In a significant move, Arkansas has become the first state to prohibit gender-affirming healthcare for transgender minors after the Arkansas General Assembly overturned Governor Asa Hutchinson’s veto of the legislation. This new law threatens to revoke the medical licenses of any healthcare providers who prescribe puberty blockers, cross-hormone therapies, or perform gender-affirming surgeries on minors. At least 17 other states are considering similar measures. These laws not only jeopardize the careers of healthcare professionals but also harm transgender youth who simply want to navigate their identities during a critical phase of their lives. The basis for these laws often stems from misconceptions, fear, and religious beliefs rather than scientific evidence supporting the needs of transgender youth. Importantly, these measures can also affect cisgender children who seek similar medical care.
When addressing the misinformation surrounding gender-affirming care, one key focus is on puberty blockers, as they are commonly sought by younger transgender individuals pursuing medical transition. It’s crucial to emphasize the words “choose” and “their” because no child is forced into being transgender. In fact, many transgender youths lack the support they need from adults who can advocate for them. Often, parents are more inclined to impose restrictions on their children rather than support them in their understanding of their own gender identity.
Moreover, it’s a myth that transgender children are undergoing surgical procedures without their consent. While some individuals may perform non-consensual surgeries, such as circumcisions, on children to conform to societal standards of gender, transgender children are not subjected to such practices.
What Are Puberty Blockers?
Puberty blockers are medications that help prevent the release of hormones (testosterone and estrogen) which trigger physical changes during puberty. For example, for a child assigned female at birth, these medications would inhibit estrogen production, thus preventing the development of breasts and menstruation. Some changes like body odor, pubic hair, and acne may still occur since they are not solely regulated by these hormones.
There are two primary types of puberty blockers: Histrelin acetate, which is implanted under the skin and lasts for about a year, and leuprolide acetate, which is administered via injection every 1 to 4 months. It typically takes one to two months for these blockers to start having an effect, and they are generally used for a duration of two to three years. Essentially, puberty blockers act as a pause button, allowing children to delay the onset of puberty until they can make informed decisions regarding their transition.
Who Needs Puberty Blockers?
Puberty varies in onset, typically beginning between the ages of 9 and 11. Since the exact age can differ, healthcare providers utilize Tanner stages to assess a child’s developmental progress. Tanner stage 2 is often the ideal time to start puberty blockers, as this stage marks the initial physical changes that may not align with a transgender child’s gender identity. Identifying signs such as breast bud formation or pubic hair can indicate this stage.
For transgender youth, the use of puberty blockers can significantly enhance their mental health and self-expression. They provide a means to avoid unwanted physical changes that could lead to future procedures, such as gender-affirming surgeries. They are also employed for children experiencing precocious puberty, which is when puberty begins too early.
Both cisgender and transgender youth can benefit from puberty blockers.
Are Puberty Blockers Safe?
Yes, puberty blockers are safe and their effects are reversible, with no impact on fertility. Possible side effects may include pain at the injection site, headaches, fatigue, weight changes, and menstrual irregularities for those whose periods were not fully halted.
Assessing Risks and Rewards
Denying access to puberty blockers poses greater risks than allowing their use. Children with untreated precocious puberty can face severe emotional and behavioral challenges, including higher risks of substance abuse and social isolation. This applies to transgender youth as well; the mental health benefits of puberty blockers far exceed any potential risks. Access to these medications can lead to improved mental health, reduced anxiety and depression, increased social engagement, and decreased risks of self-harm.
Unfortunately, politicians are hindering access to vital healthcare for transgender youth under the guise of protection, often driven by ignorance and prejudice. The question remains: will these lawmakers deem puberty blockers unnecessary for cisgender children? If so, that is negligent; if not, it reveals a clear bias against transgender individuals.
Politicians must cease their interference in gender-affirming care, as they are not protecting children but rather perpetuating harm through ignorance.
For more information, check out this related article on puberty blockers here and explore resources on home insemination from Make a Mom. Additionally, Resolve offers excellent information on pregnancy and insemination options.
Summary
Puberty blockers are essential medications that help transgender youth navigate their identities during puberty, providing significant mental health benefits while being safe and reversible. The ongoing legislation against such treatments not only threatens the well-being of transgender minors but also reflects a broader societal misunderstanding of gender-affirming care.

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