The blessing of puberty blockade

Adults who create eternal children

Photo by Markus Spiske on Unsplash

„Most people discard their childhood like an old hat. They forget it like a phone number that is no longer valid.They used to be children, then they became adults, but what are they now?Only those who grow up and remain a child are human.“

Erich Kästner

„The term infantilism describes the state of being at the stage of a child and can refer to both physical and mental development. The term is derived from the Latin word infantilis (meaning 'childlike') and has more precisely defined meanings in the individual specialist areas. The induction of infantilism is referred to as infantilisation.“

Dictionary of foreign words. Bertelsmann, Gütersloh/Berlin/Munich/Vienna 1974

At the beginning of last week, the ZDF reportage series 37 Grad launched an entire „Trans“ theme week on Instagram^[1] . The documentary „Trans – Three Generations, One Journey“^[2] featured three people who describe themselves as „trans“. Once again, it became clear that „trans“ is not a meaningful conceptual category. After all, what does a now 69-year-old gay man, who became involved in the travesty scene in Berlin in the 1970s and from then on decided to perform as a „woman“, have in common with a girl who does not want to be a girl from primary school age and is put on puberty blockers and opposite-sex hormones at an early age?

The girl's endocrinologist – Dr Achim Wüsthof – does not explain in the programme that she will be safely sterilised with puberty blockers followed by testosterone. However, he does explain to her that she will have to apply the testosterone gel for the rest of her life and that she will have to come to terms with being a „rather small man“. He also introduces her to penoid reconstruction – a serious plastic operation in which a fictitious penis is attached to the sutured vulva using muscle tissue from the arm or thigh, a tube replaces the urethra and an inserted pumping device simulates an erection. This procedure is usually rarely satisfactory, is associated with serious complications and results in multiple corrective operations^[3] .

However, Dr Wüsthof does not talk about this on public television. The normal television viewer rarely realises what it actually means when endocrinology and plastic surgery turn a girl into a supposed boy. There was already a programme about this girl that was broadcast on children's television on ZDFtivi and Kika. So even children are being taught that a tomboyish girl could be a boy.

Dr Wüsthof already has decades of experience in stopping puberty and administering opposite-sex hormones. One particularly early example is Kim Petras, who was put on hormones in 2003 at the age of 12, was allowed to change his gender at 14 and underwent „gender reassignment“ surgery in 2007 at 16 ^[4][5] . The operations were paid for by health insurance.

„As far as I know, Kim is the youngest gender reassignment patient in the world. Under German law, two independent psychiatrists have to confirm that the child is actually transsexual and authorise the sex change. Once this is done, it is best to start as early as possible“^[6] .

Petras is now a pop star and attracts attention with his sexualised and pornified music videos and lyrics. The promotional videos for his album „Slut Pop Miami“ are consistently accompanied by „fucking fucking fucking“ or the lyrics „These bitches can't suck like me“^[7] . However, due to the early hormone treatment, Petras himself will have lost his sexual sensitivity and never experienced an orgasm.

The theme week was supported on Instagram with the usual one-sided and superficial misinformation about the Self-Determination Act and an Insta-Live. In addition, addresses and contact persons for affected minors and their parents were provided – exclusively by trans activist organisations.

A quantum leap that halts developments

If this kind of emotional groundwork is being done by the media, I now expect it to be the start of a political project. This was promptly followed on Friday last week by an article in the Süddeutsche Zeitung by Vera Schröder on the forthcoming guideline for the treatment of children and adolescents with „gender dysphoria“, in which it was praised in the highest terms as a „quantum leap“^[8] . Mrs Schröder has a long history of articles in which she grants the transgender doctors of today a more than benevolent stage and accuses critics of populism^[9] . Fortunately, at least WELT^[10] is now capable of more comprehensive reporting that also allows critics to have their say.

Work on this guideline has been going on for many years now. The original plan was to produce an evidence-based S3 guideline. In the end, it became a consensus-based S2k guideline ^[11][12] . The downgrading came late – and only shortly after a new study from Jena was published ^[13][14] , which once again proves that puberty blockers do not have the positive therapeutic effect that has been propagated by transgender doctors and activists for many years. A German study thus confirms what was already on the table in Great Britain, Sweden, France, Denmark and Finland and led to the administration of puberty blockers to minors being largely discontinued in these countries.

The mature decision about your own sex

However, Germany is going its own way and taking Switzerland and Austria with it: Not only do they plan to continue to adhere to puberty blockers. They are also of the opinion that minors can give informed consent to experimental medical treatments and make far-reaching decisions for their entire lives. The age limits that have so far been in place, at least as a guide, will be completely removed.

According to guideline committee member and medical ethicist Prof Dr Wiesemann, minors can „make a mature decision about their own sex“^[15] .  It is believed that child psychologists can determine with certainty whether a child or adolescent is capable of giving consent. If this is not the case, the ability to consent should be promoted.

This gives the impression that adult doctors want to be relieved of their responsibility with the consent of the child or adolescent.

Wiesemann's conviction contradicts, among other things, the findings from the leaks of discussions, chats and video recordings of WPATH members, which were summarised in the WPATHfiles^[16] . WPATH is the World Professional Association for Transgender Health – the largest international association of doctors who carry out invasive procedures and experimental hormone treatments to simulate the fiction of a sex change^[17] .

The head of the German guideline commission^[18] Georg Romer is a member of this association^[19] and also Director of the Centre for Transgender Health in Münster^[20] .

The WPATH publishes treatment guidelines – the Standards of Care. The most recent version – Standards of Care 8 (SOC-8) – is from 2022^[21] and has fallen into disrepute. Among other things, research has revealed that castration fetishists and paedosadists worked on these guidelines, ensuring that a chapter on „eunuch“ was included in SOC-8 as a congenital gender identity in need of treatment ^[22][23] . The age recommendations for the treatment of minors were first drastically lowered and then cancelled altogether. It is assumed that the age recommendations were deliberately removed so that the treating doctors would not be open to legal challenge. The German guideline is also based on this.

The leak of the exchange among these doctors proves, among other things, that they are very aware that minors CANNOT give informed consent and, for example, at the age of 15 can NOT assess what it means to have consented to hormone intake that leaves them sterile, significantly restricts their sexual sensitivity and makes them lifelong patients. This also applies if they have been informed in detail about the consequences^[24] .

In any case, studies on the development of the human brain suggest that it is not until the age of 25 that a level of maturity is reached that makes rational, far-reaching decisions possible^[25] .

This is confirmed by the increasingly loud voices of young adults who deeply regret the interventions in their physical integrity – so-called detransitioners. In the USA^[26] and the UK^[27] , the first waves of lawsuits are being filed by them and their parents against doctors and clinics. For this reason, Australia's largest insurer is now refusing to insure these clinics and doctors^[28] .

Germany has fallen out of time

Germany seems to have fallen out of time, as the guidelines commission for German-speaking countries is of the opinion that „trans children“ can be expected to make such a decision.

This confirms once again that the „trans child“ is a special category of children and adolescents who are burdened with far too much responsibility and are therefore defenceless. Children in German-speaking countries in particular are to be subject to rules that have demonstrably not worked in other countries. Even if the guideline commission claims that it is preceded by a detailed two-track diagnosis by experts:  If you take a look at the preliminary guideline, they stick to simply referring to the sexist diagnostic criteria of the DSM-5^[29] .

However, Prof Dr Wiesemann – who holds a doctorate and habilitation in medical history and is a former Vice President of the Ethics Council – seems to have a very special relationship with puberty and human bisexuality. In the press conference on the announcement of the S2K guideline, she said that refusing puberty blockers „as a matter of principle out of concern that puberty blockade could cause physical side effects – that is medically and ethically inappropriate^[30] „. After all, you are treating a person „who is experiencing being forced into a completely wrong sex.“ According to her, side effects are „generally insignificant compared to the crisis situation“. For her, „puberty blockers are a blessing in medicine^[31] .“

The fact that puberty is a healthy, necessary and uninterruptible phase of development from child to adult and that people can neither choose nor change their sex is almost forgotten with these words. You could be forgiven for thinking that puberty is a serious illness.

The fact that puberty – especially for girls – is not easy and is increasingly crisis-ridden in a society and (social) media landscape characterised by porn and sexism was recently analysed in a specialist article by guideline committee member Dr Alexander Korte together with gynaecologist Gisela Gille^[32] . Gille found that a third of girls now want to be a boy in their girls' consultations and school programmes. Korte and Gille argue in favour of mindfully accompanying young people through puberty instead of medicalising them.

This means that Korte is quite alone as a member of the guideline committee and is one of the „5% minority opinion“ that prevented a 100% consensus in the guideline. Florian Zepf, who was involved in the Jena study, resigned from the guideline committee for ethical reasons^[33] . It is therefore clear how controversial the discussions were, how much critical voices were silenced and that it was not without reason that it took years before a consensus was supposedly reached. As Korte explained in EMMA, the anticipated press conference has now created facts that are obviously intended to prevent the usual critical commentary on the directive until its publication at the end of April^[34] .

Physical integrity is right-wing extremist

People seem to find it difficult to deal with opposing opinions and current scientific findings that do not confirm the „blessing of puberty blockers“ anyway. Criticism of treatment with puberty blockers is therefore attributed exclusively to the right-wing political fringe. However, if the protection of the physical integrity of children and adolescents is only advocated by the AfD, we have a serious problem in Germany. In any case, the question arises as to how serious a commission is if it has to politically discredit its critics and opponents in this way instead of taking a position based on professional evidence. At the press conference, it was also emphasised that it is only Russia in Europe that completely bans puberty blockade. However, the fact that other European countries have decided to impose far-reaching restrictions on this experimental off-label medication and that more and more countries are joining in is not mentioned.

It is also contradictory that, on the one hand, gender dysphoria and gender incongruence are no longer categorised as a disorder according to ICD 11. According to psychotherapist and Vice President of the Federal Chamber of Psychotherapists Sabine Maur, psychotherapy is therefore not necessarily indicated if physically invasive measures are sought. On the other hand, drastic medical interventions such as puberty blockade, opposite-sex hormones or mastectomy should still be possible if the level of suffering is too high. It is ethically unjustified „for reasons of respect for the dignity and self-determination of the person“.

The option of supporting body and self-acceptance to such an extent that these body-invasive measures become superfluous does not seem to arise. Psychotherapy desired by those affected should be open-ended on the one hand, but affirmative on the other and recognise the existence of a soul-like gender identity from the outset, which should exist independently of physical sex. After all, not encouraging children and young people to believe that they can change their sex has been considered a criminal offence in Germany since 2020.

Depriving parents of their right to protection

Parents should also be involved in the decision-making process, as it is very important for their children that they support this process. However, both the statements at the press conference and the provisional guideline emphasise – partly between the lines and partly openly – that the parents should also be worked on with family therapy to such an extent that they agree to the decision reached by the child and doctors. If they are stubbornly opposed to a desired puberty blockade, opposite-sex hormones and a mastectomy, it would be advisable to check whether the child's welfare is at risk via the child and youth protection services. For adolescents, psychological counselling can help with the process of detachment from their parents.

Guidelines committee member Dagmar Pauli emphasised the importance of convincing parents. Pauli is head physician at the Clinic for Child and Adolescent Psychiatry in Zurich. She and her clinic were recently criticised because parents complained that their children were being supported too quickly and without consultation in a so-called „social transition“ and that parents with an alleged suicide risk were being pressured into a quick decision^[35] .

In line with these ideas, it was announced this week that the attack on the protective authority of parents is to be extended by tightening the law on protection against conversion treatments^[36] . The Magnus Hirschfeld Foundation – since 2022 under the leadership of Helmut Metzner (FDP), favoured by Marco Buschmann^[37] – together with the trans lobby associations Bundesverband Trans, dgti and LSVD+ and other associations, is demanding that parents make themselves liable to prosecution if they protect their children from the belief in gender identities and changeable sex. Not only homosexuality was written into this law, but also gender identity (through the efforts of the dgti). The study, which is supposed to prove that in Germany it is primarily the parents themselves who carry out conversion measures on their children, is nowhere to be found. „Conversion treatments: Contexts. Practices. Biographies“ by Mosaik Deutschland e.V. under the direction of Dr Klemens Ketelhut is only available in striking excerpts on the BZgA website^[38] . The study can therefore not be verified.

Mosaik Deutschland e.V. has links to CLAIM and Teilseiend, which are part of the Islamophobia and Muslimophobia competence network of the federal funding programme „Demokratie leben“. CLAIM, Teilseiend and Mosaik e.V. have received intensive federal funding in the past – in 2023, CLAIM/Teilseiend received almost EUR 600,000^[39] . The associations have links to the Muslim Brotherhood ^[40][41] . These links are particularly explosive when you consider that in radical Islamic countries such as Iran, homosexual men are converted via hormonal and surgical interventions on the sexual organs („gender reassignment“)^[42] .

Serving European transgender tourism?

My guess is that – parallel to the current push for physically invasive measures on minors – attempts are now being made to pass the Self-Determination Act at the end of April. This would put the whole package together to boost the number of transgender clinics springing up all over Germany, as minors who change their gender entry usually also seek physically invasive measures.

It is certainly not without reason that an internationally recognisable name was chosen for the clinic run by Georg Romer, head of the guidelines commission: The „Centre for Transgender Health“ in Münster was not opened until 2022. Mr Romer has ambitions. „Our goal is to become one of Europe's leading university centres for the comprehensive care of trans* people. [...] Our unique selling point of interlocking interdisciplinarity suggests a further expansion of care options for trans*people in Münster.“ In view of the fact that body-invasive procedures on minors are being drastically reduced in more and more European countries and the procedures are being criticised overall, the question arises as to whether Münster will also accept patients from abroad in the future who can no longer be treated there^[43] . In the USA, tourism is developing from states that prohibit puberty blockade and plastic surgery to states that are allowed to continue offering the body-damaging procedures ^[44][45] . Within Europe, it is possible to have medical treatments that are not offered in one's own country carried out in another European country – covered by one's own insurance^[46] .

The expert from the country that protects children

Back to the planned guideline on the treatment of minors: The group that presented this to the press on 20 March consisted of the aforementioned Achim Wüsthof, Sabine Maur, Claudia Wiesemann, Dagmar Pauli and Cecilia Dhejne from Sweden.

Cecilia Dhejne is a Swedish consultant psychiatrist from Karolinska University Hospital. She was reportedly invited to give an independent perspective on the guideline. Sweden was the first country^[47] to allow gender reassignment in 1972 and was a pioneer in so-called gender reassignment treatments for many years. Based on current observations and studies – including the disproportionate number of girls attending gender clinics^[48] – Sweden adopted a new treatment guideline in 2022^[49] . A systematic review of the evidence for treatment with puberty blockers at Karolinska University Hospital found, among other things, serious health consequences from this treatment and little evidence of improvement in symptoms in treated adolescents^[50] . As a result, the use of puberty blockers has been severely restricted in Sweden and is now only used in individual cases and as part of clinical studies.

It is therefore particularly significant that a Swedish specialist from Karolinska University Hospital spoke in favour of the German draft guidelines at a press conference.

However, Cecilia Dhejne is an expert at the press conference who, according to her own statements, was not involved in the development of the current Swedish guideline and was not involved in the study in Sweden.

Instead, she was involved in drafting the controversial SOC-8 guidelines of the WPATH and has also been a member of this association for many years^[51] . The press conference website states that Dhejne is a specialist in psychiatry and sexual medicine at the ANOVA Centre for Andrology, Sexual Medicine and Transgender Medicine at Karolinska University Hospital. On the Karolinska Hospital website itself, however, she is listed as a doctor of philosophy from the Department of Neurosciences^[52] . She has been responsible for studies in the Department of Medicine since 2022. She leads the Anova Centre as Chief Physician and Specialist in Psychiatry.

According to her own statements, she began working clinically with „transgender people“ back in 1999 and founded the gender team in Stockholm. „In 1999 when I started the Stockholm gender team, we were conducting diagnostic evaluations to help trans people start their social and medical transition. Our team included psychologists and a social worker, and we worked in close collaboration with endocrinologists, plastic surgeons as well as speech and language pathologists at the Karolinska University Hospital^[53] .“

She was previously influenced by the German doctor and John Money student Dr Friedemann Pfäfflin and Dr Espen Esther Pirelli Benestad, who recently had his medical licence revoked in Norway^[54] . Among other things, he had treated minors privately without observing safety guidelines. One of his patients committed suicide after the experimental treatments^[55] . Benestad, who is also a leading WPATH member, campaigned in favour of „eunuch“ as a gender identity in the SOC-8 guidelines.

Pfäfflin was president of the Harry Benjamin International Gender Dysphoria Association – the forerunner of WPATH – from 1995 to 1997. Together with the later president Eli Coleman, he founded the journal of the WPATH in 1997 – the „International Journal of Transgenderism“. Pfäfflin did his clinical traineeship under John Money at the Johns Hopkins Institute in Baltimore. After his return to Germany, he set up a transgender department at the University Medical Centre Hamburg-Eppendorf. Coleman was also jointly responsible for the SOC-8 guidelines and for the inclusion of eunuch as a gender identity.

Cecilia Dhejne offered seminars on transgender treatment at the International Society for Sexual Medicine in cooperation with Benestad and Coleman, among others^[56] . She also contributed to the revision of the DSM-5 and the ICD-11 and received the „trans hero of 2016“ award for her work to improve transgender healthcare.

The persuaders and their business

The people involved in the press conference are therefore certainly not particularly interested in providing a critical perspective on puberty blockers and the treatment of minors, because all of them – except Prof. Dr Wiesemann – earn their living with these treatments or consultations on the subject. Mrs Wiesemann was Vice President of the German Ethics Council when it issued an ad hoc recommendation on transidentity in children and adolescents^[57] .  She is currently also a member of the Federal Government's commission considering the legalisation of egg donation and surrogacy in Germany^[58] . She is in favour of this and here, too, she is of the opinion that medical ethics should not restrict the right to physical self-determination.

„What do we actually have to protect women from? How much paternalistic protection do we need to give them so that they don't put themselves in any physical danger? I think women are capable of making this decision themselves, provided they are given clear, unambiguous and correct information.^[59] „

The legalisation of egg donation and surrogacy are also linked to the idea of changeable sex and the interventions developed from this: children and adolescents who are sterilised by puberty blockers and opposite-sex hormones may want children later on. Until recently, the Centre for Transgender Health offered cryopreservation of ovarian tissue from pre-pubertal girls at^[60] – a serious procedure. A possible pregnancy would have to be outsourced to the inhumane business of surrogacy.

The eternal child

The idea of the eternal child is a romanticised idea of adults. Transgenderism undertakes a change of role. The „trans child“ is not a playful, innocent child for whom adults take responsibility. They are capable of making decisions about far-reaching physical interventions that turn them into lifelong patients. Adults carry out these interventions in their physical integrity supposedly at their request. In turn, adults introduce the child to these wishes by conveying ideas and possibilities of body manipulation and possible sex changes.

When the child decides, adults are relieved of the responsibility that they should actually bear.  The children have thus become adults so that the adults can remain children.

The „blessing of puberty blockade“ creates physically eternal children who were not allowed to be children as children, but who cannot grow up either.

When the child was a child, it was
the time of the following questions:
Why am I me and why not you?
Why am I here and why not there?
When did time begin and where does space end?
Isn't life under the sun just a dream?
Isn't what I see and hear and smell
just the appearance of a world before the world? Is there
really evil and people
who are really evil?
How can it be that I, who I am
before I became, was not,
and that one day I, who I am,
will no longer be who I am?

Peter Handke, Song of Being a Child

---

^[1] https://www.instagram.com/zdf37grad/?hl=de

^[2] https://www.zdf.de/dokumentation/37-grad/37-trans---drei-generationen-eine-reise-100.html

^[3] https://www.sciencedirect.com/science/article/abs/pii/S2050052122000129

^[4] https://www.spiegel.de/wissenschaft/fehler-in-der-himmelsfabrik-a-1c58cf34-0002-0001-0000-000050263565?context=issue

^[5] https://de.wikipedia.org/wiki/Kim_Petras#cite_note-hormone-3

^[6] https://www.dailymail.co.uk/news/article-1135724/From-Tim-Kim-German-pop-star-16-worlds-youngest-transsexual-sex-change-op.html

^[7] https://x.com/kimpetras/status/1755295355326075315?s=20

^[8] https://www.sueddeutsche.de/gesundheit/trans-trans-kids-leitlinie-geschlechtsdysphorie-geschlechtsinkongruenz-geschlechtsdysphorie-bei-kindern-und-jugendlichen-transidentitaet-1.6478388

^[9] https://www.sueddeutsche.de/autoren/vera-schroeder-1.2185617

^[10] https://www.welt.de/gesundheit/plus250693618/Jugendmedizin-Umstrittene-Leitlinie-fuer-Trans-Kinder-Kritiker-fuerchten-Medizinskandal.html

^[11] https://register.awmf.org/de/leitlinien/detail/028-014

^[12] https://www.aerzteblatt.de/nachrichten/150071/Neue-S2k-Leitlinie-zu-Geschlechtsinkongruenz-und-dysphorie-im-Kindes-und-Jugendalter-vorgestellt

^[13] https://www.uni-jena.de/nachrichtenuebersicht/transidentitaet-bei-minderjaehrigen

^[14] https://www.welt.de/gesundheit/plus250359462/Transgender-Mama-ich-bin-jetzt-trans-Die-Gefahren-von-Pubertaetsblockern-und-Hormonen.html

^[15] https://www.deutschlandfunk.de/interview-mit-claudia-wiesemann-universitaet-goettingen-und-delegierte-der-fachge-dlf-6aa50d63-100.html

^[16] https://www.ruhrbarone.de/wpathfiles-seit-jahren-warnen-frauenrechtlerinnen-davor-was-die-idee-sich-dem-abgelehnten-koerper-und-geschlecht-zu-entledigen-zu-koennen-bei-kindern-und-jungen-leuten-anrichtet/230415/

^[17]

https://www.wpath.org

^[18] https://register.awmf.org/de/leitlinien/detail/028-014

^[19] https://wpath.org/member/12703

^[20] https://www.ukm.de/zentren/center-for-transgender-health

^[21] https://www.tandfonline.com/doi/pdf/10.1080/26895269.2022.2100644

^[22] https://reduxx.info/top-academic-behind-fetish-site-hosting-child-sexual-abuse-fantasy-push-to-revise-wpath-guidelines/

^[23] https://www.nzz.ch/panorama/verband-transgender-gesundheit-eunuch-als-geschlechtsidentitaet-ld.1703568

^[24] https://www.welt.de/politik/ausland/plus250639919/WPATH-Files-Dies-ist-der-Wilde-Westen-der-Medizin-sagt-Mia-Hughes.html

^[25] https://www.fr.de/wissen/gehirn-nach-erwachsen-wissenschaft-news-ab-welchem-alter-ist-der-mensch-dem-92863500.html

^[26] https://www.economist.com/united-states/2023/03/07/legal-action-may-change-transgender-care-in-america

^[27] https://www.aerzteblatt.de/nachrichten/136646/Transgenderklinik-in-London-koennte-vor-Klagewelle-stehen

^[28] https://www.smh.com.au/healthcare/what-s-the-real-risk-gender-transition-insurance-cover-cut-for-gps-20230523-p5damx.html

^[29] https://www.psychiatry.org/patients-families/gender-dysphoria/what-is-gender-dysphoria

^[30] https://www.sciencemediacenter.de/alle-angebote/press-briefing/details/news/awmf-leitlinie-zu-geschlechtsinkongruenz-und-dysphorie-im-kindes-und-jugendalter/

^[31] https://www.deutschlandfunk.de/medizinethikerin-wiesemann-pubertaetsblocker-sind-ein-segen-in-der-medizin-102.html#:~:text=in%20the%20medicine%22-,trans%20identity,%20treatment%20doctors%20can%20orientate themselves.

^[32] https://www.frauenheldinnen.de/news/ich-wuensche-mir-ein-junge-zu-sein/

^[33] https://www.welt.de/gesundheit/plus250359462/Transgender-Mama-ich-bin-jetzt-trans-Die-Gefahren-von-Pubertaetsblockern-und-Hormonen.html

^[34] https://www.emma.de/artikel/trans-kinder-ein-medizin-skandal-340959

^[35] https://www.srf.ch/news/schweiz/trans-jugendliche-eltern-kritisieren-zuercher-psychiatrieklinik

^[36] https://mh-stiftung.de/2024/03/25/vollverbot-jetzt-forderungspapier-zum-schutz-vor-konversionsmassnahmen-veroeffentlicht/

^[37] https://www.spiegel.de/politik/deutschland/bundesstiftung-magnus-hirscheld-kritik-an-lgbtq-posten-der-ampelkoalition-a-8230c309-70c1-4c52-9612-a17c12bc6bb8

^[38] https://www.liebesleben.de/fachkraefte/studien-standard-qualitaetssicherung/queer-in-deutschland-wissen-und-erfahrungen-zu-konversionsbehandlungen/

^[39] https://www.demokratie-leben.de/projekte-expertise/projekte-finden-1/projektdetails/claim-teilseiend-e-v-29

^[40] https://www.welt.de/politik/deutschland/article229101711/Berlin-beruft-Islamisten-in-Kommission-gegen-antimuslimischen-Rassismus.html

^[41] https://dip.bundestag.de/vorgang/mögliche-verbindungen-zwischen-mitgliedern-der-claim-allianz-und-dem-netzwerk-der/291953?f.deskriptor=Muslimbruderschaft&rows=25&pos=1&ctx=e

^[42] https://www.faz.net/aktuell/feuilleton/homosexualitaet-und-transsexualitaet-in-iran-15035256.html

^[43] https://www.ukm.de/aktuelles/ukm-eroeffnet-interdisziplinaeres-zentrum-fuer-die-gesundheitliche-versorgung-von-transpersonen

^[44] https://www.dailymail.co.uk/health/article-11983099/Colorado-state-OK-teen-transgender-treatment-tourism.html

^[45] https://ihpi.umich.edu/news/mapping-changing-landscape-gender-affirming-care-teens

^[46] https://europa.eu/youreurope/citizens/health/planned-healthcare/right-to-treatment/index_en.htm

^[47] https://www.government.se/articles/2018/07/chronological-overview-of-lgbt-persons-rights-in-sweden/#:~:text=1972%20-%20the%20Act%20(1972%3A,new%20legal%20gender%20after%20review.

^[48]

^[49] https://segm.org/segm-summary-sweden-prioritizes-therapy-curbs-hormones-for-gender-dysphoric-youth

^[50] https://news.ki.se/systematic-review-on-outcomes-of-hormonal-treatment-in-youths-with-gender-dysphoria

^[51] https://www.wpath.org/member/1051

^[52] https://ki.se/en/people/cecilia-dhejne#cv

^[53] https://www.transadvocate.com/fact-check-study-shows-transition-makes-trans-people-suicidal_n_15483.htm

^[54] https://reduxx.info/norway-prominent-trans-clinician-with-ties-to-wpath-has-medical-license-revoked-by-authorities/

^[55] https://reduxx.info/norway-prominent-trans-clinician-with-ties-to-wpath-has-medical-license-revoked-by-authorities/

^[56] https://www.issm.info/meetings/ask-the-expert/past-ask-the-expert/transgender-101-how-to-provide-care-for-gender-variant-persons

^[57] https://www.ethikrat.org/fileadmin/Publikationen/Ad-hoc-Empfehlungen/deutsch/ad-hoc-empfehlung-trans-identitaet.pdf

^[58] https://www.bundesgesundheitsministerium.de/presse/pressemitteilungen/konstituierung-kommission-reproduktive-selbstbestimmung

^[59] https://taz.de/Streitgespraech-zu-Eizellspenden/!5751293/

^[60] https://www.nius.de/news/trans-angebote-an-deutschen-kliniken-immer-irrer-kleinen-maedchen-werden-eierstock-teile-vor-der-pubertaet-entfernt/427834a4-cfff-416b-9548-50270a13defb