The news that Denmark is moving away from the so-called “affirmative model of care” approach to youth struggling with gender dysphoria exposes, once again, how utterly radical and out of step with the rest of the world Canada and blue America are on the issue of “sex changes” for minors. Predictably, mainstream media outlets have ignored this development entirely — there is no press coverage that I can find. This may be due to the fact that this shift was published in the major medical journal Ugeskrift for Læger, the Journal of the Danish Medical Association, in Danish.
Fortunately, the Society for Evidence-Based Gender Medicine (SEGM) has published a synopsis, noting that most “youth referred to the centralized gender clinic no longer get a prescription for puberty blockers, hormones, or surgery—instead they receive therapeutic counseling and support.” SEGM published a summary of the shift:
In the last several weeks, health journalists have reported that change may be afoot in Denmark. The article in Denmark’s Medical Association journal Ugeskrift for Læger leaves very little doubt that Denmark too has made a course correction in youth gender transitions, restricting this option to very few cases, while prioritizing counseling for the vast majority of the currently presenting youths. The article is an excellent summary of the rise-and-fall-of the “gender affirmation” model of care in Denmark. It describes how in 2016, following the influence of other northern European countries, Denmark chose to offer “a treatment approach with few barriers to hormone treatment for children and young people with gender dysphoria.” The treatment was justified by the foundational Dutch studies, “which indicated better well-being and body satisfaction after hormone treatment, a low degree of regret and few side effects.” However, the increasing number of referrals, changes in the presentation in gender dysphoria, and growing reports of regret—combined with a lack of long-term outcomes of the one and only sample of youth (n=55) on which the entire practice of gender transition rests—led the Danish clinicians to reverse course.
This is consistent with developments in the U.K., where the Tavistock gender clinic has been shut down and the NHS is changing course on “sex change” surgeries, and Sweden, which halted “hormone therapy” for minors in February 2022.