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The Zembla investigation reveals that the scientific evidence for the treatment of transgender youth is insufficient. Concerns also exist regarding the impact of treatment on brain development, with research on this topic being announced seventeen years ago but never conducted. Puberty blockers are used to pause puberty in children with gender dysphoria, allowing time for reflection before irreversible hormone treatments and surgeries. However, the effectiveness of these blockers is questioned, and their potential effects on brain development remain unknown. Limited research suggests that they may influence brain development, but the implications for adolescents are unclear. Further research is needed to provide clarity and inform decision-making for transgender youth.

Children can begin to understand differences in gender at a young age. Some figure out their gender identity early on, which may not align with their assigned sex at birth. The assumption that a child is definitively male or female based solely on their genitals is incorrect.

When a child expresses gender dysphoria, it should be seen as a mental health issue, not just a matter of gender identity. Society should focus on addressing the underlying causes, rather than affirming confusion. Gender dysphoria spreading in schools is more related to mental health than biology. Chromosomal abnormalities like Jacob or Klinefelter syndrome are exceptions and should be acknowledged separately. Viewing gender dysphoria as a mental health condition can lead to better outcomes for individuals and society as a whole.

Gender affirmative care is deemed medically necessary, safe, and effective for transgender and non-binary individuals. Attacks on the LGBTQI+ community, particularly trans youth, are driven by an agenda unrelated to science and medicine. These politically and ideologically motivated assaults contradict the vast body of scientific evidence.

When a child experiences gender dysphoria, there is a disconnect between their feelings and the gender assigned at birth. This issue is serious, as transgender adolescents have a significantly higher suicide rate—almost eight times that of their cisgender peers. The AAFP's focus on drugs, hormones, and surgical interventions, rather than a more conservative approach like psychotherapy, is concerning. This approach is seen as unethical and inappropriate, highlighting the need for a broader perspective on treatment options.

The discussion revolves around the acceptance of transgender individuals, with one side arguing for the freedom to identify as desired and the other expressing concerns about children making irreversible decisions. The debate touches on the correlation between autism and transgender identity, as well as the potential harm of medical interventions on young individuals. The conversation also delves into the comparison of gender identity to other forms of self-identification. Ultimately, the disagreement centers on whether supporting transgender individuals is progressive or regressive.

I believe transgenderism is a mental health condition, but I support open conversation. I met two young women who had regretted their decision to have surgeries as teenagers. I think adults should have the freedom to live as they choose, but we must protect children.

Transgender ideology claims that people can be born into the wrong body, but this is not supported by the fact that human sexuality is binary. Reproduction requires a man and a woman, as indicated by the sex chromosomes. Gender identity is a matter of thoughts and feelings, which can be factually correct or incorrect. Persistently believing in a false identity is considered a delusion, such as thinking one is Margaret Thatcher or a cat. People with body identity integrity disorder believe they are amputees trapped in a normal body. Wanting to remove healthy breasts and genitals is seen as transgender, not a mental illness. The transgender rights movement is using individuals with disorders of sex development to advocate for a civil right to mental illness, which does not exist.

In order for therapies for gender dysphoria to become mainstream, the definition of the condition needs to change. In the past, transgenderism was considered a mental illness and treated as such. However, in 2013, the American Psychiatric Association changed the nomenclature from transsexualism or gender identity disorder to gender dysphoria. This change removed the term "transsexual" and shifted the focus away from pharmaceuticals and surgeries. Without these interventions, the condition is essentially reduced to being a transvestite or cross dresser. This was the understanding of the condition for many years.

A child will often know that they are transgender from the moment that they have any ability to express themselves, and parents will often tell us this. We have parents who tell us that their kids, they knew from the minute they were born practically, and actions like refusing to get a haircut or standing to urinate, trying on siblings' clothing, playing with the quote opposite gender toys, things like that. There is more and more a group of adolescents that we are seeing that really are coming to the realization that they might be trans or gender diverse a little bit later on in their life. So what we're seeing from them is that they always sort of knew something was maybe off and didn't have the understanding to know that they might be trans or have a different gender identity than the one they had been assigned. So that is a growing population that we are seeing and that's being recognized as being trans and able to be treated.

There has been a 5000% increase in adolescents suddenly expressing discomfort with their bodies, which parents report seems to appear "out of the blue." This rapid onset gender dysphoria is often found in kids with conditions like autism, depression, anxiety, trauma, or abuse, and in difficult family situations. This phenomenon tends to happen in clusters, with many kids identifying as transgender or non-binary having friends who also identify that way. This suggests an element of social contagion, where feelings, behaviors, or beliefs spread within a friend group. Some children's social lives are primarily online, where they are influenced to question their identity and assume a new one, sometimes by older individuals.

Detransition is often portrayed negatively, but research shows that it is not necessarily traumatic with proper support. The Trans Youth Project, a longitudinal study on trans youth, found that retransitioning is not experienced as traumatic when there is a supportive environment. If individuals are allowed to explore their gender identity without judgment, they are generally fine. Most of this exploration happens before any medical interventions are made. Retransition and detransition are about letting people see themselves and supporting them in their journey. If gender nonconformity wasn't stigmatized, detransition would be more accepted. These important considerations about detransition are not widely shared.

"Puberty blockers work at the level of the pituitary gland and they actually suppress the release of the LH and the FSH so that the sex organs are no longer stimulated." "The main benefit is that they prevent the unwanted permanent effects of puberty, and thus future surgeries can be avoided as an adult." "They are also reversible, and thus if the patient decides to stop using pubertal blockers, their endogenous puberty will resume as previous." "Using pubertal blockers can alleviate the depression or worsening gender dysphoria that is often associated with progressing pubertal changes." "Lastly, the use of puberty suppression is recommended by the Pediatric Endocrine Society in their clinical guidelines for the treatment of transgender and gender diverse youth." "The practice of using puberty suppressors in transgender youth is new." "Since the first clinical guidelines were only published in 02/2009."

Concerns arise about the influence of pharmaceutical companies on psychiatric diagnoses, particularly regarding child dysphoria. Children, who are not allowed to make significant decisions like getting tattoos or drinking alcohol, are being encouraged to change their gender. Studies on puberty blockers indicate they do not improve mental health and may have severe side effects, yet this information is not being published. There seems to be a cultural trend among certain demographics, particularly affluent white progressives, where identifying as trans becomes a social signifier. This shift may lead parents to rationalize their child's gender identity as a way to engage with social issues. Normal adolescent confusion is being medicalized, risking irreversible consequences for children who may later regret their decisions.

Michigan Medicine strives to be a safe, welcoming place for transgender individuals and to provide excellent health care regardless of gender. The goal of this video is to improve the comfort and competency of frontline staff in caring for transgender individuals. We will start by talking about gender identity, challenges the transgender community has faced in the health care system, and Michigan's policies regarding gender non-discrimination. The second half of this training is job specific. To discuss gender identity, it is important to understand the difference between sex and gender. Sex refers to one's reproductive organs, native hormones, and chromosomes, while gender identity refers to one's internal sense of gender, a person's basic sense of being a man or boy, a woman or girl, or another gender. Gender identity can be expressed by how individuals present themselves socially, including clothing, physical characteristics, speech, and mannerisms. All people, whether they are transgender or cisgender, meaning not transgender, have a gender identity and expression. Transgender is a term for individuals whose gender identity differs from the gender identity typically associated with their sex assigned at birth. There are many identities that fall under the umbrella of transgender. Transgender men, trans men, or trans masculine refer to people who are assigned female sex at birth but identify as men or masculine. Transgender women, trans women, or trans feminine refer to people who were assigned male sex at birth but identify as women or feminine. Other individuals may identify as genderqueer, agender, genderfluid, two spirited, bigender, or another identity that does not fit neatly into the categories of men or women. All major American medical societies, including the American Medical Association and American Psychological Association, endorse gender affirming care as the standard of care for transgender individuals. This means caring for people in a way that supports their gender transition and gender identity. Transgender people may undergo any one of a number of gender affirming medical interventions, including hormonal therapies like estrogen, testosterone, or hormone blockers, and surgical treatment to change body contours or genitalia. However, it is important to note that one does not have to undergo any medical or surgical treatment to be transgender. Some people are easily read as the gender they affirm while others are visibly gender non conforming or androgynous appearing.

No doctor is being forced to provide medication to adolescents; they are choosing to treat their patients based on the best available evidence. Many young people have known their identities from a very young age and have suffered for years before finding relief. It's important to note that it is the parents who consent to this treatment, driven by love and concern for their suffering children. Parents are following the advice of medical professionals and doing what they believe is best for their kids. The situation in Tennessee has created challenges for these families.

"Sometimes it may be just a phase of development where they're exploring their gender identity and they're kind of getting a sense of who they are, but a lot of children do end up identifying as that gender into young adulthood and adulthood." "The only real way we know for sure that they're going to continue in that gender identity is just to allow them to develop over time." "And so that's what we recommend to parents is to give them the space." "Even if parents are concerned that it's a phase, we never want to tell the child that they shouldn't be expressing their gender identity or that they should be, ashamed for the way that they're expressing their identity because that can be quite harmful." "We just want to give the child a chance to develop and explore on their own."

There is a default setting for humans regarding male and female, but it's important to recognize that not everyone fits into this binary. While we should compassionately support those who don't conform, we also need to acknowledge biological realities. Children often lack the understanding to navigate these complex issues, and no parent desires to face such difficult choices. The perception of being transgender may seem trendy today, but it's not a choice made lightly. The prevalence of gender identity issues can vary by location, potentially influenced by societal acceptance or suppression. This phenomenon can be likened to the historical suppression of left-handedness, which increased once society accepted it as normal.

Affirmation of gender identity is not a binary concept, similar to health, safety, and welfare. Family courts and judges consider the overall situation, and if both parents accept their child's gender identity, it won't heavily influence the decision. Gender affirmation varies for each person, but family acceptance and social support are crucial. It's important to recognize that people, regardless of age, are constantly evolving and changing. What affirmation means at one stage of growth may differ significantly from another stage.

Being born in the wrong body causes immense suffering and various disorders. Transitioning is not a choice, just like being gay. It's not something one wakes up and decides to do. It causes distress, suicide, and mental health crises until individuals find the courage to be their true selves. Offending trans women is not the intention, but rather acknowledging their existence. Comparing it to putting a sticker saying "lesbians don't have penises" is off-topic. The point is not to look at the sticker, as it implies that trans women are an idea and not real.

If you're transgender or nonbinary and feel uncomfortable with your puberty experiences, you're not alone. Puberty blockers can temporarily halt the changes caused by hormones like testosterone and estrogen, giving you more time to figure out your gender identity. It's okay to not have all the answers right now, as understanding yourself takes time. Talking to a trusted adult, nurse, or doctor can be helpful. To learn more, visit plannedparenthood.org/teens.

Most people detransition due to lack of social support and societal stigma, not because they're not trans. Transphobia and the difficulties of living as a trans person lead them to detransition in search of a more peaceful life. This highlights the impact of anti-trans rhetoric, as detransitioning is mostly not a result of someone not being trans. It's crucial to acknowledge this.

Transgender is an umbrella term to describe a person that feels a mismatch between their body characteristics and their gender identity. Until recent years we used to think of a gender as a binary thing, either a female or a male, but now we understand it's a little bit more complicated than that. It's actually composed of four different things. The first one is gender identity, which is how you define your gender in your own hand and how you feel about it. The second one is gender expression and how you express yourself, meaning how you dress up, what kind of a hairstyle you have, and how you talk. The third one is sexual orientation. And the fourth one is actually your body characteristics, including your chromosomes, your genitalia, and other secondary body characteristics like breasts and shoulders and width of your body.