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There is no medical test for gender dysphoria. Little is known about how they have fared since. But in the past decade there has been a surge in the number of children treated as trans. The biggest concern is that children put on blockers—first prescribed between the ages of 9 and 14 to suppress the action of sex hormones—and later, testosterone or oestrogen, do not first undergo sufficiently comprehensive evaluations. In such a polarised environment, bills proposing blanket bans of puberty blockers are likely to be counterproductive. Over time, they can affect bone density. Puberty blockers also have other side-effects. The best of our journalism, handpicked each day Sign up to our free daily newsletter, The Economist today Sign up now. Waiting lists at many are long and lengthening.

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