Onzekerheden rond de huidige genderzorg

Translated title of the contribution: Uncertainties around the current gender care: five problems with the clinical lesson 'Youth with gender incongruence'

Jilles Smids*, Patrik Vankrunkelsven

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

The clinical lesson 'Youth with gender incongruence' by Dutch gender clinicians aims to describe Dutch adolescent gender care and its dilemma's. This commentary discusses five serious objections. First, the lesson fails to draw the implications from its acknowledgement of the paucity of evidence: puberty blockers and cross-sex hormones most likely do not meet the requirements for standard care. Second, it does not make the crucial distinction between childhood and adolescent onset gender dysphoria. Third, its claim that from those children that continue from GnRHa to cross-sex hormones '98% continues to use these hormones in the long term' is unfounded. Fourth, it does not acknowledge the dilemma that puberty blockers may impede, rather than facilitate, time for reflection. Fifth, it inaccurately represents the literature on the potential detrimental effects of GnRHa on brain development. The commentary concludes with a call to reform Dutch gender care, following the examples of Sweden and Finland.

Translated title of the contributionUncertainties around the current gender care: five problems with the clinical lesson 'Youth with gender incongruence'
Original languageDutch
Article numberD7941
Pages (from-to)1-3
Number of pages3
JournalNederlands Tijdschrift voor Geneeskunde
Volume167
Publication statusPublished - 1 Nov 2023

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