Transgender Medicine: Europe & America Part Ways

A recent article by Leor Sapir explores the diverging paths taken by Europe and America in the realm of transgender medicine for youth. Europe is veering towards a more cautious approach, prioritizing psychotherapy and reserving hormonal interventions for extreme cases. This stands in stark contrast to the American model, which advocates for early affirmation of a patient’s gender identity, often through hormonal treatments and, in some cases, surgeries.

The crux of the disagreement lies in the application of evidence-based medicine (EBM). European health authorities, guided by EBM principles, are making decisions based on systematic reviews of the best available research. These reviews have highlighted significant gaps in the evidence supporting sex modification in minors. In contrast, American medical associations, while claiming their treatments are “medically necessary” and “life-saving,” often rely on studies that EBM experts consider flawed or of low quality.

Sapir’s article further criticizes the American approach for its lack of comprehensive mental health assessments and differential diagnosis in pediatric gender clinics. It suggests that the U.S. healthcare system’s susceptibility to profit motives, activist doctors, and political pressures may be contributing to this divergence from European practices.

We are medicalizing gender diversity in children without sufficient evidence-based backing. Sapir calls for a more cautious, evidence-based approach, akin to the one adopted by many European countries.


Companion Posts


Review: Gender-Affirming Therapy Fails To Show Credible Improvements In Mental Health

Article published April 14, 2023

Levine, S.B., Abbruzzese, E. Current Concerns About Gender-Affirming Therapy in Adolescents. Curr Sex Health Rep 15, 113–123 (2023).


The question, “Do the benefits of youth gender transitions outweigh the risks of harm?” remains unanswered because of a paucity of follow-up data. The conclusions of the systematic reviews of evidence for adolescents are consistent with long-term adult studies, which failed to show credible improvements in mental health and suggested a pattern of treatment-associated harms. Three recent papers examined the studies that underpin the practice of youth gender transition and found the research to be deeply flawed. Evidence does not support the notion that “affirmative care” of today’s adolescents is net beneficial. Questions about how to best care for the rapidly growing numbers of gender-dysphoric youth generated an intensity of divisiveness within and outside of medicine rarely seen with other clinical uncertainties. Because the future well-being of young patients and their families is at stake, the field must stop relying on social justice arguments and return to the time-honored principles of evidence-based medicine.

An excellent survey of the field. What you find here will give you the research information you need to stand against Gender Ideology and the exorbitant claims of Gender Activists. So please read. Learn it. And pass this on to others.


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