HHS Recommends Therapy for Minors With Gender Dysphoria

Procedures and medicines โ€˜carry risk of significant harms,โ€™ including infertility, the governmentโ€™s new report states.

Children who believe their gender is different from their biological sex should receive therapy for gender dysphoria (GD), the U.S. Department of Health and Human Services (HHS) said on May 1.

โ€œPsychotherapy is a noninvasive alternative to endocrine and surgical interventions for the treatment of pediatric gender dysphoria. Systematic reviews of evidence have found no evidence of adverse effects of psychotherapy in this context,โ€ a 409-page report from HHS states.

The report stated that โ€œpsychotherapy for adolescents with GD is a well-suited intervention, as it is intended to help patients develop self-understanding, engage with emotional vulnerability, and build practical strategies for managing distress.โ€

The report also said that procedures and drugs used in transgender treatments and surgeries โ€œcarry risk of significant harms,โ€ including infertility, lower bone density, and heart disease.

Procedures carried out by some medical institutions include breast removal. Drugs include cross-sex hormones and puberty blockers.

โ€œThe evidence for benefit of pediatric medical transition is very uncertain, while the evidence for harm is less uncertain. When medical interventions pose unnecessary, disproportionate risks of harm, healthcare providers should refuse to offer them even when they are preferred, requested, or demanded by patients,โ€ the report reads. โ€œFailure to do so increases the risk of iatrogenic harm and reduces medicine to consumerism, threatening the integrity of the profession and undermining trust in medical authority.โ€

HHS said the report was aimed at providing accurate and current information on the treatment of gender dysphoria in children. It was commissioned after President Donald Trump signed an order in January that stated in part that U.S. policy was not to โ€œfund, sponsor, promote, assist, or support the so-called โ€™transition’ of a child from one sex to another.โ€

Dr. Jay Bhattacharya, director of the National Institutes of Health, said in a statement, โ€œOur duty is to protect our nationโ€™s childrenโ€”not expose them to unproven and irreversible medical interventions.โ€

He added, โ€œWe must follow the gold standard of science, not activist agendas.โ€

Byย Zachary Stieber

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