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description=SEGM promotes safe, compassionate, ethical and evidence-informed healthcare for children and young adults with gender dysphoria.;

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Text of the page (random words):
icine our digests read more october 22 2025 transgender identification in college youth is at an all time high but may be reaching a plateau recent commentaries of a free fall in trans identification are limited by biased survey questions and questionable weights note this spotlight has been updated on february 2 2026 a new section on transgender identification among graduate students has been added the remainder of the text remains largely read more more spotlight segm in media lawsuits over transgender medicine for minors could be huge all this echoes warnings issued in some european countries in 2024 a report commissioned by britain s government known as the cass review concluded that evidence for the benefits and harms of puberty blockers and cross sex hormones on children and adolescents was remarkably weak under president donald trump america s federal department of health and human services issued a similar report which agreed that the evidence of 2026 02 06 toddler logic is poisoning politics inside the conference we heard about the ways in which adolescent development can get stuck in perpetuity descriptions which let s be honest now apply to much of society at large there s black and white thinking and a lack of tolerance for ambiguity there s a splitting of the world into good or bad objects along with an inability to think through the consequences of present actions or to care about the future there s a fear of sexual development and reproduction and 2025 09 19 transaktivisten rufen zu gewalt auf the conference was organized by the society for evidence based gender medicine their principle young people with gender dysphoria deserve respect compassion and high quality care based on scientific evidence segm formed in 2019 because it was in concern in the face of a rapidly growing group of vulnerable adolescents with gender dysphoria who have undergone highly medicalized treatment which has never been proven to be effective or safe according to its 2025 09 17 evidence over ideology dr d angelo told today s conference attendees who included current and former leaders of gender clinics as well as researchers and practitioners from around the world that the labelling of segm as a hate group was a deliberate and damaging misrepresentation of our work our focus on evidence based care is not an act of hate it is an act of advocacy for safe effective healthcare for all sexual and gender minority individuals he said these false labels are not just an attack 2025 09 11 dispute arises over world professional association for transgender health s involvement in who s trans health guideline letters to who from the society for evidence based gender medicine segm which has itself commissioned several forthcoming relevant systematic reviews and the clinical advisory network on sex and gender can sg a network of mainly uk and irish clinicians raised the question of whether who would be evaluating the benefits and harms of hormonal treatments for gender incongruence or if instead it has taken a policy position on this without critically appraising the evidence as a letter from 2024 10 30 gender medicine in the us how the cass review failed to land the review by hilary cass paediatrician and former president of the royal college of paediatrics and child health was commissioned by the nhs and built on the findings of cass s 2022 interim report then she found that the evidence underpinning the treatment intensive gender affirming model of care for distressed young people was limited and inconclusive the final report is even clearer the reality is that we have no good evidence on the long term outcomes of interventions to manage 2024 05 23 pediatric transgender care and the contentious rise of segm in october 2023 segm held its first official conference in new york which brought together an array of high profile speakers such as mikael landén a psychiatrist and researcher at sweden s karolinska institute and sallie baxendale a professor of clinical neuropsychology at university college london journalists from canadian public radio attended along with then bbc newsnight reporter hannah barnes whose bestselling book time to think chronicled the rise 2024 05 20 the courage to admit you don t know it is especially hard for kids who are making decisions about their identities when those identities are still evolving many construct their lives around this new identity to admit they have changed their minds especially during the excruciatingly self conscious period of adolescence when they are deeply susceptible to peer judgment is that much harder the effects of medical transition 2024 02 05 beleaguered world health organization wades into transgender debate and is met with uproar over plans to develop guidelines on trans healthcare on thursday the society for evidence based gender medicine or segm issued its second letter criticizing the who s effort critiquing the guidelines development process as apparently flawed from the time of its quiet inception two to three years ago segm in its new letter asserted that those original two who guidelines made claims specifically that cross sex 2024 02 01 i spent years investigating the tavistock clinic i have serious concerns about its replacement recently i attended a conference in new york hosted by society for evidence based gender medicine segm a us based non profit where i was asked to give a presentation on lessons from the largest youth gender clinic in the world for that s what gids was the conference was attended by professionals from other youth gender clinics around the western world which like gids have also received a rapid increase in referrals and 2023 11 13 us paediatric leaders back gender affirming approach while also ordering evidence review for two years in a row aap members submitted formal resolutions to the executive board asking that the academy commit to the principles of evidence based medicine by eschewing narrative and other types of non systematic reviews as the basis for its recommendations and either use existing systematic reviews or commission its own a resolution submitted in april with two dozen signatories also asked that an urgent 2023 08 14 medical group backs youth gender treatments but calls for research review in june england s national health service announced that it would restrict the use of puberty blockers to clinical trials because there is not enough evidence to support their safety or clinical effectiveness as a routinely 2023 08 04 sharp increase in incidence of gender dysphoria in children and young people historically the small numbers of children presenting with gender dysphoria were primarily prepubescent males in recent years there has been a sharp increase in referrals of adolescents and particularly adolescent females to gender clinics many do not have a significant history of childhood gender dysphoria and a number suffer from comorbid mental health issues and neurodevelopmental conditions such as autism asd and attention deficit hyperactivity disorder adhd the reasons for these changes are understudied and remain poorly understood childhood onset gender dysphoria has been shown to have a high rate of natural resolution with 61 98 of children reidentifying with their biological sex during puberty the research into the course of gender dysphoria desistance among the cohort presenting with adolescent onset gender dysphoria is still in its infancy due to the novelty of this presentation however recent research from the uk clinic population suggests that 10 12 of youth may be detransitioning within 16 months to 5 years of initiating medical interventions with an additional 20 22 discontinuing treatments for a range of reasons the researchers noted that the detransition rate found in the recently presenting population raises critical questions about the phenomenon of overdiagnosis overtreatment or iatrogenic harm as found in other medical fields u s data suggest that the rate of medical detransition has reached 30 segm on twitter segm in twitter segm segm_ebm __ segm in twitter segm segm_ebm __ segm in twitter segm segm_ebm __ segm in twitter segm segm_ebm __ segm in twitter segm segm_ebm __ segm in twitter segm segm_ebm __ segm in twitter segm segm_ebm __ treatment of gender diverse youth countries across the globe rethink pediatric gender transition historically medical interventions to achieve the appearance of the desired sex were reserved primarily for adults with long histories of dysphoria such interventions were preceded by a prolonged engagement with the patient including thorough psychological assessments while objective population level data of adult gender transitioners show persistent mental health struggles and sharply elevated mortality and morbidity subjective patient reported outcomes suggest low regret rates unfortunately regret studies routinely fail to get in touch with 20 60 of the transitioned patients leaving unanswered questions about the substantial number lost to follow up regret studies also suffer from other significant limitations however there is little reason to doubt that a number of adult transitioners having made an informed decision regarding the balance of benefits harms and uncertainties live rewarding lives however around 2010 s there was a marked change in the approach to the management of gender dysphoria particularly for gender dysphoric youth a number of countries in western europe north america and australia began to promote the gender affirmative model of care for youth under this model of care young people presenting with gender dysphoria or asserting a transgender identity are affirmed in their desire to undergo gender transition and are provided with barrier free hormonal and surgical interventions while mental health professionals are often involved their role is typically limited to preparing the young person for gender transition regardless of any co occurring mental health challenges or whether there was a relatively recent history of transgender identification as such the provision of medical intervention now happens with a much reduced psychological assessment in the last 36 months a growing number of western countries have recognized the significant concerns with the gender affirmative model of care which became visible in part due to the growing voices of detransitioners and regretters coming from the novel population of gender dysphoric youth after completing systematic reviews of evidence which showed that the risk benefit ratio of youth transitions ranges from uncertain to unfavorable these countries have begun to sunset the gender affirmation practice in favor of an approach that favors psychosocial interventions as the first and usually the only line of treatment available to most minors as of the current writing the following countries have made sharp reversals of their previous gender affirmation practices or have signaled an intention to do so in the near future sweden has made the decision to no longer offer gender transition to minors outside of research settings and restricted eligibility to the classic early childhood onset of gender dysphoria all others are to be treated with psychosocial support and psychotherapy with a focus on accepting and thriving in natal puberty finland has sharply restricted eligibility for gender transition to minors with a classic early childhood onset of gender dysphoria and no mental health comorbidities and stated that psychotherapy should be the first line of treatment england banned the use of puberty blockers for gender dysphoria outside of research trials nhs england s interim clinical policy states that the primary intervention for children and young people who are assessed as suitable for the service is psychosocial including and psychological support and intervention the psychoeducation main objective is to alleviate distress associated with gender incongruence and promote the individual s global functioning and wellbeing on march 21 2024 the nhs also updated its policy on cross sex hormones for youth removing the requirement of puberty blockers as a prerequisite step for cross sex hormone treatment presumably to make two policies better aligned since puberty blockers will no longer be available the final cass report was published in april 2024 segm s analysis concluded that the report signaled the end of the era of gender affirmative gender clinic led model of care in england with significant worldwide implications no new prescriptions of cross sex hormones for minors have been issued since the publication of the final cass report and the use of puberty blockers are only be allowed as part of the pathways clinical trial which is set to start recruitment during 2026 following the cass report wales and scotland joined england in stopping new prescriptions of puberty blockers as a treatment for gender dysphoria in youth 18 scotland s policy goes even further than england s while in england cross sex hormones can still be prescribed around the patient s 16th birthday they cannot cannot be accessed in scotland until a patient is 18 denmark has restricted eligibility for puberty blockers and cross sex hormones currently transitioning only 6 of youth referrals whose gender dysphoria is most consistent with the classic dutch presentation early childhood onset that intensified in adolescence but otherwise uncomplicated by mental illness this change in practice predated a change to treatment guidelines which will be updated later this year norway s healthcare investigation board nhib ukom has deemed puberty blockers cross sex hormones surgery for children young people experimental determining that the current gender affirmative guidelines are not evidence based and must be revised norway s public health authority has signaled an intention to respond to ukom s concerns with an adjustment to the current treatment guidelines other countries are seeing growing debate in australia the health minister mark butler announced a national review of care and treatment guidelines for children and young people who identify as transgender this announcement followed the decision by queensland s health minister to initiate an independent review of prescribing puberty blockers and cross sex hormones to gender dysphoric youth citing regulatory tightening in finland norway denmark sweden and the uk the queensland review was published in december 2025 the same day the government of queensland announced a pause in prescriptions of puberty blockers and cross sex hormones for minors pending the publication of the results from the uk s pathways study shortly after the government of the norther territory announced restrictions for the prescription of puberty blockers the royal australian and new zealand college of psychiatrists ranzcp acknowledged that evidence and professional opinion is divided as to whether an affirmative approach should be taken in relation to tre...