Girls with gender dysphoria: giving time is the best cure
A very recent German study confirms this: within 5 years of diagnosis, almost 7 out of 10 minors with dysphoria "desist" by making peace with their biological sex: new evidence against early medicalisation which is almost always the first step towards transition

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... because at eleven years old, even if precocious, one dreams vast and confused without reference to real things, inventing the future, and feeling only the terror, the boldness and the elusive bitterness of life: everything then, of our body and our spirit , clutters us and terrifies us; and to forget this graceless growth of ourselves, we look around to discover a model of successful life in which admiration and imagination are exalted and calmed down." (Maria Bellonci, “Lucrezia Borgia”).
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A very recent German study offers significant data to demonstrate that Letting time pass is in the vast majority of cases the best therapy against gender dysphoria in minors.

In Germany, as in all Western countries, there has been a dramatic increase of cases of dysphoria and gender incongruence, especially among girls. The study highlights an eight-fold increase in diagnoses over a decade, and an international registry showed an increase from 47 per 100,000 to 479 per 100,000 among 16-year-olds. In addition to the 70 percent of cases are present psychiatric comorbidities (depressive disorders, anxiety disorders, personality disorders, borderline emotional instability, ADHD and PTSD). Among the reasons for the increase in cases, the study also includes possibility of overdiagnosis.

The studio recorded a high rate of desistance, essentially the Spontaneous resolution of dysphoria by allowing time to pass: 5 years after diagnosis 63,6% desists; desistance rates are higher than 50% across all age groups, varying from 72,7% in girls aged 15 to 19 years to 50,3% in males aged 20 to 24 years. The high desistance rate observed, with 63,6% of individuals not maintaining the diagnosis after five years, underlines the in most cases the transitory nature of transgender ideation during childhood and adolescence.

With such high desistance rates, the case against the medicalisation of gender incongruence is even stronger than what was stated in the Cass Review.

* you can read a summary of the study here in English 

** here I study it in German instead

After all the same Italian Society of Pediatrics has long indicated very similar desistance rates: only in 12-27 percent of cases does dysphoria persist during the transition to adolescence. Hanneke Kouwenberg, a Dutch transition expert, argues that the only real cure for children's dysphoria is desistance, that is, giving them time to make peace with their biological sex, supporting them and treating them for any comorbidities.

Vice versa blockade of pubertal development with triptorelin -which interrupts the physiological transition towards adulthood- is in fact a self-fulfilling prophecy: in over 90 percent of cases when you start with blockers you continue with hormones and surgery.

The Cass Review also warned of the risks of irreversibility of the social transition (the famous “alias career” in schools): once you've started it, going back is very difficult: “When making decisions about the social transition of prepubertal children,” writes the pediatrician, “it should be ensured that they can be seen as soon as possible by a clinical professional with experience in the matter.”

MARINA TERRAGNI

 

 

 

 


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