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We draw your attention to the fact that:

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• A diagnosis of "gender dysphoria" should not hide or neglect the symptoms of adolescents in the midst of puberty metamorphosis who often manifest their suffering through the rejection of their sexed body. This diagnosis should not overlook the understanding of the cause and the meaning of the suffering which is most often not directly linked to their “gender identity”.

 

• A diagnosis of “gender dysphoria” can lead adolescents into a social and medical transition that will have irreversible consequences on their health.

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  ▶  We must hear the feelings of the teenager who experiences physical and psychological changes, but without medicalizing it and many young people who identify as trans do not take treatment.

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• A diagnosis of 'gender dysphoria' risks validating the teenager's belief that he was born into a 'wrong body', a narrative that is not based on evidence, and popularized by social networks through influencers when it comes to exploring the etiology of distress related to one's gender identity.

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  ▶  In most pathologies, the doctor follows evidence-based medicine (EBM). In the absence of proof of the effectiveness of medical treatments and in knowledge of their side effects, some of which are irreversible, and in the case of psychological suffering, first-line psychological support is recommended.

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• Most young people expressing gender nonconformity are in good physical health and do not require any invasive medical intervention (puberty blockers, cross-hormones or even surgery).

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  ▶  A doctor who supports this ethics and this recognized clinical practice cannot be prosecuted because he protects the adolescent from the risks of medical-surgical treatments, and, by allowing him to get better psychologically, to be able to decide later on to his kind with more freedom and in all conscience.

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• Young people who experience this mismatch between their sex and their feelings need to be supported by caring adults who help young people to reflect on the role of gender stereotypes and in distinguishing between sexual orientation and gender identity. 

 

  ▶  These suffering adolescents must be referred to holistic mental health services that will take into account their suffering in a comprehensive way. Gender transition is not a “treatment” based on evidence and is in no way suitable for solving the psychological or even psychopathological problems frequently associated with the request for transition.

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• Medical and surgical “gender affirmation” can lead to infertility or sterility and has known bone and cardiovascular effects. An adolescent cannot consent in an informed and sufficiently mature manner to medico-surgical treatments which can alter his sexuality and his fertility, and cause irreversible changes in his physical appearance.

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