Beyond NICE: Updated Systematic Review on the Current Evidence of Using Puberty Blocking Pharmacological Agents and Cross-Sex-Hormones in Minors with Gender Dysphoria

Authors
Zepf, B.D. et al.
Year
2024
Journal
Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie

Key Findings

  • Zero new puberty blocker studies met PICO criteria post-NICE
  • Only 2 low-quality cross-sex hormone studies found
  • Current evidence does not suggest GD symptoms improve with PB/CSH
  • Evidence base remains methodologically weak
  • Insufficient for reliable conclusions about benefits or long-term outcomes

Abstract

Updated systematic review examining evidence for puberty blockers and cross-sex hormones in minors, building on NICE reviews.

Summary

This review found that the evidence base for puberty blockers and cross-sex hormones in minors remains very weak, with no new high-quality studies since the NICE reviews.

Conclusion

The evidence base remains weak and insufficient to support reliable conclusions about benefits or long-term outcomes of puberty blockers and cross-sex hormones in minors.

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