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US Stands Alone as Europe Reconsiders Transgender Treatments for Minors

A growing number of European nations are re-evaluating the use of puberty blockers and other medical interventions for transgender youth, creating a stark contrast with the United States, where such treatments remain widely accepted within the medical community.

The United Kingdom's National Health Service (NHS) recently restricted the use of puberty blockers to clinical research, citing "significant uncertainties" surrounding their effectiveness and long-term consequences. This move reflects a broader trend in Europe, where countries like Sweden and Finland have also implemented stricter guidelines for these treatments.

Erin Friday speaks at Detransition Awareness Day rally

Erin Friday, an attorney and mother whose daughter detransitioned, spoke at a Detransition Awareness Day rally. (Courtesy Pamela Garfield-Jaeger)

This shift in European medical practice comes as the American Medical Association (AMA), along with other organizations like the American Academy of Pediatrics, continues to endorse puberty blockers and other gender-affirming treatments for minors. This divergence in approach has sparked debate and raised questions about the long-term implications of these treatments.

While some countries like Canada, Australia, and Spain still allow puberty blockers, concerns are being raised internationally. The president of the Italian Psychoanalytic Society expressed "serious concerns" to the Italian prime minister regarding the use of these medications in children.

The debate played out recently in a congressional hearing, where Rep. Dan Crenshaw (R-TX) pressed a Yale School of Medicine professor to cite medical studies supporting the benefits of these treatments for minors. The exchange highlighted the lack of conclusive evidence regarding the long-term effects and efficacy of such interventions.

Trans kid protest

Protestors demonstrate their support for trans-identifying minors. (Michael Siluk/UCG/Universal Images Group via Getty Images)

Crenshaw emphasized the need for rigorous scientific evidence, particularly when permanent physiological changes are involved. He questioned the ethical implications of proceeding with these treatments without robust data on their benefits.

A protester shows her opposition to Kentucky Senate bill SB150, known as the Transgender Health Bill outside the Senate chamber at the Kentucky State Capitol in Frankfort, Ky., Wednesday, March 29, 2023.

An activist protests legislation related to transgender medical treatments in Kentucky. (AP Photo/Timothy D. Easley)

Several U.S. states have enacted laws restricting or banning these treatments for minors, though legal challenges are ongoing. A recent court decision in Indiana temporarily blocked a law prohibiting puberty blockers and hormone treatments for children.