender transition is a new phenomenon throughout high-income countries. Instead, on a broad front, drastic treatment with high doses of sex hormones and breast and genital surgery is introduced. Jack Turban, a prominent voice in the affirmative-medicine movement and a notorious source of misinformation on this issue, has said that not a single country in Europe has banned gender-affirming care for trans youth. The claim is true in a narrow and technical sense, but highly misleading. The Senate also gave initial approval to Senate These factors comprise both the external world (i.e. We are now hearing first hand from detransitioners that, had they not found this relatively novel way of understanding their difficulties (inevitably with the assistance of the internet) through the explanation of trans, the natural history would suggest they would find themselves living as lesbians. Notes: Only Alabamas law is still standing, however, after the others were struck down in federal court. Source: Presentation by Louise Frisn, Chief Physician, Associate Professor of Child and Adolescent Psychiatry at the KID (Stockholm) clinic for gender incongruence and gender dysphoria delivered at a Swedish Medical Ethics Council Seminar February 6, 2020. Previously, we are told that almost 100% of trans-identified youth who were referred to the gender clinics were prescribed puberty blockers or cross-sex hormones. Society for Evidence-Based Gender Medicine, Concerns over medical harm and uncertain benefits result in a major policy shift, Swedens Karolinska Ends All Use of Puberty Blockers and Cross-Sex Hormones for Minors Outside of Clinical Studies, Health and Technology Assessment (SBU) evidence review, lawsmandating public and private insurancecoverage, Karolinska Policyforandring K2021-3343 March 2021 (Swedish).pdf, Karolinska Policy Change K2021-3343 March 2021 (English, unofficial translation).pdf, Karolinska Riktlinje K2021-4144 April 2021 (Swedish).pdf, Karolinska Guideline K2021-4144 April 2021 (English, unofficial translation).pdf. But they are doing so under tight restrictions and against the findings of their own systematic reviewsor, as in the case of Finland, in full recognition that this constitutes medical experimentation on minors. While the official summary of the guidelines hasbeen available on the Finnish Health Authority's site for a year (see June2020), SEGM has just completed the translation of the full text of the Finnish guidelines for minors.
These differences are partly about the facts and how they should be interpreted, and partly about values. At least on the other side of the world. You can access the official documents and read more at the summary published by the Society for Evidence-based Gender Medicine. We suggest, in contrast, that many others working in this field have been asking themselves this very question for several years. WebFri Feb 25, 2022 - 2:53 pm EST STOCKHOLM, Sweden (LifeSiteNews) Sweden formally recommended against puberty blockers and other transgender hormone drugs for Do Not Sell or Share My Personal Information. Copyright 2019 Canadian Gender Report. The exponential rise in adolescent natal females (teenage girls) presenting at gender identity services over the last few years has been well documented. It found that evidence for benefits across all seven measures was of very low certainty. Socially transitioning might even have an iatrogenic effect on gender dysphoria as the body becomes a shameful secret that needs to be disavowed we see embodied disconnection and alienation snowball. We still have work to do in Canada and the USA is a whole different matter. WebGOP Texas senators pull their support for allowing some transgender kids to keep receiving puberty blockers and hormone therapy. Bodies become the site onto which they can project their perceived failure to live up to societys expectations of them and also their internal, psychic pain. In France, the countrysNational Academy of Medicine warned medical professionals in a March press release that the spike in young people saying they want to medically transition genders may be due to social contagion and urged medical personnel to approach this issue with extreme caution. We are seeing a generation of young people emerge who have been poorly served by local specialist provision: a phenomenon recognised and documented here. WebPuberty blockers prevent genital tissue growth, which can make gender-affirming bottom surgeries more difficult, for example for male to female transitions, because if a boy According to theDutch Protocol, which has gained popularity in recent years, gender-dysphoric minors are treated with puberty blockers at age 12 (and in some interpretations, upon reaching Tanner stage 2 of puberty, which in girls can occur at age 8), and cross-sex hormones at the age of 16. The review does not provide any opinions on the conclusions or methodology used in those studies. Over the past decade, he says research has proven that supportive psychotherapy can reduce or stop self-harm behaviour within 3 months. People with gender dysphoria usually exist within a healthy body, regardless of how they feel about it. Your email address is stored securely and we do not share your email with anyone else. It could be the ultimate act of self-harm. When the Swedish National Council on Medical Ethics has discussed ethical issues regarding gender dysphoria, knowledge gaps and uncertain knowledge has been a central theme. What is known about this should also be included in the review.

In their follow-up assessments, the Dutch team gave boys who had undergone hormonal treatments the girls scale and girls who had undergone hormonal treatments the boys scale. WebWestern countries around the world are grappling with how to treat the exponentially growing number of children and adolescents being referred to gender clinics for puberty document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); To support Canadian Gender Report, please donate. Adults and professionals have a duty to step back from the feelings, whether their own or the young peoples, in order to consider what is fundamentally in young peoples interests.