A review commissioned by England's National Health Service (NHS) highlighted the limited understanding of the long-term health effects of masculinising and feminising hormones on teens. The review cautioned that these interventions should only be undertaken with extreme care. Additionally, puberty blockers were found to not necessarily alleviate gender dysphoria or enhance body satisfaction, with insufficient evidence on their impact on psychological wellbeing, cognitive development, and fertility. The review, led by paediatrician Hilary Cass, underscored the need for cautious consideration in prescribing hormones to young people exploring their gender identity.
Legislators in multiple US states are referencing England's recent decision to restrict gender transitions for young people as support for their own proposals, reflecting a trend of looking to European countries for policy ideas. Despite this, leading health organizations in both the US and Europe continue to advocate for gender-affirming care for transgender individuals, noting that restrictions can adversely affect youths. England's National Health Service has implemented new rules limiting medical gender transitions for individuals under 16, with a focus on the lack of long-term evidence on puberty blockers' effects.
The Gender Identity Development Service (GIDS) is a nationally operated health clinic in the United Kingdom that specialises in working with children with gender identity issues, including gender dysphoria. Launched in 1989, GIDS is commissioned by NHS England and takes referrals from across the UK, although it is operated at a Tavistock and Portman NHS Foundation Trust site. GIDS is the only gender identity clinic for people under 18 in England and Wales and is the subject of much controversy. In July 2022, the NHS decided to close GIDS and replace it with regional healthcare centres in 2023, following the release of an interim report on the provision of gender identity services for children and adolescents conducted by paediatrician Hilary Cass. In May 2023, it was announced that the closure would be delayed until 2024. It is set to close at the end of March 2024.
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