Puberty blockers were sold as a pause button, as giving adolescents time to think. There was never any evidence for this view (to be precise: this is the way they work when used for precocious puberty, which is not at all like gender dysphoria). The small amount of evidence we have on this question goes in the opposite direction. It's mentioned in the Cass review (and was already in the preliminary Cass report): Almost all adolescents who take puberty blockers go on to cross-sex hormones, which would only be compatible with pause button view if physicians had a reliable protocol for identifying kids who are really trans (as opposed to just being confused or in thrall to fashion). Such protocol does not exist.
I don't know Robert whether you have seen these:
Leor Sapir: Adolescent Gender Dysphoria Is a Temporary Diagnosis for Most Teens. Aug 30, 2024
New evidence underscores that a GD diagnosis in adolescence is an unreliable basis for medical interventions.
Puberty blockers were sold as a pause button, as giving adolescents time to think. There was never any evidence for this view (to be precise: this is the way they work when used for precocious puberty, which is not at all like gender dysphoria). The small amount of evidence we have on this question goes in the opposite direction. It's mentioned in the Cass review (and was already in the preliminary Cass report): Almost all adolescents who take puberty blockers go on to cross-sex hormones, which would only be compatible with pause button view if physicians had a reliable protocol for identifying kids who are really trans (as opposed to just being confused or in thrall to fashion). Such protocol does not exist.
I don't know Robert whether you have seen these:
Leor Sapir: Adolescent Gender Dysphoria Is a Temporary Diagnosis for Most Teens. Aug 30, 2024
New evidence underscores that a GD diagnosis in adolescence is an unreliable basis for medical interventions.
https://www.city-journal.org/article/adolescent-gender-dysphoria-is-a-temporary-diagnosis-for-most-teens
Sapir is definitely somebody whose Twitter feed I watch, to stay informed about this topic.
Jay Cohn: The Detransition Rate Is Unknown. Archives of Sexual Behavior, 12 June 2023, vol. 52, pages 1937–1952
https://link.springer.com/article/10.1007/s10508-023-02623-5