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Feminism: Sex and gender discussions

Meanwhile in the US, a Review on treatment of children for gender issues

21 replies

ArabellaScott · 05/05/2025 07:40

https://www.hhs.gov/press-room/gender-dysphoria-report-release.html

US govt have released a new review.

Lots of reporting in US media. (I haven't yet read the review.)

As ever with the US, it seems highly polarised, and that is the understatement of the year.

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ArabellaScott · 05/05/2025 07:42

Text:

'The U.S. Department of Health and Human Services, through the Office of the Assistant Secretary for Health and Office of Population Affairs, released a comprehensive review of the evidence and best practices for promoting the health of children and adolescents with gender dysphoria. This review, informed by an evidence-based medicine approach, reveals serious concerns about medical interventions, such as puberty blockers, cross-sex hormones, and surgeries, that attempt to transition children and adolescents away from their sex.

The review highlights a growing body of evidence pointing to significant risks—including irreversible harms such as infertility—while finding very weak evidence of benefit. That weakness has been a consistent finding of systematic reviews of evidence around the world.

The review also fills a gap in the medical literature and existing clinical practice reviews with regard to the ethical aspects of pediatric medical transition. HHS believes that medical ethics should be central in this debate.

Contributors to the review include medical doctors, medical ethicists, and a methodologist. Contributors represent a wide range of political viewpoints and were chosen for their commitment to scientific principles.

“Our duty is to protect our nation’s children—not expose them to unproven and irreversible medical interventions,” said NIH Director Dr. Jay Bhattacharya. “We must follow the gold standard of science, not activist agendas.”

Despite increasing pressure to promote these drastic medical interventions for our nation’s youth, the review makes clear: the science and evidence do not support their use, and the risks cannot be ignored.

Chapters of this review were subject to peer review prior to this publication, and a post-publication peer review will begin in the coming days involving stakeholders with different perspectives. Names of the contributors to the review are not initially being made public, in order to help maintain the integrity of this process.'

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Cerialkiller · 05/05/2025 08:20

Well this is great.

However...unfortunately, as politicised as everything is over there, this will be adopted by one side (probably the 'bad' side) and as a result, half the general population will just assume it's right bias and won't even pay attention.

I hope it means things are changing but I'm not optimistic. As with here, everything is poisoned by political interest, lobbying and money. The US has this to an extreme degree imo though.

I do hope that terf island has helped push some of these changes. I do worry that lots of people are watching us and thinking we are turning into some crazy right-wing country and therefore discount our research, legal changes, court wins etc but maybe some still believe we have a relatively robust legal system and trustworthy institutions.

TheWitchWon · 05/05/2025 08:22

That seems positive.
Everything in that statement is common sense and there's nothing in it that's controversial.
It will be dismissed by activists as persecution.

TheywontletmehavethenameIwant · 05/05/2025 12:01

It looks like a sound report, we can added it to the list of growing medical evidence that this 'trans medical pathway' is detrimental to the health of gender confused children. Those who continue to promote it (Plaid Cymru) are going to find their position more and more untenable.

Boiledbeetle · 05/05/2025 13:38

https://opa.hhs.gov/gender-dysphoria-report

From the executive summary it appears they aren't happy with WPATH.

Meanwhile in the US, a Review on treatment of children for gender issues
ArabellaScott · 05/05/2025 14:06

Dunno how anyone can talk about WPATH without mentioning that they support Eunuch gender affirmation.

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ArabellaScott · 05/05/2025 14:11

'9.4 Conclusion

The current landscape of CPGs for treating GD youth underscores significant variability in methodological rigor and trustworthiness. Rigorous appraisals consistently demonstrate that only a select few guidelines, notably those from Finland and Sweden, meet high standards for evidence-based clinical decision-making. These Scandinavian guidelines emphasize cautious approaches grounded firmly in systematic evidence reviews, advocating psychotherapy and psychosocial interventions as first-line treatments, and restricting medical interventions to carefully monitored research settings or exceptional circumstances.

In contrast, many internationally influential guidelines, including those from WPATH, the Endocrine Society, and the American Academy of Pediatrics, have been criticized for substantial methodological shortcomings and conflicts of interest, resulting in recommendations not reliably supported by rigorous evidence. This pattern of circular referencing and mutual endorsement among these guidelines further compromises their credibility and has likely perpetuated a perceived consensus in pediatric gender medicine that belies the actual paucity of high-quality evidence.

Given the ethical implications and lifelong consequences of medical interventions in youth, it is imperative that future guidelines in pediatric gender medicine adhere strictly to established standards of evidence-based medicine. Guideline developers must prioritize transparency, methodological rigor, independence from vested interests, and systematic evidence appraisal. Only through such disciplined approaches can clinical practice guidelines fulfill their intended role of safeguarding the health and well-being of GD youth, promoting informed decision-making among clinicians, families, and policymakers alike.'

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LonginesPrime · 05/05/2025 15:11

Cerialkiller · 05/05/2025 08:20

Well this is great.

However...unfortunately, as politicised as everything is over there, this will be adopted by one side (probably the 'bad' side) and as a result, half the general population will just assume it's right bias and won't even pay attention.

I hope it means things are changing but I'm not optimistic. As with here, everything is poisoned by political interest, lobbying and money. The US has this to an extreme degree imo though.

I do hope that terf island has helped push some of these changes. I do worry that lots of people are watching us and thinking we are turning into some crazy right-wing country and therefore discount our research, legal changes, court wins etc but maybe some still believe we have a relatively robust legal system and trustworthy institutions.

I do hope that terf island has helped push some of these changes.

It absolutely has - the Cass report and consequent changes to the NHS are heavily referenced in the US analysis.

DoRayMeMeMe · 05/05/2025 15:46

The real difficulty is that RFK Jr. is the head of HHS and is a total tinfoil hatter.

I don’t even think this is coming from anyone except Elon Musk.

Has anyone checked what Project 25 said they would do on this subject? I have not.

RobinEllacotStrike · 05/05/2025 15:57

This study says that paediatric gender medicalisation happened as a result of the FAILURE of adult medical mutaliation.

Ie adults were depressed & suicidal after doctors medically mutiliated them. So they decided it would be a good idea to to perform these procedures on kids/teens.

this in itself should be enough to blow this cult scam up. But it won’t be.

Meanwhile in the US, a Review on treatment of children for gender issues
TheywontletmehavethenameIwant · 05/05/2025 16:20

Here's something related that I've come across.

A Cass Review for America? - Peter Sim's Substack

The title seems familiar, so it might have been posted on another thread.

A Cass Review for America?

A first look at the Health and Human Services Review of Pediatric Gender Medicine

https://justdad7180.substack.com/p/a-cass-review-for-america

LonginesPrime · 05/05/2025 17:48

RobinEllacotStrike · 05/05/2025 15:57

This study says that paediatric gender medicalisation happened as a result of the FAILURE of adult medical mutaliation.

Ie adults were depressed & suicidal after doctors medically mutiliated them. So they decided it would be a good idea to to perform these procedures on kids/teens.

this in itself should be enough to blow this cult scam up. But it won’t be.

This needs to be repeated far more often, as it’s such a powerful point.

RobinEllacotStrike · 05/05/2025 18:28

This reply has been deleted

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IwantToRetire · 05/05/2025 22:30

There are already 2 threads about this!

Keep hoping MNHQ will devise a method of merging threads so that posts that are about the same thing are all together.

RedToothBrush · 06/05/2025 15:00

So this is American Cass in a way.

I am glad we got in first for many reasons.

IHeartHalloumi · 06/05/2025 15:05

For the USA the real watershed will be court cases from detransitioners and trans identifying people who have been harmed by affirmative healthcare.

I don't know if insurers are covering affirmative care but I imagine like UK insurers they will opt out of anything they can to save money - dropping reimbursement for gender affirming care seems like an obvious step.

ArabellaScott · 06/05/2025 18:22

lcakethereforeIam · 06/05/2025 14:34

I agree with @IwantToRetire but lacking that I'm posting the article from the Economist.

https://archive.ph/BB2nd

https://www.economist.com/united-states/2025/05/05/where-the-trump-administration-has-science-on-its-side

It hadn't registered with me that Cass didn't have a section on ethics!

I think from a skim I'd say its like a sort of pre-Cass or response to Cass.

Ach, that was supposed to be a response to RedToothbrus.

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UtopiaPlanitia · 21/05/2025 00:07

Crossposted to another thread but thought it might be relevant to this thread too.

Excellent article regarding the US HHS report:
https://suedonym.substack.com/p/why-did-we-need-those-reports-at

Here's a few good excerpts:

"The HHS and the Cass Review are the product of independent journalists willing to actually ask questions. Of women who lost their jobs, of gays and lesbians exiled from their communities for taking a stand. They are not the product of anyone who should have stopped this before it started. They are not the product of a bold Fourth Estate or ethics panels, or peer review or liberal politicians. No, those people cheered on the castrations. Instead of thinking for themselves, they ate from the trashcan of ideology.

How on earth did no one in charge question what was happening, until it was too late? One life ruined by this nonsense was more than enough, yet there are tens of thousands, if not hundreds of thousands, who will have been permanently and avoidably castrated and live short, painful lives thanks to this monstrous experiment disguised as ‘medicine’.….

....Who did this predominantly damage? Young kids who probably would have grown into healthy gay adults. This was conversion therapy - that's something the Cass and the HHS reports and a lot of politicians will talk around, but never quite acknowledging. The natural biological destination for these kids was to be homosexuals, and god forbid the liberal leaning middle and upper class parents on the coasts who paid a fortune to mutilate their children have a gay child. Oh, the humanity! Quick, cut off his dick before he grows up and shoves it in another man's ass! That's the real evil here!

If the past ten years have proven anything, it's that despite their many protests, the liberal-left in the West hates homosexuals quite passionately, because otherwise they wouldn't have been so proud to cheer this on. What use are gay rights if you can't exercise them? What use is legalizing same sex relations if you had your dick and balls cut off at 17?

This whole scenario is a result of a cascade of willful ignorance, homophobia, and people not questioning what they are told. There was no hidden scandal. There was no cover up. A group of doctors were actively practicing experimental castrative conversion therapy on children, and the vast majority of the chattering classes cheered it on. This experimentation on children was even broadcast as a freak show on The Learning Channel. This was no Andrew Wakefield making up stories. The studies openly admitted they were doing these things on the basis of sexist stereotypes and homophobia, not evidence.….

....Why did the science media, so keen to jump down the throats of antivaxxers, support something that was based on an equally large foundation of pseudoscientific nonsense? How did so many ethics panels think any of this was in any way a good idea? How did the children's hospitals justify mutilating children? How did no mainstream news organization write an extensive investigation on the topic until very recently? Why did it take so long for the government to step in, instead of trying to make it illegal to not mutilate these children? Why did every set of checks and balances completely fail?….

....But this shit should have never have flown in the first place. It required a systemic failure of all the checks and balances we're supposed to trust. The minute a young man died at eighteen from a necrotic vaginoplasty he didn't, and never needed in the original Dutch Protocol study¹, everyone should have packed up and gone home. The media should have called it out. There should have been inquiries and recriminations, a promise to never do this again. Instead, they continued and were cheered on, no matter how many corpses resulted from 'gender affirming surgery’. Their response? Shut up and let the scientician remove your ovaries, young lady, you like trucks and girls just a little too much."

Why Did We Need Those Reports At All?

It was obvious from the start that 'gender affirming care' was barbaric hokum. You didn't need government reports to tell you that.

https://suedonym.substack.com/p/why-did-we-need-those-reports-at

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