#Amsterdam Center of Expertise on Gender Dysphoria
Text
Common sense is returning.
James Crisp, EUROPE EDITOR 13 April 2024
Dr Hilary Cass said children who think they are transgender should not be given any hormone drugs at all until at least 18 CREDIT: Yui Mok
Belgium and the Netherlands have become the latest countries to question the use of puberty blockers on children after the Cass Review warned of a lack of research on the gender treatment’s long-term effects.
Britain has become the fifth European nation to restrict the use of the drug to those under 18 after initially making them part of their gender treatments.
Their use was based on the “Dutch protocol” - the term used for the practice pioneered in the Netherlands in 1998 and copied around the world, of treating gender dysphoric youth using puberty blockers.
The NHS stopped prescribing the drug, which is meant to curb the trauma of a body maturing into a gender that the patient does not identify with this month.
In Belgium, doctors have called for gender treatment rules to be changed.
Research into impact
“In our opinion, Belgium must reform gender care in children and adolescents following the example of Sweden and Finland, where hormones are regarded as the last resort,” the report by three paediatricians and psychiatrists in Leuven said.
Figures from the Netherlands and the United Kingdom show that more than 95 per cent of individuals who initiated puberty inhibition continue with gender-affirming treatments,” the report by P Vankrunkelsven P, K Casteels K and J De Vleminck said.
“However, when young people with gender dysphoria go through their natural puberty, these feelings will only persist in about 15 per cent.”
The report was published after a 60 per cent rise in the number of Belgium teenagers taking the blockers to stop the development of their bodies. In 2022, 684 people between the ages of nine and 17 were prescribed the drug compared to 432 in 2019, the De Morgen newspaper reported in 2019.
Pressure is also building in the neighbouring Netherlands to look again at their use. The parliament has ordered research into the impact of puberty blockers on adolescent’s physical and mental health.
Dutch protocol
The Telegraph understands that the Amsterdam Center of Expertise on Gender Dysphoria, where the protocol originated, is set to make a statement on the use of puberty blockers next week.
“I too thought that the Dutch gender care was very careful and evidence-based. But now I don’t think that any more,” Jilles Smids, a postdoctoral researcher in medical ethics at Erasmus University in the Netherlands, told The Atlantic.
Attitudes in the Netherlands have hardened against trans rights, with a bill to make it easier for people to legally change their gender being held up in parliament.
The Cass Review said that the NHS had moved away from the restrictions of the original Dutch protocol, and researchers in Belgium have also demanded those restrictions be reintroduced.
Belgium is regarded as one of the most trans-friendly countries in Europe. A minister in the government is transgender and people have been able to legally change their gender without a medical certificate for the past five years.
But the hard-Right Vlaams Belang party is currently leading the polls ahead of national and European elections in June.
It has called for “hormone therapy and sex surgery to be halted for underage patients until clear and concrete research has been carried out.”
‘Greatest ethical scandals’
In March, a report in France described sex reassignment in minors as potentially “one of the greatest ethical scandals in the history of medicine”.
Conservative French senators plan to introduce a bill to ban gender transition treatments for under-18s.
On Monday, the Vatican’s doctrine office published a report that branded gender surgery a grave violation of human dignity on a par with euthanasia and abortion.
Finland was one of the first countries to adopt the Dutch protocol but realised many of its patients did not meet the Protocol’s strict eligibility requirements for the drugs.
It restricted the treatment in 2020 and recommended psychotherapy as the primary care.
Sweden restricted hormone treatments to “exceptional cases” two years later. In December, Norwegian authorities designated the medicine as “under trial”, which means they will only be prescribed to adolescents in clinical trials.
Denmark is finalising new guidelines limiting hormone treatments to teenagers who have had dysphoria since early childhood.
In 2020, Hungary passed a law banning gender changes on legal documents.
“The import and the use of these hormone products are not banned, but subject to case by case approval, however, it is certain that no authority would approve such an application for people under 18,“ a spokesperson told The Telegraph.
In August, Russia criminalised all gender reassignment surgery and hormone treatments.
#Belgium#Netherlands#cass review#Using caution when giving children hormones shouldn't have been controversial in the first place#Dutch protocol#Amsterdam Center of Expertise on Gender Dysphoria#Attitudes haven't hardened against rights for trans people the public just wants a common sense approach to the issue
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By: James Crisp
Published: Apr 13, 2024
Belgium and the Netherlands have become the latest countries to question the use of puberty blockers on children after the Cass Review warned of a lack of research on the gender treatment’s long-term effects.
Britain has become the fifth European nation to restrict the use of the drug to under 18s after initially making them part of their gender treatments.
Their use was based on the “Dutch protocol” - the term used for the practice pioneered in the Netherlands in 1998 and copied around the world, of treating gender dysphoric youth using puberty blockers.
The NHS stopped prescribing the drug, which is meant to curb the trauma of a body maturing into a gender that the patient does not identify with this month.
In Belgium, doctors have called for gender treatment rules to be changed.
‘Last resort’
“In our opinion, Belgium must reform gender care in children and adolescents following the example of Sweden and Finland, where hormones are regarded as the last resort,” the report by three paediatricians and psychiatrists in Leuven said.
Figures from the Netherlands and the United Kingdom show that more than 95 per cent of individuals who initiated puberty inhibition continue with gender-affirming treatments,” the report by P Vankrunkelsven P, K Casteels K and J De Vleminck said.
“However, when young people with gender dysphoria go through their natural puberty, these feelings will only persist in about 15 per cent.”
The report was published after a 60 per cent rise in the number of Belgium teenagers taking the blockers to stop the development of their bodies. In 2022, 684 people between the ages of nine and 17 were prescribed the drug compared to 432 in 2019, the De Morgen newspaper reported in 2019.
Pressure is also building in the neighbouring Netherlands to look again at their use. The parliament has ordered research into the impact of puberty blockers on adolescent’s physical and mental health.
Dutch Protocol
The Telegraph understands that the Amsterdam Center of Expertise on Gender Dysphoria, where the Protocol originated, is set to make a statement on the use of puberty blockers next week.
“I too thought that the Dutch gender care was very careful and evidence-based. But now I don’t think that any more,” Jilles Smids, a postdoctoral researcher in medical ethics at Erasmus University in the Netherlands, told The Atlantic.
Attitudes in the Netherlands have hardened against trans rights, with a bill to make it easier for people to legally change their gender being held up in parliament.
The Cass Review said that the NHS had moved away from the restrictions of the original Dutch Protocol, and researchers in Belgium have also demanded those restrictions be reintroduced.
Belgium is regarded as one of the most trans-friendly countries in Europe. A minister in the government is transgender and people have been able to legally change their gender without a medical certificate for the past five years.
But the hard-Right Vlaams Belang party is currently leading the polls ahead of national and European elections in June.
It has called for “hormone therapy and sex surgery to be halted for underage patients until clear and concrete research has been carried out.”
‘Greatest ethical scandals’
In March, a report in France described sex reassignment in minors as potentially “one of the greatest ethical scandals in the history of medicine”.
Conservative French senators plan to introduce a bill to ban gender transition treatments for the under-18s.
On Monday, the Vatican’s doctrine office published a report that branded gender surgery a grave violation of human dignity on a par with euthanasia and abortion.
Finland was one of the first countries to adopt the Dutch Protocol but realised many of its patients did not meet the Protocol’s strict eligibility requirements for the drugs.
It restricted the treatment in 2020 and recommended psychotherapy as the primary care.
Sweden restricted hormone treatments to “exceptional cases” two years later. In December, Norwegian authorities designated the medicine as “under trial”, which means they will only be prescribed to adolescents in clinical trials.
Denmark is finalising new guidelines limiting hormone treatments to teenagers who have had dysphoria since early childhood.
In 2020, Hungary passed a law banning gender changes on legal documents.
“The import and the use of these hormone products are not banned, but subject to case by case approval, however, it is certain that no authority would approve such an application for people under 18,“ a spokesperson told the Telegraph.
In August, Russia criminalised all gender reassignment surgery and hormone treatments.
[ Via: https://archive.today/0oU9Z ]
==
It's kind of ironic that in the early 20th century, Russia was the center of the scientific corruption and scandal that was Lysenkoism, where ideology trumped reality. Millions suffered and died as a result of denying biological reality.
The process of cementing Lysenkoism was eerily familiar.
https://en.wikipedia.org/wiki/Lysenkoism
On August 7, 1948, at the end of a week-long session organized by Lysenko and approved by Stalin, the Academy of Agricultural Sciences announced that Lysenkoism would henceforth be taught as "the only correct theory." Soviet scientists were required to denounce any work that contradicted Lysenko, and criticism was denounced as "bourgeois" or "fascist".
Today, countries like the US, Canada and Australia are up to their armpits in a modern-day form of Gender Lysenkoism.
#James Crisp#Belgium#Netherlands#Dr. Hilary Cass#Hilary Cass#Cass Report#Cass Review#puberty blockers#medical corruption#medical scandal#medical malpractice#cross sex hormones#wrong sex hormones#gender affirming care#gender affirming healthcare#NHS England#National Health Service#religion is a mental illness#gender pseudoscience
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Translation of this article in the Dutch Newspaper AD.
“More research on sex changes in young people under the age of 18 is urgently needed. Doctors who provide transgender care in Nijmegen and Amsterdam say they know too little about the target group and the long-term effects. In the meantime, they feel pressured by the long waiting lists. “All the research out there comes from ourselves.”
In Britain, the lack of scientific support has now led to a ban on sex reassignment hormones for young people. It doesn’t have to come to that in the Netherlands, says Thomas Steensma of the Center of Expertise on Gender Dysphoria at Amsterdam UMC. “But more research is really necessary, and very much needed.”
Because what is behind the large increase of children who have suddenly registered for transgender care since 2013? And what is the quality of life for this group long after the sex change? There is no answer to those questions. And that must happen, think Steensma and his colleagues from Nijmegen.
“We don’t know whether studies we have done in the past can still be applied to this time. Many more children are registering, and also a different type, ”says Steensma. “Suddenly there are many more girls applying who feel like a boy. While the ratio was the same in 2013, now three times as many children who were born as girls register, compared to children who were born as boys.”
The explosive increase in requests for transgender care simply requires a new investigation. Around 2010, for example, around 150 to 200 transgender people were seen every year in the Amsterdam UMC. Now there are 775, with a two-year waiting list on top of that. Research into that small group of people from before 2013 may not apply to the large group that is here now. And here the help of other countries is also needed. “We conduct structural research in the Netherlands. But the rest of the world is blindly adopting our research. While every doctor or psychologist who engages in transgender health care should feel the obligation to do a proper assessment before and after intervention ”
Nijmegen is helping lower the waiting list
Meanwhile, there are huge waiting lists for transgender care. One year ago, the Radboud UMC Amalia children’s hospital in Nijmegen responded to a call from the ministry to help get rid of the enormous waiting list in Amsterdam. About 175 children have been seen in Nijmegen since the start. 30 percent of them received puberty blockers after a series of interviews. This medication prevents the onset of puberty and may be given from the moment the child shows signs of puberty. From 11 years old at the earliest.
When children have reached the age of 15, they may also take cross-sex hormones in consultation with doctors and their parents. This gives a girl, for example, beard growth and a boy breasts.
It is still unclear whether these administered hormones affect the fertility of boys and girls. “We just don’t know,” says Steensma. “Little research has been done so far on treatment with puberty blockers and hormones in young people. That is why it is also seen as experimental. We are one of the few countries in the world that conducts ongoing research about this. In the United Kingdom, for example, only now, for the first time in all these years, a study of a small group of transgender people has been published. This makes it so difficult, almost all research comes from ourselves.”
So this article was published in a Dutch newspaper two weeks ago. As you may know, the Dutch model for transgender care is the affirmation model that is currently being adopted throughout the Western world. Until now the media has been very silent about this topic. If these treatments are in the news, it’s always about the long waiting lists. The same journalist published a second article the day after this one, again featuring an interview with Steensma, as well as a few others in this field. It’s a lot worse than this one. I’ll post the translation of that one too.
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