The federal health department has released the so-called "comprehensive review" of children's gender irritability - advocating treatment rather than health care for young people whose gender identities do not match their assigned gender.

The 409-page report claims that although the harm of this medical treatment is “sparse”, treatment should be avoided to support treatment for young people diagnosed with gender irritability.

"Our job is to protect our country's children, not to expose them to unproven and irreversible medical interventions," said Dr. Jay Bhattacharya, director of the National Institutes of Health (NIH). "We must follow the gold standard of science, not the activist agenda."

The report contradicts guidance from the largest medical association in the United States, including the American Medical Association, which urges state governments to “stop interfering in health care for transgender children.” A study published this year found that among young Americans, there are fewer gender care, with less than 1,000 children receiving hormone or pubertal blockers.

The review is in response to one of the first executive orders signed by the president, titled “Protecting children from chemical and surgical dismemberment measures”, which calls for review of evidence from the health department within 90 days.

"The evidence for harms associated with the transition to pediatric medicine in systematic reviews is...sparse, but this finding should be explained with caution," the report noted.

“Inadequate detection of injuries in pediatric gender medicine may reflect a relatively short time since the widespread adoption of medical/surgical treatment models; the failure of existing studies to systematically track and report hazards; and publication bias.”

The report does not provide medical treatment for transgender adults, nor does it contain clinical guidance or policy recommendations. Although Health Secretary Robert F Kennedy Jr promised “radical transparency” to the health sector, the author of the report was not disclosed.

The report comes from hostile administrations against the LGBTQ+ community, especially transgender people. Trump issued executive orders in his first few days of his tenure, establishing official U.S. government positions, recognizing two genders, and revoking multiple orders that range from education and health care to protecting transgender people in the social field in military service.

In addition, the government directed the NIH to cancel nearly every project that studies trans people, and instead focus on “regret” after the transition. The government has even canceled relatively small contracts with the federal government, such as refunding them to the LGBTQ+ suicide hotline.

The report's recommendations support more than half of the status of more than half of the U.S. states that prohibit such treatments. According to the Human Rights Campaign, nearly 40% of transgender youth live in such states, which include many of the same campaigns that prohibit or are restricted from abortions.

"A report shows someone's true self and the people who can 'change'," said Sarah Kate Ellis, CEO of Glaad, a leading LGBTQ+ advocacy group. "This so-called guidance is serious misleading, in stark contrast to the recommendations of every leading health agency in the world."

Ellis continued: “This report is nothing more than a shameful idea of ​​forcing the same conversion therapy that tear the family apart and hurt young people who have been gay, lesbian and bisexual for decades.”