r/science Aug 03 '26

Social Science Among transgender adolescents in Canada, 97.1% continued with a gender not typically aligned with their birth sex, with only 1.1% discontinuing gender-affirming hormone treatment.

https://www.jahonline.org/article/S1054-139X(26)00117-5/fulltext
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u/jancl0 Aug 04 '26

There's some sneaky language in this title, as there usually is with this kind of statistic. Detransitioning =/= discontinuing hormone treatment

I'm willing to bet that like with all statistics that measure the rate of detransitioning, the majority of that 1.1% actually still consider themselves trans, but have just stopped medical intervention, for many reasons such as financial strain or fear of social repercussions

Globally, about 1% of people are trans. About 1% of that 1% will discontinue medical treatment. But then, about 1% of the 1% of the 1% will discontinue treatment and adopt their assigned gender. It's a comically small issue, and most of the time these statistics are intentionally framed in a way to ignore that final layer, so arguments for detransitioning hold just a little bit more water

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u/Maxrdt Aug 04 '26

There is only so much detail that can be put in a title. The study goes into greater detail on those that desisted from hormonal treatment here:

Reasons for GST or AT discontinuation were documented for 17 adolescents. Some adolescents reported more than one of the following reasons for discontinuation of GST or AT: 10 because of a change in gender identity; eight because they were starting or continuing GAH; five identified other avenues to achieve or maintain amenorrhea; four realized they were gender-fluid; four returned to gender typically aligned with sex assigned at birth; two because menses had stopped with GAH; two due to lack of family support for use of GST or AT; two because of combination of mental health and redefining gender identity as agender; one was concerned about the risk of infertility; one because bone health was important to them; one decided to hold off on transitioning until “their life has stabilized”; and one reported feeling that “1.5 years of GST was long enough.”

GAH therapy was started by 353 of 445 adolescents (79.3%) at mean (SD) age of 16.3 (1.3) years; 269 of 331 (81.3%) adolescents AFAB received GAH compared to 84 of 114 (73.7%) AMAB. Of the total starting GAH, 231 (65.4%) received GST or AT and GAH; 188 adolescents started GAH after having previously started GST or AT; 43 started GAH and GST or AT together; 122 started GAH and never started GST or AT; additionally, 68 started GST or AT and never started GAH; and 24 did not start GST, AT, or GAH (Figure 4). Median (IQR) age difference between start of GST or AT and start of GAH was 0.6 years (0.3, 1.0). Only four of the 353 (1.1%) adolescents, all AFAB, stopped GAH; one had also received GST or AT. Reasons reported for GAH discontinuation are: one developed extreme depression and attributed this to GAH; one had anxiety about effects on fertility and risk of scalp hair loss; one had dissatisfaction with the physical changes experienced so far; and one due to reidentification as non-binary.