Kilotest: Violations of focus indication improvable
issue for Society for Evidence Based Gender Medicine (SEGM) page
Basics
About the page
- URL: https://segm.org/
- Tested 2 days ago on 2026-10-07 at 22:28 by job
261007T2202-905 - Summary of results:
- Rule engines:
- Called: 12
- Were able to test: 12
- Reported any rule violations: 12
- Violations: 3251
- Violators: 625
- Issues: 57
- Rule engines:
- Download the full technical report (JSON)
About the issue
- Why it matters: Keyboard-only user cannot easily choose an item to operate
- Priority: low
- Related WCAG standard: 2.4.7
- Reported by 1 rule engine (Testaro)
- Violations: 144
- Violators: 144
Violators
Here are the HTML elements reported to violate rules belonging to the focus indication improvable
issue.
Take me there
links will open the page in a new tab and try to scroll to the element and highlight it. This does not always succeed. You can return here by closing the new tab.
Element 125
- Tag name:
A - Text: [not applicable]
- Start tag:
<a href="/" class="home-link"> - XPath:
/html/body /div[1] /section[1] /div[1] /div[1] /div[1] /a[1] - Bounding box: x = 8, y = 40, width = 1904, height = 723
- Reported by Testaro
- Tag name:
Element 207
- Tag name:
BUTTON - Text:
Search SEGM resources … Support
- Start tag:
<button class="navbar-toggler" type="button" data-toggle="collapse" data-target="#navbarNav" aria-controls="navbarNav" aria-expanded="false" aria-label="Toggle navigation"> - XPath:
/html/body /div[1] /section[1] /div[1] /div[1] /div[3] /button[1] - Bounding box: x = 541, y = 723, width = 16, height = 6
- Reported by Testaro
- Tag name:
Element 155
- Tag name:
BUTTON - Text:
Search
- Start tag:
<button type="submit" class="segm-button segm-button--primary segm-button--primary--dark-cyan segm-button--search"> - XPath:
/html/body /div[1] /section[1] /div[1] /div[1] /div[3] /div[1] /div[1] /div[1] /div[1] /div[1] /form[1] /div[1] /button[1] - Bounding box: x = 362, y = 773, width = 119, height = 43
- Reported by Testaro
- Tag name:
Element 154
- Tag name:
INPUT - Text:
Search SEGM resources
- Start tag:
<input data-drupal-selector="edit-fulltext" data-search-api-autocomplete-search="search" class="form-autocomplete form-text form-control ui-autocomplete-input" data-autocomplete-path="/search_api_autocomplete/search?display=block_1&&filter=fulltext" type="text" id="edit-fulltext--2" name="fulltext" value="" size="30" maxlength="128" placeholder="Search SEGM resources" data-once="autocomplete search-api-autocomplete" autocomplete="off" style=""> - XPath:
/html/body /div[1] /section[1] /div[1] /div[1] /div[3] /div[1] /div[1] /div[1] /div[1] /div[1] /form[1] /div[1] /div[1] /input[1] - Bounding box: x = 94, y = 763, width = 268, height = 63
- Reported by Testaro
- Tag name:
Element 169
- Tag name:
A - Text:
Home
- Start tag:
<a href="/" data-drupal-link-system-path="<front>" class="is-active" aria-current="page"> - XPath:
/html/body /div[1] /section[1] /div[1] /div[1] /div[3] /div[1] /nav[1] /div[1] /a[1] - Bounding box: x = 8, y = 887, width = 48, height = 20
- Reported by Testaro
- Tag name:
Element 171
- Tag name:
A - Text:
Conferences
- Start tag:
<a href="/washington-dc-2026"> - XPath:
/html/body /div[1] /section[1] /div[1] /div[1] /div[3] /div[1] /nav[1] /div[2] /a[1] - Bounding box: x = 56, y = 887, width = 105, height = 20
- Reported by Testaro
- Tag name:
Element 184
- Tag name:
A - Text:
CME
- Start tag:
<a href="/cme25" data-drupal-link-system-path="node/168"> - XPath:
/html/body /div[1] /section[1] /div[1] /div[1] /div[3] /div[1] /nav[1] /div[3] /a[1] - Bounding box: x = 161, y = 887, width = 39, height = 20
- Reported by Testaro
- Tag name:
Element 186
- Tag name:
A - Text:
Spotlight
- Start tag:
<a href="/news" data-drupal-link-system-path="news"> - XPath:
/html/body /div[1] /section[1] /div[1] /div[1] /div[3] /div[1] /nav[1] /div[4] /a[1] - Bounding box: x = 200, y = 887, width = 75, height = 20
- Reported by Testaro
- Tag name:
Element 188
- Tag name:
A - Text:
Studies
- Start tag:
<a href="/studies"> - XPath:
/html/body /div[1] /section[1] /div[1] /div[1] /div[3] /div[1] /nav[1] /div[5] /a[1] - Bounding box: x = 275, y = 887, width = 63, height = 20
- Reported by Testaro
- Tag name:
Element 190
- Tag name:
A - Text:
Media
- Start tag:
<a href="/media" data-drupal-link-system-path="media"> - XPath:
/html/body /div[1] /section[1] /div[1] /div[1] /div[3] /div[1] /nav[1] /div[6] /a[1] - Bounding box: x = 337, y = 887, width = 49, height = 20
- Reported by Testaro
- Tag name:
Element 192
- Tag name:
A - Text:
About
- Start tag:
<a href="/about_us"> - XPath:
/html/body /div[1] /section[1] /div[1] /div[1] /div[3] /div[1] /nav[1] /div[7] /a[1] - Bounding box: x = 386, y = 887, width = 50, height = 20
- Reported by Testaro
- Tag name:
Element 201
- Tag name:
A - Text:
Contact
- Start tag:
<a href="/contact_us" title="Contact us" data-drupal-link-system-path="node/6991"> - XPath:
/html/body /div[1] /section[1] /div[1] /div[1] /div[3] /div[1] /nav[1] /div[8] /a[1] - Bounding box: x = 437, y = 887, width = 65, height = 20
- Reported by Testaro
- Tag name:
Element 206
- Tag name:
A - Text:
Support
- Start tag:
<a href="/donate"> - XPath:
/html/body /div[1] /section[1] /div[1] /div[1] /div[3] /div[1] /nav[1] /div[9] /a[1] - Bounding box: x = 501, y = 887, width = 66, height = 20
- Reported by Testaro
- Tag name:
Element 1047
- Tag name:
A - Text:
Donate online
- Start tag:
<a class="donate-top ext" style="display:inline-block;max-width:max-content;position:static;" href="https://donate.stripe.com/eVq5kCgySgTK4GycBq9bO04" data-extlink="" target="_blank" rel="noopener nofollow noreferrer"> - XPath:
/html/body /div[1] /section[11] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /p[3] /a[1] - Bounding box: x = 8, y = 12494, width = 195, height = 62
- Reported by Testaro
- Tag name:
Element 1084
- Tag name:
A - Text:
Privacy Policy
- Start tag:
<a href="/privacy-policy"> - XPath:
/html/body /div[1] /section[12] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /form[1] /div[2] /p[1] /a[1] - Bounding box: x = 1591, y = 13230, width = 130, height = 20
- Reported by Testaro
- Tag name:
Element 1074
- Tag name:
INPUT - Text:
Email
- Start tag:
<input class="civicrm-enabled form-email required" data-civicrm-field-key="civicrm_1_contact_1_email_email" data-drupal-selector="edit-civicrm-1-contact-1-email-email" type="email" id="edit-civicrm-1-contact-1-email-email" name="civicrm_1_contact_1_email_email" value="" size="60" maxlength="254" placeholder="Email *" required="required" aria-required="true" style=""> - XPath:
/html/body /div[1] /section[12] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /form[1] /fieldset[1] /div[1] /div[1] /input[1] - Bounding box: x = 721, y = 13131, width = 356, height = 62
- Reported by Testaro
- Tag name:
Element 453
- Tag name:
BUTTON - Text:
Publication date … More Spotlight
- Start tag:
<button class="itc-slider__btn itc-slider__btn_next"> - XPath:
/html/body /div[1] /section[4] /div[1] /div[1] /div[2] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /button[2] - Bounding box: x = 1888, y = 2727, width = 40, height = 50
- Reported by Testaro
- Tag name:
Element 269
- Tag name:
A - Text:
Detransition, Posttraumatic Stress Disorder, and Moral Injury
- Start tag:
<a href="/Detransition-PTSD-moral-injury" hreflang="en"> - XPath:
/html/body /div[1] /section[4] /div[1] /div[1] /div[2] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[2] /div[1] /span[1] /a[1] - Bounding box: x = 130, y = 2624, width = 683, height = 29
- Reported by Testaro
- Tag name:
Element 276
- Tag name:
A - Text:
Read more
- Start tag:
<a href="/Detransition-PTSD-moral-injury" hreflang="en"> - XPath:
/html/body /div[1] /section[4] /div[1] /div[1] /div[2] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[5] /span[1] /a[1] - Bounding box: x = 130, y = 2804, width = 118, height = 23
- Reported by Testaro
- Tag name:
Element 440
- Tag name:
A - Text:
Notable Publications in Gender Medicine, September–October 2025
- Start tag:
<a href="/SEGM-Digest-Issue4-2025" hreflang="en"> - XPath:
/html/body /div[1] /section[4] /div[1] /div[1] /div[2] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[10] /div[1] /div[1] /div[2] /div[1] /span[1] /a[1] - Bounding box: x = 8410, y = 2624, width = 741, height = 29
- Reported by Testaro
- Tag name:
Element 447
- Tag name:
A - Text:
Read more
- Start tag:
<a href="/SEGM-Digest-Issue4-2025" hreflang="en"> - XPath:
/html/body /div[1] /section[4] /div[1] /div[1] /div[2] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[10] /div[1] /div[1] /div[5] /span[1] /a[1] - Bounding box: x = 8410, y = 2781, width = 118, height = 23
- Reported by Testaro
- Tag name:
Element 451
- Tag name:
A - Text:
More Spotlight
- Start tag:
<a class="red-more-news" href="/news"> - XPath:
/html/body /div[1] /section[4] /div[1] /div[1] /div[2] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[11] /div[1] /div[1] /a[1] - Bounding box: x = 9598, y = 2627, width = 204, height = 42
- Reported by Testaro
- Tag name:
Element 288
- Tag name:
A - Text:
Ten Myths of Pediatric Gender Medicine
- Start tag:
<a href="/Key-Myths-Youth-Gender%20Medicine-PT" hreflang="en"> - XPath:
/html/body /div[1] /section[4] /div[1] /div[1] /div[2] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[2] /div[1] /div[1] /div[2] /div[1] /span[1] /a[1] - Bounding box: x = 1050, y = 2624, width = 446, height = 29
- Reported by Testaro
- Tag name:
Element 295
- Tag name:
A - Text:
Read more
- Start tag:
<a href="/Key-Myths-Youth-Gender%20Medicine-PT" hreflang="en"> - XPath:
/html/body /div[1] /section[4] /div[1] /div[1] /div[2] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[2] /div[1] /div[1] /div[5] /span[1] /a[1] - Bounding box: x = 1050, y = 2804, width = 118, height = 23
- Reported by Testaro
- Tag name:
Element 307
- Tag name:
A - Text:
Sex, Gender and Gender Identity: A Case for Conceptual Clarity
- Start tag:
<a href="/gender-identity-conceptual-clarity" hreflang="en"> - XPath:
/html/body /div[1] /section[4] /div[1] /div[1] /div[2] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[3] /div[1] /div[1] /div[2] /div[1] /span[1] /a[1] - Bounding box: x = 1970, y = 2624, width = 707, height = 29
- Reported by Testaro
- Tag name:
Element 314
- Tag name:
A - Text:
Read more
- Start tag:
<a href="/gender-identity-conceptual-clarity" hreflang="en"> - XPath:
/html/body /div[1] /section[4] /div[1] /div[1] /div[2] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[3] /div[1] /div[1] /div[5] /span[1] /a[1] - Bounding box: x = 1970, y = 2781, width = 118, height = 23
- Reported by Testaro
- Tag name:
Element 326
- Tag name:
A - Text:
Reassessing the Trevor Project’s Suicide-Attempt Findings
- Start tag:
<a href="/Trevor-project-laws-and-suicide-attempts-2026" hreflang="en"> - XPath:
/html/body /div[1] /section[4] /div[1] /div[1] /div[2] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[4] /div[1] /div[1] /div[2] /div[1] /span[1] /a[1] - Bounding box: x = 2890, y = 2624, width = 639, height = 29
- Reported by Testaro
- Tag name:
Element 333
- Tag name:
A - Text:
Read more
- Start tag:
<a href="/Trevor-project-laws-and-suicide-attempts-2026" hreflang="en"> - XPath:
/html/body /div[1] /section[4] /div[1] /div[1] /div[2] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[4] /div[1] /div[1] /div[5] /span[1] /a[1] - Bounding box: x = 2890, y = 2775, width = 118, height = 23
- Reported by Testaro
- Tag name:
Element 345
- Tag name:
A - Text:
The "Utah Review" of Hormonal Treatments for Gender-Dysphoric Minors: A Methodological Appraisal
- Start tag:
<a href="/utah-evidence-review-analysis" hreflang="en"> - XPath:
/html/body /div[1] /section[4] /div[1] /div[1] /div[2] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[5] /div[1] /div[1] /div[2] /div[1] /span[1] /a[1] - Bounding box: x = 3810, y = 2624, width = 629, height = 66
- Reported by Testaro
- Tag name:
Element 352
- Tag name:
A - Text:
Read more
- Start tag:
<a href="/utah-evidence-review-analysis" hreflang="en"> - XPath:
/html/body /div[1] /section[4] /div[1] /div[1] /div[2] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[5] /div[1] /div[1] /div[5] /span[1] /a[1] - Bounding box: x = 3810, y = 2841, width = 118, height = 23
- Reported by Testaro
- Tag name:
Element 364
- Tag name:
A - Text:
The American Society of Plastic Surgeons Rejects Adolescent Gender Surgery and Raises Serious Concerns Regarding All Minor Gender Transitions
- Start tag:
<a href="/ASPS-position-statement-2026" hreflang="en"> - XPath:
/html/body /div[1] /section[4] /div[1] /div[1] /div[2] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[6] /div[1] /div[1] /div[2] /div[1] /span[1] /a[1] - Bounding box: x = 4730, y = 2624, width = 733, height = 103
- Reported by Testaro
- Tag name:
Element 371
- Tag name:
A - Text:
Read more
- Start tag:
<a href="/ASPS-position-statement-2026" hreflang="en"> - XPath:
/html/body /div[1] /section[4] /div[1] /div[1] /div[2] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[6] /div[1] /div[1] /div[5] /span[1] /a[1] - Bounding box: x = 4730, y = 2878, width = 118, height = 23
- Reported by Testaro
- Tag name:
Element 383
- Tag name:
A - Text:
Swiss Report of Decline in Youth Gender Dysphoria Does Not Add Up
- Start tag:
<a href="/swiss-report-gender-referrals" hreflang="en"> - XPath:
/html/body /div[1] /section[4] /div[1] /div[1] /div[2] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[7] /div[1] /div[1] /div[2] /div[1] /span[1] /a[1] - Bounding box: x = 5650, y = 2624, width = 723, height = 66
- Reported by Testaro
- Tag name:
Element 390
- Tag name:
A - Text:
Read more
- Start tag:
<a href="/swiss-report-gender-referrals" hreflang="en"> - XPath:
/html/body /div[1] /section[4] /div[1] /div[1] /div[2] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[7] /div[1] /div[1] /div[5] /span[1] /a[1] - Bounding box: x = 5650, y = 2841, width = 118, height = 23
- Reported by Testaro
- Tag name:
Element 402
- Tag name:
A - Text:
Trans is Not the New Gay
- Start tag:
<a href="/trans-is-not-the-new-gay" hreflang="en"> - XPath:
/html/body /div[1] /section[4] /div[1] /div[1] /div[2] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[8] /div[1] /div[1] /div[2] /div[1] /span[1] /a[1] - Bounding box: x = 6570, y = 2624, width = 280, height = 29
- Reported by Testaro
- Tag name:
Element 409
- Tag name:
A - Text:
Read more
- Start tag:
<a href="/trans-is-not-the-new-gay" hreflang="en"> - XPath:
/html/body /div[1] /section[4] /div[1] /div[1] /div[2] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[8] /div[1] /div[1] /div[5] /span[1] /a[1] - Bounding box: x = 6570, y = 2804, width = 118, height = 23
- Reported by Testaro
- Tag name:
Element 421
- Tag name:
A - Text:
Treatment of young people with gender incongruence requires more than consent
- Start tag:
<a href="/treatment-of-young-people-with-gender-incongruence-requires-more-than-consent" hreflang="en"> - XPath:
/html/body /div[1] /section[4] /div[1] /div[1] /div[2] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[9] /div[1] /div[1] /div[2] /div[1] /span[1] /a[1] - Bounding box: x = 7490, y = 2624, width = 678, height = 66
- Reported by Testaro
- Tag name:
Element 428
- Tag name:
A - Text:
Read more
- Start tag:
<a href="/treatment-of-young-people-with-gender-incongruence-requires-more-than-consent" hreflang="en"> - XPath:
/html/body /div[1] /section[4] /div[1] /div[1] /div[2] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[9] /div[1] /div[1] /div[5] /span[1] /a[1] - Bounding box: x = 7490, y = 2841, width = 118, height = 23
- Reported by Testaro
- Tag name:
Element 667
- Tag name:
BUTTON - Text:
Lawsuits over transgender medicine for minors could be huge … 2023-08-04
- Start tag:
<button class="itc-slider__btn itc-slider__btn_prev"> - XPath:
/html/body /div[1] /section[5] /div[1] /div[1] /div[2] /div[1] /div[1] /div[1] /div[1] /div[1] /button[1] - Bounding box: x = 103, y = 3570, width = 48, height = 48
- Reported by Testaro
- Tag name:
Element 668
- Tag name:
BUTTON - Text:
Lawsuits over transgender medicine for minors could be huge … 2023-08-04
- Start tag:
<button class="itc-slider__btn itc-slider__btn_next"> - XPath:
/html/body /div[1] /section[5] /div[1] /div[1] /div[2] /div[1] /div[1] /div[1] /div[1] /div[1] /button[2] - Bounding box: x = 1769, y = 3570, width = 48, height = 48
- Reported by Testaro
- Tag name:
Element 479
- Tag name:
A - Text:
All this echoes warnings issued in some European countries. In 2024 a report commissioned by Britain’s government, known as the Cass Review, concluded that evidence for the benefits (and harms) of puberty blockers and cross-sex hormones on children and adolescents was “remarkably weak”. Under President Donald Trump, America’s federal department of health and human services issued a similar report, which agreed that the evidence of...
- Start tag:
<a href="https://www.economist.com/united-states/2026/02/06/lawsuits-over-transgender-medicine-for-minors-could-be-huge" class="ext" data-extlink="" target="_blank" rel="noopener nofollow noreferrer"> - XPath:
/html/body /div[1] /section[5] /div[1] /div[1] /div[2] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /p[1] /a[1] - Bounding box: x = 211, y = 3453, width = 444, height = 144
- Reported by Testaro
- Tag name:
Element 485
- Tag name:
A - Text: [not applicable]
- Start tag:
<a href="https://www.economist.com/united-states/2026/02/06/lawsuits-over-transgender-medicine-for-minors-could-be-huge" target="_blank" rel="noopener nofollow noreferrer"> - XPath:
/html/body /div[1] /section[5] /div[1] /div[1] /div[2] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[1] /div[2] /a[1] - Bounding box: x = 601, y = 3694, width = 66, height = 14
- Reported by Testaro
- Tag name:
Element 623
- Tag name:
A - Text:
Recently I attended a conference in New York, hosted by Society for Evidence Based Gender Medicine (SEGM), a US-based non-profit, where I was asked to give a presentation on ‘lessons from the largest youth gender clinic in the world’ – for that’s what GIDS was...The conference was attended by professionals from other youth gender clinics around the Western world, which – like GIDS – have also received a rapid increase in referrals. And,...
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For two years in a row, AAP members submitted formal resolutions to the executive board asking “that the academy commit to the principles of evidence based medicine by eschewing narrative and other types of non-systematic reviews as the basis for its recommendations” and either use existing systematic reviews or commission its own.
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A resolution submitted in April with two dozen signatories also asked that an “urgent...
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In June, England’s National Health Service
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announced
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that it would restrict the use of puberty blockers to clinical trials because “there is not enough evidence to support their safety or clinical effectiveness as a routinely...
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Inside the conference, we heard about the ways in which adolescent development can get stuck in perpetuity — descriptions which, let’s be honest, now apply to much of society at large. There’s black-and-white thinking, and a lack of tolerance for ambiguity. There’s a splitting of the world into good or bad objects, along with an inability to think through the consequences of present actions or to care about the future. There’s a fear of sexual development and reproduction; and...
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The conference was organized by the Society for Evidence Based Gender Medicine. Their principle: “Young people with gender dysphoria deserve respect, compassion and high-quality care based on scientific evidence.” SEGM formed in 2019 because it was “in concern in the face of a rapidly growing group of vulnerable adolescents with gender dysphoria who have undergone highly medicalized treatment,” which “has never been proven to be effective or safe.” According to its...
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Dr D’Angelo told today’s conference attendees—who included current and former leaders of gender clinics as well as researchers and practitioners from around the world—that the labelling of SEGM as a “hate group” was “a deliberate and damaging misrepresentation of our work. Our focus on evidence-based care is not an act of hate—it is an act of advocacy for safe, effective healthcare for all sexual- and gender-minority individuals,” he said. “These false labels are not just an attack...
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Letters to WHO from the Society for Evidence Based Gender Medicine (SEGM), which has itself commissioned several forthcoming relevant systematic reviews, and the Clinical Advisory Network on Sex and Gender (CAN-SG), a network of mainly UK and Irish clinicians, raised the question of whether WHO would be evaluating the benefits and harms of hormonal treatments for gender incongruence—or if instead it “has taken a policy position on this without critically appraising the evidence,” as a letter from...
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The review by Hilary Cass, paediatrician and former president of the Royal College of Paediatrics and Child Health, was commissioned by the NHS and built on the findings of Cass’s 2022 interim report. Then, she found that the evidence underpinning the treatment intensive, “gender affirming” model of care for distressed young people was “limited” and “inconclusive.” The final report is even clearer: “The reality is that we have no good evidence on the long term outcomes of interventions to manage...
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In October 2023, SEGM held its first official conference in New York, which brought together an array of high-profile speakers, such as Mikael Landén, a psychiatrist and researcher at Sweden’s Karolinska Institute, and Sallie Baxendale, a professor of clinical neuropsychology at University College London. Journalists from Canadian public radio attended, along with then-BBC Newsnight reporter Hannah Barnes, whose bestselling book “Time to Think” chronicled the rise...
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It is especially hard for kids who are making decisions about their identities when those identities are still evolving. Many construct their lives around this new identity. To admit they have changed their minds, especially during the excruciatingly self-conscious period of adolescence, when they are deeply susceptible to peer judgment, is that much harder. The effects of medical transition —...
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On Thursday, the Society for Evidence Based Gender Medicine, or SEGM, issued its second letter criticizing the WHO’s effort, critiquing the guidelines-development process as apparently flawed from the time of its quiet inception two to three years ago... SEGM, in its new letter, asserted that those original two WHO guidelines made claims, specifically that cross-sex...
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adolescent females
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comorbid
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mental health issues
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autism (ASD)
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Attention-Deficit/Hyperactivity Disorder (ADHD)
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61-98%
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10
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12%
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20
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22%
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- Reported by Testaro
- Tag name:
Element 708
- Tag name:
A - Text:
overdiagnosis, overtreatment, or iatrogenic harm as found in other medical fields
- Start tag:
<a href="https://www.mdpi.com/2227-9032/10/1/121" class="ext" data-extlink="" target="_blank" rel="noopener nofollow noreferrer"> - XPath:
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- Reported by Testaro
- Tag name:
Element 709
- Tag name:
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has reached ~30%
- Start tag:
<a href="https://academic.oup.com/jcem/article/107/9/e3937/6572526" class="ext" data-extlink="" target="_blank" rel="noopener nofollow noreferrer"> - XPath:
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- Reported by Testaro
- Tag name:
Element 803
- Tag name:
BUTTON - Text:
SEGM in Twitter … — SEGM (@segm_ebm) __
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<button class="itc-slider__btn itc-slider__btn_next"> - XPath:
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- Reported by Testaro
- Tag name:
Element 753
- Tag name:
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__
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<a href="https://twitter.com/segm_ebm/status/2106880570638926325" class="ext" data-extlink="" target="_blank" rel="noopener nofollow noreferrer"> - XPath:
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- Reported by Testaro
- Tag name:
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- Tag name:
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__
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- Reported by Testaro
- Tag name:
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__
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<a href="https://twitter.com/segm_ebm/status/2102481642514161680" class="ext" data-extlink="" target="_blank" rel="noopener nofollow noreferrer"> - XPath:
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- Reported by Testaro
- Tag name:
Element 777
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__
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<a href="https://twitter.com/segm_ebm/status/2101377186741850579" class="ext" data-extlink="" target="_blank" rel="noopener nofollow noreferrer"> - XPath:
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- Reported by Testaro
- Tag name:
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__
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<a href="https://twitter.com/segm_ebm/status/2100698730378715394" class="ext" data-extlink="" target="_blank" rel="noopener nofollow noreferrer"> - XPath:
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- Reported by Testaro
- Tag name:
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__
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<a href="https://twitter.com/segm_ebm/status/2100292551194333540" class="ext" data-extlink="" target="_blank" rel="noopener nofollow noreferrer"> - XPath:
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- Reported by Testaro
- Tag name:
Element 801
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__
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<a href="https://twitter.com/segm_ebm/status/2099921020798800097" class="ext" data-extlink="" target="_blank" rel="noopener nofollow noreferrer"> - XPath:
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- Reported by Testaro
- Tag name:
Element 827
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20-60%
- Start tag:
<a class="ext" href="http://journals.sagepub.com/doi/10.1177/1039856218775216" data-extlink="" rel="noopener nofollow noreferrer" target="_blank" title="(opens in a new window)"> - XPath:
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- Reported by Testaro
- Tag name:
Element 828
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significant
- Start tag:
<a class="ext" href="https://link.springer.com/article/10.1007/s10508-023-02623-5" data-extlink="" rel="noopener nofollow noreferrer" target="_blank" title="(opens in a new window)"> - XPath:
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- Reported by Testaro
- Tag name:
Element 829
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limitations
- Start tag:
<a href="https://segm.org/regret-detransition-rate-unknown"> - XPath:
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- Reported by Testaro
- Tag name:
Element 834
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systematic
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<a class="ext" href="https://cass.independent-review.uk/nice-evidence-reviews/" data-extlink="" rel="noopener nofollow noreferrer" target="_blank" title="(opens in a new window)"> - XPath:
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- Reported by Testaro
- Tag name:
Element 835
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reviews
- Start tag:
<a class="ext" href="https://onlinelibrary.wiley.com/doi/abs/10.1111/apa.16791" data-extlink="" rel="noopener nofollow noreferrer" target="_blank" title="(opens in a new window)"> - XPath:
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- Reported by Testaro
- Tag name:
Element 836
- Tag name:
A - Text:
evidence
- Start tag:
<a class="ext" href="https://palveluvalikoima.fi/documents/1237350/22895008/Valmistelumuistion+Liite+1.+Kirjallisuuskatsaus.pdf/5ad0f362-8735-35cd-3e53-3d17a010f2b6/Valmistelumuistion+Liite+1.+Kirjallisuuskatsaus.pdf?t=1592317703000" data-extlink="" rel="noopener nofollow noreferrer" target="_blank" title="(opens in a new window)"> - XPath:
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- Reported by Testaro
- Tag name:
Element 840
- Tag name:
A - Text:
Sweden
- Start tag:
<a href="https://segm.org/segm-summary-sweden-prioritizes-therapy-curbs-hormones-for-gender-dysphoric-youth"> - XPath:
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- Reported by Testaro
- Tag name:
Element 842
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A - Text:
Finland
- Start tag:
<a href="https://segm.org/Finland_deviates_from_WPATH_prioritizing_psychotherapy_no_surgery_for_minors"> - XPath:
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- Reported by Testaro
- Tag name:
Element 844
- Tag name:
A - Text:
banned
- Start tag:
<a href="https://www.gov.uk/government/news/ban-on-puberty-blockers-to-be-made-indefinite-on-experts-advice" class="ext" data-extlink="" target="_blank" rel="noopener nofollow noreferrer"> - XPath:
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- Reported by Testaro
- Tag name:
Element 845
- Tag name:
A - Text:
NHS England
- Start tag:
<a class="ext" href="https://www.engage.england.nhs.uk/consultation/puberty-suppressing-hormones/user_uploads/interim-policy-on-puberty-supressing-hormones-for-gender-incongruence-or-dysphoria.pdf" data-extlink="" rel="noopener nofollow noreferrer" target="_blank" title="(opens in a new window)"> - XPath:
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- Reported by Testaro
- Tag name:
Element 847
- Tag name:
A - Text:
updated
- Start tag:
<a class="ext" href="https://www.england.nhs.uk/publication/clinical-commissioning-policy-prescribing-of-gender-affirming-hormones/" data-extlink="" rel="noopener nofollow noreferrer" target="_blank" title="(opens in a new window)"> - XPath:
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- Reported by Testaro
- Tag name:
Element 848
- Tag name:
A - Text:
April 2024
- Start tag:
<a class="ext" href="https://cass.independent-review.uk/home/publications/final-report/" data-extlink="" rel="noopener nofollow noreferrer" target="_blank" title="(opens in a new window)"> - XPath:
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- Reported by Testaro
- Tag name:
Element 849
- Tag name:
A - Text:
analysis
- Start tag:
<a href="https://segm.org/Final-Cass-Report-2024-NHS-Response-Summary"> - XPath:
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- Reported by Testaro
- Tag name:
Element 850
- Tag name:
A - Text:
No new prescriptions
- Start tag:
<a href="https://www.thetimes.com/uk/healthcare/article/nhs-swaps-gender-drugs-for-holistic-care-jxhm3b6vk" class="ext" data-extlink="" target="_blank" rel="noopener nofollow noreferrer"> - XPath:
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- Reported by Testaro
- Tag name:
Element 851
- Tag name:
A - Text:
PATHWAYS
- Start tag:
<a href="https://www.kcl.ac.uk/research/pathways-trial" class="ext" data-extlink="" target="_blank" rel="noopener nofollow noreferrer"> - XPath:
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- Reported by Testaro
- Tag name:
Element 853
- Tag name:
A - Text:
Wales
- Start tag:
<a class="ext" href="https://www.walesonline.co.uk/news/health/under-18s-wont-prescribed-puberty-29039035" data-extlink="" rel="noopener nofollow noreferrer" target="_blank" title="(opens in a new window)"> - XPath:
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- Reported by Testaro
- Tag name:
Element 854
- Tag name:
A - Text:
Scotland
- Start tag:
<a class="ext" href="https://www.bbc.com/news/uk-scotland-68844119" data-extlink="" rel="noopener nofollow noreferrer" target="_blank" title="(opens in a new window)"> - XPath:
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- Reported by Testaro
- Tag name:
Element 856
- Tag name:
A - Text:
Denmark
- Start tag:
<a href="https://segm.org/Denmark-sharply-restricts-youth-gender-transitions"> - XPath:
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- Reported by Testaro
- Tag name:
Element 858
- Tag name:
A - Text:
Norway's
- Start tag:
<a class="ext" href="https://twitter.com/segm_ebm/status/1634032333618819073?s=20" data-extlink="" rel="noopener nofollow noreferrer" target="_blank" title="(opens in a new window)"> - XPath:
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- Reported by Testaro
- Tag name:
Element 859
- Tag name:
A - Text:
Norway's public health authority
- Start tag:
<a class="ext" href="https://twitter.com/segm_ebm/status/1673709405605429248?s=20" data-extlink="" rel="noopener nofollow noreferrer" target="_blank" title="(opens in a new window)"> - XPath:
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- Reported by Testaro
- Tag name:
Element 863
- Tag name:
A - Text:
Australia
- Start tag:
<a href="https://www.theguardian.com/australia-news/live/2025/jan/31/australia-news-live-antisemitism-anthony-albanese-peter-dutton-dural-caravan-frydenberg-adam-bandt-greens-public-transport-ntwnfb?CMP=share_btn_url&page=with%3Ablock-679c3c988f088478fa0ca84e#block-679c3c988f088478fa0ca84e" class="ext" data-extlink="" target="_blank" rel="noopener nofollow noreferrer"> - XPath:
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- Reported by Testaro
- Tag name:
Element 864
- Tag name:
A - Text:
Queensland's Health Minister
- Start tag:
<a href="https://statements.qld.gov.au/statements/101903" class="ext" data-extlink="" target="_blank" rel="noopener nofollow noreferrer"> - XPath:
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- Reported by Testaro
- Tag name:
Element 865
- Tag name:
A - Text:
The Queensland review
- Start tag:
<a href="https://www.health.qld.gov.au/research-reports/reports/review-investigation/hormone-therapies-review" class="ext" data-extlink="" target="_blank" rel="noopener nofollow noreferrer"> - XPath:
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- Reported by Testaro
- Tag name:
Element 866
- Tag name:
A - Text:
announced a pause
- Start tag:
<a href="https://statements.qld.gov.au/statements/104227" class="ext" data-extlink="" target="_blank" rel="noopener nofollow noreferrer"> - XPath:
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- Reported by Testaro
- Tag name:
Element 867
- Tag name:
A - Text:
announced restrictions
- Start tag:
<a href="https://evrimagaci.org/gpt/northern-territory-bans-puberty-blockers-for-trans-youth-520848" class="ext" data-extlink="" target="_blank" rel="noopener nofollow noreferrer"> - XPath:
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- Reported by Testaro
- Tag name:
Element 869
- Tag name:
A - Text:
The Royal Australian and New Zealand College of Psychiatrists (RANZCP)
- Start tag:
<a href="https://segm.org/first_mental_health_guideline_to_deviate_from_gender_affirmation"> - XPath:
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- Reported by Testaro
- Tag name:
Element 870
- Tag name:
A - Text:
delayed
- Start tag:
<a class="ext" href="https://www.rnz.co.nz/news/national/514615/ministry-of-health-delays-review-into-use-of-puberty-blockers" data-extlink="" rel="noopener nofollow noreferrer" target="_blank" title="(opens in a new window)"> - XPath:
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- Reported by Testaro
- Tag name:
Element 871
- Tag name:
A - Text:
new regulation
- Start tag:
<a href="https://www.health.govt.nz/regulation-legislation/puberty-blockers" class="ext" data-extlink="" target="_blank" rel="noopener nofollow noreferrer"> - XPath:
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- Reported by Testaro
- Tag name:
Element 873
- Tag name:
A - Text:
Italy's
- Start tag:
<a href="https://bioetica.governo.it/media/ymhlpqt4/abstract-triptorelina.pdf" class="ext" data-extlink="" target="_blank" rel="noopener nofollow noreferrer"> - XPath:
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- Reported by Testaro
- Tag name:
Element 875
- Tag name:
A - Text:
The official journal of the German Medical Association
- Start tag:
<a class="ext" href="https://www.aerzteblatt.de/archiv/234841/Pubertaetsblocker-Debatte-um-Transitionstherapie" data-extlink="" rel="noopener nofollow noreferrer" target="_blank" title="(opens in a new window)"> - XPath:
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- Reported by Testaro
- Tag name:
Element 876
- Tag name:
A - Text:
systematic review
- Start tag:
<a class="ext" href="https://econtent.hogrefe.com/doi/10.1024/1422-4917/a000972" data-extlink="" rel="noopener nofollow noreferrer" target="_blank" title="(opens in a new window)"> - XPath:
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- Reported by Testaro
- Tag name:
Element 877
- Tag name:
A - Text:
English-translated appendix
- Start tag:
<a class="ext" href="https://econtent.hogrefe.com/doi/suppl/10.1024/1422-4917/a000972" data-extlink="" rel="noopener nofollow noreferrer" target="_blank" title="(opens in a new window)"> - XPath:
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- Reported by Testaro
- Tag name:
Element 878
- Tag name:
A - Text:
criticism
- Start tag:
<a href="https://segm.org/German-draft-guidelines-gender-dysphoria-children-adolescents-2024"> - XPath:
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- Reported by Testaro
- Tag name:
Element 879
- Tag name:
A - Text:
15 prominent German Chairs of child adolescent psychiatry
- Start tag:
<a href="https://www.zi-mannheim.de/forschung/abteilungen-ags-institute/kjpp/informationen.html" class="ext" data-extlink="" target="_blank" rel="noopener nofollow noreferrer"> - XPath:
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- Reported by Testaro
- Tag name:
Element 881
- Tag name:
A - Text:
France's National Academy of Medicine
- Start tag:
<a href="https://segm.org/France-cautions-regarding-puberty-blockers-and-cross-sex-hormones-for-youth"> - XPath:
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- Reported by Testaro
- Tag name:
Element 883
- Tag name:
A - Text:
Belgium's Director of Cochrane Belgium
- Start tag:
<a class="ext" href="https://twitter.com/segm_ebm/status/1641950432540135424?s=20" data-extlink="" rel="noopener nofollow noreferrer" target="_blank" title="(opens in a new window)"> - XPath:
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- Reported by Testaro
- Tag name:
Element 885
- Tag name:
A - Text:
In the Netherlands
- Start tag:
<a class="ext" href="https://amsterdamumc.org/nl/vandaag/een-reactie-van-amsterdam-umc-op-de-cass-review-over-transgenderzorg.htm" data-extlink="" rel="noopener nofollow noreferrer" target="_blank" title="(opens in a new window)"> - XPath:
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- Reported by Testaro
- Tag name:
Element 886
- Tag name:
A - Text:
Dutch 2018 treatment guidelines
- Start tag:
<a class="ext" href="https://richtlijnendatabase.nl/gerelateerde_documenten/f/19927/Kwaliteitsstandaard%20Transgenderzorg%20-%20Somatisch.pdf" data-extlink="" rel="noopener nofollow noreferrer" target="_blank" title="(opens in a new window)"> - XPath:
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- Reported by Testaro
- Tag name:
Element 887
- Tag name:
A - Text:
Dutch Health Council
- Start tag:
<a href="https://www.gezondheidsraad.nl/onderwerpen/zorg/alle-adviezen-over-zorg/transgenderzorg" class="ext" data-extlink="" target="_blank" rel="noopener nofollow noreferrer"> - XPath:
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- Reported by Testaro
- Tag name:
Element 888
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A - Text:
reached
- Start tag:
<a href="https://segm.org/Dutch-protocol-debate-Netherlands"> - XPath:
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- Reported by Testaro
- Tag name:
Element 892
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A - Text:
assertions
- Start tag:
<a href="https://segm.org/fact-checking-gender-affirming-care-and-young-people-HHS"> - XPath:
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- Reported by Testaro
- Tag name:
Element 893
- Tag name:
A - Text:
executive order
- Start tag:
<a href="https://www.whitehouse.gov/presidential-actions/2025/01/protecting-children-from-chemical-and-surgical-mutilation/" class="ext" data-extlink="" target="_blank" rel="noopener nofollow noreferrer"> - XPath:
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- Reported by Testaro
- Tag name:
Element 895
- Tag name:
A - Text:
Florida
- Start tag:
<a class="ext" href="https://nypost.com/2022/11/04/florida-medical-boards-ban-gender-transition-for-minors/" data-extlink="" rel="noopener nofollow noreferrer" target="_blank" title="(opens in a new window)"> - XPath:
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- Reported by Testaro
- Tag name:
Element 896
- Tag name:
A - Text:
contentious
- Start tag:
<a class="ext" href="https://19thnews.org/2022/04/trans-youth-justice-department-warning/" data-extlink="" rel="noopener nofollow noreferrer" target="_blank" title="(opens in a new window)"> - XPath:
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- Reported by Testaro
- Tag name:
Element 898
- Tag name:
A - Text:
Amicus Brief
- Start tag:
<a href="https://www.supremecourt.gov/DocketPDF/23/23-477/323919/20240903143746537_23-477%20Amicus%20Brief%20SEGM.pdf" class="ext" data-extlink="" target="_blank" rel="noopener nofollow noreferrer"> - XPath:
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- Reported by Testaro
- Tag name:
Element 900
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A - Text:
proven evidence-based practice
- Start tag:
<a class="ext" href="https://www.wsj.com/articles/trans-gender-affirming-care-endocrine-society-evidence-fdb8562c?mod=article_inline" data-extlink="" rel="noopener nofollow noreferrer" target="_blank" title="(opens in a new window)"> - XPath:
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- Reported by Testaro
- Tag name:
Element 901
- Tag name:
A - Text:
sharply disagreed
- Start tag:
<a class="ext" href="https://www.wsj.com/articles/trans-gender-affirming-care-transition-hormone-surgery-evidence-c1961e27" data-extlink="" rel="noopener nofollow noreferrer" target="_blank" title="(opens in a new window)"> - XPath:
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- Reported by Testaro
- Tag name:
Element 903
- Tag name:
A - Text:
conceded
- Start tag:
<a class="ext" href="https://publications.aap.org/aapnews/news/25340/AAP-reaffirms-gender-affirming-care-policy?autologincheck=redirected" data-extlink="" rel="noopener nofollow noreferrer" target="_blank" title="(opens in a new window)"> - XPath:
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- Reported by Testaro
- Tag name:
Element 912
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A - Text:
complications
- Start tag:
<a class="ext" href="https://www.ahajournals.org/doi/10.1161/CIRCOUTCOMES.119.005597" data-extlink="" rel="noopener nofollow noreferrer" target="_blank" title="(opens in a new window)"> - XPath:
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- Reported by Testaro
- Tag name:
Element 904
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A - Text:
presaged the review's conclusion
- Start tag:
<a href="https://segm.org/AAP_policy_update_2023_SEGM_recommendations"> - XPath:
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- Reported by Testaro
- Tag name:
Element 905
- Tag name:
A - Text:
multiple systematic reviews of evidence
- Start tag:
<a href="https://segm.org/NICE_gender_medicine_systematic_review_finds_poor_quality_evidence"> - XPath:
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- Reported by Testaro
- Tag name:
Element 906
- Tag name:
A - Text:
Endocrine Society's
- Start tag:
<a class="ext" href="http://journals.aace.com/doi/10.4158/1934-2403-23.12.1437" data-extlink="" rel="noopener nofollow noreferrer" target="_blank" title="(opens in a new window)"> - XPath:
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- Reported by Testaro
- Tag name:
Element 907
- Tag name:
A - Text:
bone
- Start tag:
<a href="https://segm.org/the_effect_of_puberty_blockers_on_the_accrual_of_bone_mass"> - XPath:
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- Reported by Testaro
- Tag name:
Element 908
- Tag name:
A - Text:
health
- Start tag:
<a class="ext" href="https://academic.oup.com/jcem/article-lookup/doi/10.1210/jc.2014-2439" data-extlink="" rel="noopener nofollow noreferrer" target="_blank" title="(opens in a new window)"> - XPath:
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- Reported by Testaro
- Tag name:
Element 909
- Tag name:
A - Text:
altered
- Start tag:
<a href="10.1016/j.psyneuen.2020.104733"> - XPath:
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- Reported by Testaro
- Tag name:
Element 910
- Tag name:
A - Text:
brain
- Start tag:
<a class="ext" href="http://journal.frontiersin.org/article/10.3389/fnhum.2017.00528/full" data-extlink="" rel="noopener nofollow noreferrer" target="_blank" title="(opens in a new window)"> - XPath:
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- Reported by Testaro
- Tag name:
Element 911
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A - Text:
cardiovascular
- Start tag:
<a class="ext" href="https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.118.038584" data-extlink="" rel="noopener nofollow noreferrer" target="_blank" title="(opens in a new window)"> - XPath:
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- Reported by Testaro
- Tag name: