Britain Confronts the Shaky Evidence for Youth Gender Medicine – The Atlantic

At the request of the English National Health Service, the senior pediatrician Hilary Cass has completed the most thorough consideration yet of this field, and her report calmly and carefully demolishes many common activist tropes. Puberty blockers do have side effects, Cass found. The evidence base for widely used treatments is “shaky.” Their safety and effectiveness are not settled science.

The report drew on extensive interviews with doctors, parents, and young people, as well as on a series of new, systematic literature reviews. Its publication marks a decisive turn away from the affirmative model of treatment, in line with similar moves in other European countries.

What Cass does feel confident in saying is this: When it comes to alleviating gender-related distress, “for the majority of young people, a medical pathway may not be the best way to achieve this.”

The Cass report’s findings also contradict the prevailing wisdom at many media outlets, some of which have uncritically repeated advocacy groups’ talking points.

Source: Britain Confronts the Shaky Evidence for Youth Gender Medicine – The Atlantic

Alissa’s Story | Cruel & Unusual Punishment | Independent Women’s Forum

Alissa Kamholz said that prison was once her “safe place” away from male rapists who abused her throughout her childhood… until the women’s prison forced her to live with a man. #cruelandunusual @IWF

Source: Alissa’s Story | Cruel & Unusual Punishment | Independent Women’s Forum

Danielle Laidley among advocates to welcome bid to scrap WA Gender Reassignment Board – ABC News

Western Australians will no longer have to undergo medical or surgical reassignment in order to change their sex or gender, under the state government’s proposed law reforms.

The state’s Gender Reassignment Board, which manages applications to legally change a person’s gender, would be abolished under the new laws.

Attorney-General John Quigley said the legislation would bring WA in line with the rest of Australia.

The proposed law reform comes after a landmark investigation into gender-affirming care in England, known as the Cass Review.

It recommended significantly limiting the prescription of medications, known as puberty blockers, for people aged under 18.

Federal health minister Mark Butler described the review’s findings as “significant” but said the clinical treatment of transgender children in Australia was very different than in the UK.

[Ed: Sigh. What will it take for Australian politicians to educate themselves on this issue before introducing further harmful legislation?]

Source: Danielle Laidley among advocates to welcome bid to scrap WA Gender Reassignment Board – ABC News

Halt gender affirmation practices | Victorian Petition

The Petition of certain citizens of the State of Victoria draws to the attention of the Legislative Council that Victoria practices a condemned model of care to address childhood gender dysphoria with no reports of the model being abandoned.

The affirmation model in Victoria is based on the United Kingdom’s National Health Service (NHS) affirmation model for addressing childhood gender dysphoria. The model was considered as one of the benchmarks of care by many but others questioned this model. To resolve this issue, an independent review of gender identity services for children and young people was commissioned in 2020 by NHS England and NHS Improvement and led by Dr Hilary Cass, a retired consultant paediatrician and former President of the Royal College of Paediatrics and Child Health in the United Kingdom. The final report was published on 10 April 2024. The report has condemned the affirmation model, highlighting the lack of evidence to justify its use.

The petitioners therefore request that the Legislative Council call on the Government to halt gender affirmation practices in Victoria.

Source: Halt gender affirmation practices

Iran’s vile way of trying to eradicate homosexuality, gay people | news.com.au — Australia’s leading news site

Death or surgery? It’s a capital offence to be gay in Iran. But gender-change surgery is legal. Now, 4000 Iranians are undergoing the life-changing procedure every year. And many of them are children.

[F]or thousands of “in the closet” Iranian homosexuals and lesbians – an unwanted and unnecessary surgical procedure may save their lives.

The religious government in Tehran insists homosexuality represents ‘Western barbarism’ and is a ‘virus’ that people should ‘kill.’

But a rare quirk of theology and history has combined for a formal – if not willing – acceptance of gender dysphoria.

In a 2022 UN report, Iran Rehman, the UN special rapporteur on the situation of human rights in Iran wrote that members of Iran’s LGBT community “are often advised that their gender nonconformity or same-sex attraction represents so-called gender identity disorder, which necessitates ‘reparative’ therapies or sex reassignment surgeries, to ‘cure’ them.”

Iran has become an international hub for gender reassignment surgery. Up to 4000 procedures are carried out every year. However, some reports state the actual number is much higher as there is no requirement for doctors to be qualified.

Source: Iran’s vile way of trying to eradicate homosexuality, gay people | news.com.au — Australia’s leading news site

‘This isn’t how good scientific debate happens’: academics on culture of fear in gender medicine research | Transgender | The Guardian

Critical thinking and open debate are pillars of scientific and medical research. Yet experienced professionals are increasingly scared to openly discuss their views on the treatment of children questioning their gender identity.

This was the conclusion drawn by Hilary Cass in her review of gender identity services for children this week, which warned that a toxic debate had resulted in a culture of fear.

Her conclusion was echoed by doctors, academic researchers and scientists, who have said this climate has had a chilling effect on research in an area that is in desperate need of better evidence.

Some said they had been deterred from pursuing what they believed to be crucial studies, saying that merely entering the arena would put their reputation at risk. Others spoke of abuse on social media, academic conferences being shut down, biases in publishing and the personal cost of speaking out.

Sallie Baxendale, a professor of clinical neuropsychology at UCL’s Institute of Neurology, received abuse after publishing a systematic review of studies that investigated the impact of puberty blockers on brain development. Her review found that “critical questions” remained around the nature, extent and permanence of any arrested development of cognitive function linked to the treatment.

The lack of high-quality research, highlighted by Cass, has been a subject of growing unease among doctors, according to Dr Juliet Singer, a consultant child and adolescent psychiatrist and former governor of the Tavistock and Portman NHS foundation trust.

In 2020, Singer conducted a survey of specialist child psychiatry trainees, which highlighted concerns about the lack of explanation for the exponential growth in referrals to adolescent gender services, the lack of long-term outcome studies on treatments, and insufficient evidence on the long-term effects of hormone blockers.

“There’s been a shutting down of anybody who has suggested we need to think about a deeper understanding of why these young people are in such distress,” she said. “It’s been remarkable the difference from other ordinary clinical practice.”

Another senior researcher in endocrinology, who wished to remain anonymous, said medical professionals had resorted to sharing concerns and views on anonymous WhatsApp groups.

Source: ‘This isn’t how good scientific debate happens’: academics on culture of fear in gender medicine research | Transgender | The Guardian

Doctors blast opaqueness of gender clinics | The Australian

Australia’s major gender clinics have refused to confirm whether they are tracking long-term health outcomes of thousands of young children they have treated, despite a landmark British review that criticised the opaqueness and secrecy of the medical care.

Children’s hospitals in NSW, Queensland and Victoria have given no indication they will be changing treatment options for young people with gender dysphoria, despite serious issues raised by the Cass review and growing international evidence over the safety and clinical effectiveness of the drugs.

As an increasing number of ­voices call for an independent inquiry into the prescription of ­puberty blockers to young teens, medical experts have urged Australian hospitals to release up-to-date information on treatment plans and long-term outcomes of hormone treatments, warning that the current lack of transparency is leading to harmful outcomes.

Clinicians have also hit out at the nation’s peak body for transgender health, AusPATH, after it this week dismissed findings of the Cass review, saying that the medical body was “digging their heeds in” despite increasing alarm over the rising prescription of ­puberty-blocking drugs in young teenagers.

Paediatrician Dylan Wilson called on the commonwealth to immediately ban all new puberty blocker prescriptions, saying gender clinics had “absolutely no idea what state of health their former patients are in”.

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German parliament votes to make it easier for people to legally change their name and gender

BERLIN (AP) — German lawmakers on Friday approved legislation that will make it easier for transgender, intersex and nonbinary people to change their name and gender in official records.

The “self-determination law,” one of several social reforms that Chancellor Olaf Scholz’s liberal-leaning coalition government pledged when it took office in late 2021, is set to take effect on Nov. 1.

Germany, the European Union’s most populous nation, follows several other countries in making the change. Parliament’s lower house, the Bundestag, approved it by 374 votes to 251 with 11 abstentions.

The German legislation will allow adults to change their first name and legal gender at registry offices without further formalities. They will have to notify the office three months before making the change.

The existing “transsexual law,” which dates back four decades, requires individuals who want to change gender on official documents to first obtain assessments from two experts “sufficiently familiar with the particular problems of transsexualism” and then a court decision.

Source: German parliament votes to make it easier for people to legally change their name and gender