Top British pediatrician says US doctors 'outdated' on trans interventions for minors

One of Britain's leading pediatricians, who recently published a report urging caution regarding hormonal and surgical interventions for trans-identified minors, claims medical professionals in the United States are “outdated” about such practices.

Dr. Hilary Cass, a pediatrician in England for over 30 years, wrote an important study published last month called the “Cass Report.” This study prompted the National Health Service to advise its sex clinics to implement a pause on first appointments for those under 18.

Cass, who was tasked with reviewing the country's process for treating youth suffering from gender dysphoria, interviewed minor patients, transgender-identifying adults, detransitioners, advocacy groups and clinicians.

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The report was commissioned amid an exponential increase in minors in the UK seeking treatment for their gender dysphoria over the past decade despite the lack of long-term studies examining the use of puberty-blocking drugs and cross-sex hormones on such patients.

Cass's investigation involved a systematic review of international health guidance, although she concluded that evidence supporting puberty blockers and cross-sex hormones for youth is “remarkably weak.”

Cass advised that such hormones should be prescribed with “extreme caution.”

The American Academy of Pediatrics (AAP) and the Endocrine Society appeared to downplay the results of the Cass review.

“Politicians have put themselves in the examination room, which is dangerous for both doctors and families,” Dr. Ben Hoffman, the president of the AAP, was quoted as saying. The New York Times.

The Endocrine Society told the paper that the Cass Report “contains no new research” that would contradict its guidelines.

Cass, who served as president of the Royal College of Paediatrics and Child Health, spoke highly of the AAP but told the Times in an interview published Monday that she “respectfully. [disagrees] with them while holding to a position that is now being shown to be outdated by multiple systematic reviews.”

“It wouldn't be too much of a problem if people said, 'This is a clinical consensus, and we're not sure,'” Cass said. “But what some organizations are doing is doubling down on saying the evidence is good. And I think that's where you're deceiving the public. You have to be honest about the strength of the evidence and say what you are going to do about it. make it better.”

Cass speculated that the AAP is a “pretty left-wing organization” and is afraid to make any moves against gender procedures for children because they are both under “political coercion” and afraid to admit that there are multiple exits for children who experience gender dysphoria. .

Cass advised against a “politically driven” medical system, urging a more holistic approach to treating minors struggling with their gender identity. She suggested that the American medical system failed such patients in part because it was overwhelmed by the problem.

“We're failing these kids, and we're failing other kids in terms of the amount of mental health support we have,” she said. “That's a huge problem – not just for sex-questioning young people. And I think that's partly a reflection of the fact that the system is caught up in an increase in demand that completely outstrips the ability to supply it.”

The World Professional Association for Transgender Health Standards of Carenow in its eighth edition, guides many leading health agencies worldwide regarding transgender health care.

According to the leaked documents, WPATH members have admitted internally that minors are unable to give informed consent to irreversible treatments such as puberty-blocking drugs and cross-sex hormones.


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