Federal Report Denounces Gender Treatments for Adolescents

Federal health officials published a report on Thursday that they declare that the use of hormonal and surgical treatments in young people with gender speech defect lacks scientific evidence and express their concern about long -term damage, and contrary to the recommendations of the previous agency and the advice of the higher American medical groups.

Instead the report gave the role of psychotherapy, which is an exciting intervention to treat the dysfunction of the sexes, which is equivalent to many defenders and doctors with the so -called conversion therapy.

Other parts of the review seem to question the idea that some people have a sexual identity that is not in line with their gender at birth.

In January, President Trump signed an executive entitled “Protecting children from chemical and surgical distortion”, giving the Ministry of Health and Humanitarian Services 90 days to submit a report on best practices to treat young people who say their gender is not in line with the gender of their birth.

But the matter made it clear that the administration has already reached its own conclusion about the transitional remedies between the sexes of minors, and the description of “the blatant damage that happened to children” as “a stigma on the history of our nation.”

the Report 400 pages It took a more realistic tone but reached a similar conclusion. In a noticeable exit from the standard of medical evidence reviews, the authors were not identified pending the post -publication review process that will start in the “coming days”.

HHS officials refused to answer questions about the review process. The administration noted that the shareholders are among the doctors and medical and methodological ethics, all of this from a “wide range of political views” who were chosen “for their commitment to scientific principles.”

The report determined that the new evaluation was not aimed at setting a standard for medical care or providing recommendations for politics.

It has mostly relied on analyzing scientific studies reviews of puberty, hormonal treatments and surgeries that have been published in the past few decades, when these treatments have been provided for the first time for teenagers.

The evaluation concluded that although the benefits of medical interventions are unconfirmed, the damage that could include fertility was less than that.

The report said that “this clinical practice in the field of medicine is exceptional and corresponding,” and American medical groups criticized the enhancement of work other than tolerance “environments in which doctors feel that they are forced to control.”

The question of whether treatments such as puberty, hormonal treatments or surgery are suitable for young people, were the subject of fierce discussion.

Several European countries Limited Treatments in recent years, yet scientific Reviews Result Quality of poor evidence to support their benefits and uncertainty about long -term risks.

In the United States, 24 states have passed laws that prevent doctors from providing such treatments to teenagers.

American Academy of Pediatrics Carry out its own review Evidence. The academy and most of the main medical groups in the United States continue Support these treatments as effective in Reducing psychological distress The experience of many transgender young people.

“This report distorts the current medical consensus and fails to reflect the facts of child care,” He said Dr. Susan Chrisley, President of the Academy. “The report gives a priority to opinions on the evidence reviews of the evidence.”

Sexually criticized the newly evaluated rights advocates that he seeks to paint an ideological point of view with a scientific shine.

During the first 100 days of Mr. Trump in office, his administration sought to reduce the recognition of the identities of transgender people in public life. The administration threatened End financing For hospitals that provide sex transfer treatments for people under the age of 19 Serve.

The administration moved to the home of sexually transformed women In federal prisons with men The sexual identities of the transgender people no longer reflect Passports.

“Is the administration’s hostility to this medical care based on actual scientific research, or is it ideologically driven through the open rejection of this administration for transgender individuals and the belief that the identity of the transgender is wrong?” Shannon Minter, the legal director of the National Center for Lenground Rights, said.

The center represents sexually transformed individuals in many lawsuits that defy the constitutionality of management policies.

“To the extent that this is a document that is a challenge even the young man’s ability to define it as a transgender, and this is an ideological statement – and this is not a medical statement,” said Casey Beck, director of law and politics in the Trefor project, a non -profit organization that focuses on preventing suicide among LGBTQ youth.

The report is a victory for those who described this field of medicine as part of a broader project Denies to Biological sex.

Roger Sevirino, Vice President of Local Policy at the Heritage Corporation, indicated conservative thinking, in the HHS report and blamed “doctors looking for profits and ideological groups” to persuade families that “the gender of the child is all they say.”

About 3 per cent of high school students that they know as a transgender Government dataHe has a number Rise During the past decade. A A lot smaller percentage Of these teenagers looking for medical interventions.

The issue of the medical transition of minors, however, has become a political flash point. Mr. Trump made a focus on his campaign, and some Democrats believe that the strategy helped him win.

The new HHS report goes further than similar reports European countries Which has provided new restrictions on teenage sexual remedies.

independent Clinical services review For young people in England, led by Dr. Hillary Cas, former head of the Royal College of Pediatricians Quality of evidence To support the use of adulthood and hormonal treatments in minors. (Surgery is not available for minors in Britain.)

But this review, which was conducted over a period of four years, conducted an interview with young patients, transgender adults, parents and doctors to obtain a wide picture of the medical field.

Dr. Cass concluded that the evidence for both the benefits and the risk of treatments were “significantly weak”, but she said that some young people are still likely to benefit from early intervention.

“There are young people who benefit fully from a medical path, and we need to make sure that these young people can reach – according to a research protocol, because we need to improve the research – but we do not assume that this is the right path for everyone.” He said in an interview last year.

That review conclude By recommending that the national health service in England be restricted to the use of medicines that prevent puberty to search for experiments only, and doctors advised to prescribe hormones for adolescents with severe caution. “

Other doctors who expressed their concerns about the field of young sexes were contradictory to how to use the new report.

“I am happy that the authorities in the United States are taking into account what is happening in Europe in recent years,” said Erica Anderson, a psychologist and former president of the professional association in the field of transgender health.

It was Vocal About her concerns that young gender clinics have moved away from accurate mental health assessments with the growth of the number of children looking for sexual treatments.

But Dr. Anderson, who is still Support The early intervention of some young people indicated that it was impossible to ignore the inflammatory executive order that led to the report.

She said: “It is somewhat similar to contacting someone who insults the rank and then decides that you want to have a conversation with them.” “Well, this does not work very well with actual humans with feelings and history.”

Mr. Minter, of the National Center for Lenground Rights, said that by emphasizing psychological treatment on medical interventions, the effective HHS report aims to change the sexual identity of a minor or sexual orientation.

Driving medical Collections It supported the embargo on this practice, noting evidence that it causes depression, anxiety and self -hatred.

But the Supreme Court agreed to hear the first amendment A challenge to a Colorado ban on the transfer treatment The coming period, presented by a professional advisor who is licensed with his Christian faith that includes his belief that “people flourish when they live consistently with God’s design, including their biological race,” according to court documents.

Other therapists, including Dr. Anderson, have argued with the so -called “Exploration” therapy With supportive doctors, it can be useful to help separate mental health problems from adolescent sexual identity.

“The report was a departure from how to form a health policy usually in the United States.

Dr. Baker said: “It is important for medicine to exercise those who have experience in this, by trained doctors who work according to the care standards determined by their medical fields – not by the federal government.”

He said he was concerned that the government had been martyred by the government as a justification for refusing to cover medical care for sexually transformed youth.

Medicare and Medicaid service centers, section of HHS, Send a message To the state, Medicaid agencies last month, urging them not to use Medicaid’s gender care for minors.

Pam Bondi, the public prosecutor, directed the Ministry of Justice to Investigation of doctors Those who provide such care.

“This document is not a standard of care, but it will be mentioned by the government as a justification for refusing to cover medical care for sexually transformed youth,” said Dr. Baker.