June 4, 2026 · The Journal of adolescent health : official publication of the Society for Adolescent Medicine · DOI: 10.1016/j.jadohealth.2026.03.016

Stability of Transgender Identity in Adolescents Seen in Multidisciplinary Specialized Gender Centers: A Multicenter Study in Canada

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The authors aimed to assess the stability of transgender identity among adolescents referred to specialized gender clinics in Canada, focusing on the rates of continued gender identity, use of gender-affirming hormones, and instances of detransition. The study found that 94.6% of the 445 adolescents maintained their gender identity, with only 5.4% reverting to a gender identity aligned with their sex assigned at birth, and discontinuation of gender-affirming hormones was rare, occurring in just 1.1% of cases. These results suggest a high level of stability in gender identity among adolescents in specialized care.

Daniel L Metzger, Arati Mokashi, Danièle Pacaud, Nicole Thompson, Reza Belaghi, Anne Tsampalieros, Margaret L Lawson

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