I accept that they might be useful in the case of people facing deadly cancers but apart from that they should be banned.
I checked out their use in prostate cancer and side effects listed there. Clearly stated 1% risk of dying from heart failure caused by the drug. (This high risk seems to be age-related as it is almost always elderly men who suffer from prostate cancer. But their risk of dying from prostate cancer is higher than that 1%, which means this is an acceptable risk to take.)
There's been plenty of reports of heart health issues in children who were prescribed GnRH analogues, so damage to the heart is a known side effect in all patient groups. I don't know what the prevalence is, the overall risk to the heart, but I do have a family member who was illegally puberty--blocked as a child in a sports academy in a communist country, without her parents knowledge or consent. Heart health issues are present in much of her cohort.
This claim that we will somehow, miraculously, discover that puberty blockers are safe to use when we have decades' worth of evidence that they are harmful to children, is puzzling to me. There's been a whole scandal about their use in children with stunted growth, IIRC there was a book or a documentary about that ages ago, there's a brewing class action suit with former child patients prescribed puberty blockers for precocious puberty that now runs into tens of thousands of women so badly damaged by the drug it has had life-limiting effects for them. There's currently (at anecdotal level) the same pattern emerging for children diagnosed with gender dysphoria who were prescribed GnRH analogues - with such serious bone density issues, there's spinal collapse, paralysis, with the accompanying effects of double incontinence. Increased suicidality. I mean these drugs carry prominent warnings now that they cause depression and suicidality in all age groups. (Screenshots attached)
Wilful ignorance is not a good look when we're discussing the health of children. Shouting bigot and transphobes when we're pointing out that puberty blockers do not give children a breather or put them into a better frame of mind is not a good look. When we're discussing the mental health of children it matters that the few studies done on this patient cohort shows mental health getting worse, not better. So the main stated aim of giving the drug to children diagnosed with gender dysphoria is demonstrably not achieved. And the results are the same whatever country the study is conducted in. That's strongly suggestive of a serious problem with the drugs, not the studies.
What I'm curious about is at what point do you concede that this is bad? One of the worst ideas doctors have ever had. A medical scandal of such gravity it will go into the history books.
At what point do you say maybe, just maybe we should look at the evidence of harm, concede this is a treatment causing more harm than good and stop?
I say unequivocally that the wellbeing of children should take precedence over ideological beliefs. And that's why I reject the use of puberty blockers in children on principle, regardless of why they are prescribed - precocious puberty, stunted growth, gender dysphoria.