The US administration has issued a series of statements endorsing medicalised gender change for minors, & claims that puberty blocker drugs & cross-sex hormones are "evidence-based".
In other countries, there's a shift to caution about these interventions. Who's got it right? 1/
Sweden: "The National Board of Health & Welfare in Sweden has urged 'restraint' in the use of hormonal drug treatments for medicalised gender change with minors, warning that the risks appear to outweigh the benefits." genderclinicnews.substack.com/p/sweden-trans…
The UK: "The evidence for using puberty blocking drugs to treat young people struggling with their gender identity is 'very low", an official review has found ... existing studies of the drugs were small and 'subject to bias and confounding'.". bbc.com/news/health-56…
France: " 'Sterilisation risk' from gender medicine | The French National Academy of Medicine has sounded the alarm about an epidemic-like surge in young people seeking hormone drugs and surgery." genderclinicnews.substack.com/p/sterilisatio…
Finland: "Finland prioritizes psychotherapy over hormones, and rejects surgeries for gender-dysphoric minors." segm.org/Finland_deviat…
Australia & New Zealand: "Psychiatrists have been alerted to the ethical and legal risks of medicalised gender change for young people and the lack of good evidence on whether it helps or harms." theaustralian.com.au/nation/psychia…
And back in the US, top clinicians who *support* gender affirming care -- as long as it involves the safeguard of thorough assessment -- have gone public with concerns about rushed medicalisation of young people. washingtonpost.com/outlook/2021/1…
American journalist @AbigailShrier continues to file worrying reports on paediatric transition, following her bestselling book Irreversible Damage: The Transgender Craze Seducing Our Daughters.
Plus, there are many young Americans among the "detransitioners" who went through medicalised gender change, realised it didn't solve their problems & are now trying to warn other young gender-questioning people not to make the same mistake. Thread ⤵️
France's National Academy of Medicine goes public with concerns about the "epidemic-like" spread of youth gender dysphoria & calls for "great medical caution" in the use of hormonal & surgical treatments. @acadmed@SEGMtweets#GenderClinics 1/
The academy highlights side-effects of puberty blockers followed by cross-sex hormones -- "such as the impact on growth, bone weakening, risk of sterility, emotional & intellectual consequences & for girls, menopause-like symptoms".
Statement in French - academie-medecine.fr/la-medecine-fa…
The academy advises psychological support for youth struggling with gender & warns parents to monitor "the addictive role of excessive engagement with social media", which plays a "very significant part" in the international explosion of teenage gender dysphoria.
"Rather than weaponizing child protective services against loving families, child welfare agencies should expand access to gender-affirming care for transgender children." President Biden on Texas classifying medicalised gender change as "child abuse". 1/ whitehouse.gov/briefing-room/…
.@POTUS stated that "respected medical organizations have said that access to gender-affirming care for transgender children can benefit mental health, lower suicide rates, and improve other health outcomes".
But there is not really good evidence to support "gender-affirming care" -- i.e. gender change with puberty blockers & cross-sex hormones -- according to Sweden's National Board of Health & Welfare, armed with results of an independent expert review.
Swedish health authorities say the claim of low regret after medicalised gender change “no longer stands unchallenged” & cite Lisa Littman's 2021 detransitioners study, where only 24% went back to the clinic to report treatment regret. #Socialstyrelsen 1/ genderclinicnews.substack.com/p/sweden-trans…
US trans clinician Erica Anderson says the world should pay careful attention to Sweden's new cautious policy on puberty blockers & cross-sex hormones for minors. @eanderh@genspect@SEGMtweets
Dr Anderson says the rushed medicalisation of some young people "raises the prospect of a larger proportion of future detransitioners/desisters". @detrans_voices@FtMdetransed@LisaLittman1
.@ABCMediaWatch didn't bother to check & got it wrong. In September, faithful to gender clinic dogma, they dismissed one of my contacts, US endocrinologist Will Malone, as "a conservative Christian doctor from Idaho, who specialises in diabetes".
With remarkable consistency, Australia's public broadcaster the ABC implies that only right-wing Christians are worried about the safety & ethics of medicalised gender change for minors, so that "gender affirming" medicine is not only blessed by science but "progressive".
It's just not true. Concern about unnecessary medicalisation of youth cuts across the social & political divides. The rise & spread of groups of health professionals, parents & detransitioners often with little else in common apart from child welfare is a remarkable story.
In Australia, you'd be forgiven for thinking that the "affirmative" model of medicalised gender change for under-18s has outsourced its media management to the public broadcaster @abcnews@ABCaustralia
Last night @ABCmediawatch was on task again, implying that only Christians are worried about the global spike in atypical cases of gender dysphoria among adolescents, mostly girls. abc.net.au/mediawatch/epi…
Professor of paediatrics John Whitehall was one of my first contacts. I read his Quadrant articles. Since 2015 he has immersed himself in the literature on youth gender dysphoria. He happens to be Christian, but that cannot negate his medical arguments. quadrant.org.au/magazine/2018/…
"(As a parent said to me), 'I’m sick of my daughter in Year 7 coming home & saying to me, 'Dad, English today was gender studies again'. And then when I complain to the school, I feel like a second-class citizen. I can’t get anywhere.” Australian politician @RealMarkLatham 1/
Parliament in the most populous state of NSW has just tabled a committee report into Latham's draft law to expel "gender fluidity" from the classroom. The committee has opted for tighter education policy, rather than a change in the law.
The report recommends the NSW centre-right government to "urgently review & overhaul the Controversial Issues in Schools Policy to afford greater priority & deference to parental rights & to provide, procedurally, more robust protections for parental authority".