Thread by @justdad7

Affirming gender clinics claim that there practices are endorsed by professional bodies such as the Endocrine Society. In fact, all but one of the recommendations of the Endocrine Society are based on low quality or very low quality evidence. /2
academic.oup.com/jcem/article/1…

Furthermore clinics are ignoring key parts of the recommendations. The guidelines recommend that gender incongruence in children and teens be diagnosed by a mental health professional. Many clinics use only a short interview with a social worker or nurse practitioner. /3

The guidelines also recommend that decisions on social transition of prepubtertal youths be made with the assistance of a mental health professional . In fact, this decision is often made by parents, without medical advice, or by the school, without consulting the parents. /4

The guidelines also recommend counseling on fertility preservation and regular monitoring of physical and mental health, none of which happen in practice according to multiple reports from parents and detransitioners. /5

The guidelines warn that clinicians should avoid harming patients via hormone treatment who have conditions other than gender dysphoria and who may not benefit from the treatment. /6

While I question the value of the bills in the U.S. to impose a total ban on medical transition of minors, it is clear that the impetus behind these bills would be much less if the medical profession had actually been following the recommendations of its professional bodies.

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