“We’re flying blind. We’re conducting uncontrolled experiments on the bodies of children,” says one doctor
Save time by listening to our audio articles as you multitaskShe booked her daughter into a local gender clinic. Before their first visit, a social worker phoned “to go through the informed consent for the hormones”. “I was completely shocked that this was the approach to a child who was questioning their gender,” says Dr Clark. “I just didn’t know what ‘gender-affirming care’ meant. It sounds so beneficial and positive.
Looking for support, she turned to the American Academy of Paediatrics , but found the gender clinic was, in fact, followingguidelines. They state that children should be affirmed in the gender they say they are, and treatment can comprise social and medical transition, including puberty blockers, cross-sex hormones and surgery. “I feel completely betrayed by theShe is one of a growing number of doctors who are starting to push back against the apparent medical consensus on transgender issues.
Other medical organisations, such as the Endocrine Society and the World Professional Association for Transgender Health , also have pro-affirmation guidance.in December released a draft of its new Standards of Care. It suggests lowering the age of eligibility for cross-sex hormones to 14, for surgical removal of breasts to 15 and of testicles to 17.
The American situation contrasts with Europe, where some medical groups are moving in the opposite direction. In 2022 Sweden said it will not give blockers or hormones to anyone under 18, with a few strict exceptions. Finland discourages medicalisation for those under 25. Both now prioritise therapy. Britain has launched a review of child services by Hilary Cass, a former head of the Royal College of Paediatrics.
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