Abstract

In clinical studies, childhood-onset gender dysphoria does not usually persist through puberty, at least if the child has not socially transitioned. If dysphoria persists into puberty, is it unlikely to abate without medical intervention? Many clinicians would give an affirmative answer. Gender dysphoria after puberty is often said to be "highly persistent.” The article examines whether this opinion is backed by good evidence, and concludes that it isn't.