The Supreme Court will hear arguments Wednesday in a case involving Tennessee’s ban on gender-affirming care for transgender people under age 18. At least 26 states have adopted laws restricting or banning such care for minors, and most of those states face lawsuits.
FILE - People attend a rally as part of a Transgender Day of Visibility, Friday, March 31, 2023, by the Capitol in Washington. FILE - Advocates gather for a rally at the state Capitol complex in Nashville, Tenn., to oppose a series of bills that target the LGBTQ community, Feb. 14, 2023. FILE - People attend a rally as part of a Transgender Day of Visibility, Friday, March 31, 2023, by the Capitol in Washington.
Those who meet defined criteria may be diagnosed with what’s called gender dysphoria if their distress is continuous and significant. “The first-ever step of gender-affirming care for me was when I told my parents that I was a girl and that I had felt this way for a long time and that they accepted me,” she said. “I think people get really confused when they hear the word ‘care’ that it has to be something medical. But the truth is that it’s more than just medical. It’s love and acceptance.
The drugs can be given as injections every few months or as arm implants lasting up to a year or two. Many of the effects are reversible — puberty and sexual development resume as soon as the drugs are stopped. Researchers are exploring the effects of puberty blockers on bone development, but no research has shown an increased risk for bone fractures.After puberty blockers, trans adolescents go through puberty either with or without hormone treatment.
If the medication is stopped, some physical changes remain. Testosterone generally leads to permanent voice-lowering, facial hair and development of the Adam’s apple. Estrogen can lead to permanent breast development.
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