During a recent talk at the invitation of the University of Alberta, Dr. Karine Khatchadourian offered a candid appraisal of the evidence underpinning Canada’s approach to treating gender-distressed youth.
The field is in a highly consequential grey zone with contradictory findings at best, the Ottawa doctor told a virtual audience. The evidence doesn’t allow doctors to say with confidence whether puberty suppression has psychological benefits or not and today’s rapidly changing demographics — predominantly biological females with accompanying complex mental health problems and no known history of gender distress when they were younger — make it difficult-to-impossible to predict if someone’s gender dysphoria or incongruence will persist.
“We have to constantly be reassessing what we’re doing, what we’re treating, based on new evidence that’s coming forward,” Khatchadourian said.
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Doctors are encouraged to look at emerging data objectively, be open to scrutiny and pivot where necessary, she said. However, gender-affirming care is different; a field so turbulent and charged with emotion that providers are reluctant to express doubts for fear of being alienated by colleagues and condemned by activists as transphobic.
Which is what makes Khatchadourian’s openness to share that her own messaging has changed so remarkable.
“The message to patients, providers, the public has to include that what we’re seeing now with the data is this uncertainty of the evidence,” she told the February gathering hosted by the U of Alberta-based Women and Children’s Health Research Institute. Her assessment echoes the findings of a recent series of deep systematic dives into the literature that concluded the evidence supporting gender medicine interventions is, as the editor-in-chief of the influentialBritish Medical Journal summarized,“threadbare, whichever research question you wish to consider.”
Source: Drudge Report
