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Children and young people's gender services Evidence Based Healthcare International perspectives open letter

Urgent Call to Review Youth Gender Medicine Standards in Australia

The Australian Doctors Federation urges health professional bodies to reconsider the “gender affirmative treatment” model for youth, citing evidence from reviews like the UK Cass Review. Concerns about puberty blockers and hormone treatments’ risks have led several countries to restrict their use. The Federation advocates for psychosocial support as the first-line intervention.

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Children and young people's gender services Ethics Evidence Based Healthcare Homepage slider International perspectives review

Evaluating Paediatric Gender Dysphoria Treatments: An Evidence-Based Review from the United States

On May 1, the US Department of Health and Human Services released “Treatment for Pediatric Gender Dysphoria: Review of Evidence and Best Practices,” which was commissioned by a Trump administration Executive Order. This comprehensive review assesses current evidence on treating paediatric gender dysphoria, emphasizing the importance of compassionate, evidence-based care tailored to children’s and adolescents’ needs. It highlights the risks of paediatric medical transitions, questioning their benefits and critiquing the “gender-affirming” model of care used in the US. The review also discusses ethical considerations, advocating for psychotherapy as a safer alternative. It aims to inform policymakers, clinicians, and families amid growing international concern about paediatric medical transitions.

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Comment and Analysis Evidence Based Healthcare International perspectives Research

Scandalous suppression of research on transgender health

The World Professional Association for Transgender Health (WPATH) has suppressed evidence that contradicts its policies, influenced by activist clinicians. Unsealed documents reveal WPATH’s efforts to control Johns Hopkins University’s research findings and remove age thresholds for treatments. WPATH’s guidelines lack rigour and evidence transparency, and its influence in the World Health Organization transgender guideline development group poses reputational risk to WHO. The revelations suggest a need for health providers to disassociate from WPATH’s influence to avoid potential harm and legal issues.

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Comment and Analysis Evidence Based Healthcare International perspectives

Letter to WHO expressing new concerns about influence of WPATH on transgender guideline development

The World Professional Organisation for Transgender Health (WPATH) faces allegations of research malfeasance, prompting concerns about its influence on the World Health Organisation’s (WHO) transgender health guideline development group. CAN-SG wrote to WHO urging it to suspend the guideline development process, citing a serious reputational risk.

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Children and young people's gender services Comment and Analysis Ethics Evidence Based Healthcare International perspectives

WPATH files

Recently released documentation of internal discussions between members of the World Professional Association for Transgender Health, including authors of WPATH’s Standards of Care, reveal profound ignorance and lack of concern for the harms and lack of evidence for gender medical and surgical interventions, and a shocking disregard for medial ethics. The WPATH Files Leaked internal […]

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Evidence Based Healthcare International perspectives official statement

CAN-SG statement on the proposed WHO guideline for the health of trans and gender diverse people

BREAKING Extended deadline for feedback on development of a WHO guideline on the health of trans and gender diverse people. Submissions now close 2 Feb 2024 In June 2023, the World Health Organisation (WHO) announced it was planning to develop a guideline on the health of trans and gender diverse people; a further notice on 18 December […]

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International perspectives Reviews youth gender transition

Documentary raises serious concerns about Ireland’s youth gender care

A recent documentary aired by Ireland’s national broadcaster RTÉ brought to light concerns raised by leading doctors of Ireland’s Adult National Gender Service (NGS) regarding the treatment of Irish children with gender dysphoria. Their concerns have largely been ignored. Dr Moran and Prof O’Shea have lodged a formal complaint against the HSE with the health standards watchdog in Ireland(HIQA) alleging that the HSE have directed children from Ireland to gender clinics abroad which adhere to a model of care which can harm children, an allegation which the HSE firmly denies.

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Children and young people's gender services Comment and Analysis International perspectives

The 2023 Dutch Debate Over Youth Transitions

Medical, legal, and cultural debate over the practice of youth gender transitions has come to the birthplace of the Dutch Protocol The following is an extract from an article on the Society for Evidence Based Gender Medicine’s website about the beginnings of discussion and debate in the Netherlands about the practice of gender transition in […]

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Ethics International perspectives

Gender dysphoria: Reconsidering ethical and iatrogenic factors in clinical practice.

A recent review paper by Halasz and Amos in the journal Australasian Psychiatry, gives a history of the GIDS service at the Tavistock centre from its inception in 1989 to its closure in 2022 and compares “gender-affirming” and “comprehensive care” approaches. The term “gender-affirming care” refers to social, medical and surgical interventions that change the […]

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Comment and Analysis International perspectives

Denmark Joins the List of Countries That Have Sharply Restricted Youth Gender Transitions

This article appeared on the website of the Society for Evidence Based Gender Medicine and is reproduced here with their permission. segm.org 17 Aug 2023 The journal of the Danish Medical Association “Ugeskrift for Læger” confirms the change has occurred quietly but resolutely A major medical journal Ugeskrift for Læger,  the Journal of the Danish Medical Association, […]

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International perspectives Reviews

Genspect Bigger Picture Conference

Kilarney April 2023 Review by Robin Ion I spent four days at the end of April 2023 at the Genspect Bigger Picture conference in Kilarney, Ireland. The aim of the event was to promote exploration  of how best to support people who experience gender dysphoria, including those who have regrets about social and/or medical transition […]

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Ethics informed consent International perspectives review

What is the informed consent model in gender care? 

Informed consent is the bedrock of medical practice and indicates the explicit permission a patient gives for a specified medical intervention. Consent can only be granted following discussions about the anticipated consequences of the proposed treatment, potential risks and benefits, and the outcomes of alternative treatments including no treatment. The courts regard notions of consent […]