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June 10, 2025 26 mins

If you’ve ever wondered, “What if they change their mind?”—you’re not alone. This episode breaks down the newest data on how often trans youth stop hormone therapy and retransition to a cisgender identity.

We walk through a 2025 study of over 1,000 adolescents and explore what it really tells us—about numbers, nuance, and how we think about gender-affirming care.

📚 Citation:
 Boskey ER, Scheffey KL, Pilcher S, et al. A Retrospective Cohort Study of Transgender Adolescents' Gender-Affirming Hormone Discontinuation. J Adolesc Health. 2025;76(4):584–591. doi:10.1016/j.jadohealth.2024.11.002

Olson KR, Durwood L, Horton R, Gallagher NM, Devor A. Gender Identity 5 Years After Social Transition. Pediatrics. 2022;150(2):e2021056082. doi:10.1542/peds.2021-056082

van der Loos MATC, Hannema SE, Klink DT, den Heijer M, Wiepjes CM. Continuation of gender-affirming hormones in transgender people starting puberty suppression in adolescence: a cohort study in the Netherlands. Lancet Child Adolesc Health. 2022;6(12):869-875. doi:10.1016/S2352-4642(22)00254-1

Roberts CM, Klein DA, Adirim TA, Schvey NA, Hisle-Gorman E. Continuation of Gender-affirming Hormones Among Transgender Adolescents and Adults. J Clin Endocrinol Metab. 2022;107(9):e3937-e3943. doi:10.1210/clinem/dgac251

Gupta P, Patterson BC, Chu L, et al. Adherence to Gender Affirming Hormone Therapy in Transgender Adolescents and Adults: A Retrospective Cohort Study. J Clin Endocrinol Metab. 2023;108(11):e1236-e1244. doi:10.1210/clinem/dgad306

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Special thanks to Indy M W for the music. Like and follow him on Spotify, Apple, or wherever you get your music.

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