Many states have passed or are considering restrictions on gender-affirming care for trans minors. Yet much of the discussion is based on misconceptions about what that care entails.
"Gender transitions involving major surgeries not only result in sterility, but other irreversible negative biological effects," said Montana state Sen. John Fuller, the Republican who introduced the bill.
The reality is that the process informing these treatments is a long and intensive one. Before any medical or surgical interventions, kids must first be, which involves experiencing significant distress for at least six months from at least six of a set of causes including a strong desire to be of the other gender and a strong dislike of one's sexual anatomy.
"That's going to be a much shorter assessment to know that they are ready for treatment when compared to somebody who has only understood their trans identity for six months" and has other complex mental health conditions like schizophrenia, Turban said.To receive puberty blockers, kids must also have experienced the onset of puberty, oron the Tanner scale of developmental change.
If a trans person decides to receive gender-affirming surgery, clinics require that the individual receive letters from one or more providers stating they have persistent and well-documented gender dysphoria, any significant mental health concerns they have are sufficiently controlled, and they can consent to the surgery.
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