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Clinicians analyse key problems in the current paradigm of diagnosing and treating gender dysphoria in young people

A clinician explores the ways that the "affirmative" paradigm is poorly suited to the task of understanding gender dysphoria in young people.

SEGM Summary Clinicians analyze key problems in the current paradigm of diagnosing and treating gender dysphoria.

Clinicians explore alternative approaches to the "affirmative" paradigm for understanding and treating young people with gender dysphoria.

A clinician critiques a policy statement produced by the American Academy of Pediatrics, highlighting where relevant literature has been ignored, distorted or mis-represented.

Internationally, a growing number of European countries have retreated from the "gender-affirming treatment model" for children and adolescents due to concerns about a lack of evidence of benefits and increasing evidence of harms of these interventions. These developments have largely been...

SEGM Summary:

Puberty blocking drugs seemed to improve psychological functioning (not mentioned: youth were also receiving psychotherapy) but did not alleviate gender dysphoria. Little is known about the psychosocial effects of giving young people puberty blockers or cross-sex hormones....

This prospective but uncontrolled observational study investigated the effect of GnRH agonist therapy alone or with subsequent cross-sex hormone administration on markers of bone turnover, apparent bone density (BMAD) and bone density z-scores, with analysis of subjects started early (Tanner...