*just published*

New analysis of Dutch and UK outcomes for early pubertal suppression concludes that "results were more negative than positive for the English females”, who became more dissatisfied with their bodies.

https://rdcu.be/b5hsT 
>>">https://rdcu.be/b5hsT&quo...
It "question[s] widespread assumption that outcomes from Netherlands can be generalised to other countries” 20+yrs after Dutch model was introduced, “strongest evidence for treating GD with GnRHa comes from observations of between 41 & 57 subjects - lacking any control group”
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Our NHS gender service now treating thousands of children each year for gender dysphoria (GD) must be able to rely on good quality evidence, to assure families and society that good outcomes will ensue.
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But as GIDS psychologist Dr Aidan Kelly said in a 2018 lecture: ”We are putting responsibility back on the family because we don& #39;t have the evidence base to say & #39;it& #39;s these kids, or it& #39;s these kids& #39; or how we can pick out which kids should go forward & which kids shouldn& #39;t"
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"It can often mean you& #39;re signing up to be a patient for the rest of your life. In a way, you& #39;re taking what& #39;s essentially a physically healthy body […] & you& #39;re introducing medication and making it dependent on medication, so ethically it& #39;s really quite a complicated area"
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Since, as 2 other GIDs therapists put it, "Young people access our service with the clear expectation of being entitled to a physical, concrete medical ‘cure’ that will offer respite & a solution to the pains of growing up", we feel that the ethics are indeed highly questionable.
As Profs Byng & Bewley wrote, there is a “collective failure to determine whether & when we should prescribe puberty blockers... commissioners, service providers, & research institutions have failed this vulnerable group of people"
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