
The Director's Desk HHS & NIH Evidence Review on Pediatric Gender Dysphoria — Expert Panel Discussion
Dec 16, 2025

Guest
Alex Byre (Alex Burr in transcript)

Guest
Kristopher Kaliebe (Christopher Kalibi)

Guest
Yuan Zhang

Guest
Farr Curlin

Guest
Evgenia Abbruzzese
Evgenia Abbruzzese, co-founder of the Society for Evidence-Based Gender Medicine, shares insights on diagnostic definitions and the historical context of gender dysphoria. Farr Curlin, a physician and bioethicist, discusses the ethical implications of treatment options. Yuan Zhang elaborates on the rigorous evidence evaluation methods used in the HHS report. Christopher Kaliebe outlines clinical practices for treating youth with gender dysphoria, while philosopher Alex Byre critiques the language surrounding gender identity. Together, they uncover the complexities and uncertain outcomes of current pediatric gender treatments.
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Transcript
Episode notes
Scope And Timing Of HHS Review
- The HHS report reviews puberty blockers, cross-sex hormones, and surgeries for minors under a 90-day executive order review process.
- The final peer-reviewed version published November 19 includes responses to extensive peer review.
Definition Shift Changes Treatment Targets
- Gender dysphoria historically required distress for diagnosis, but newer definitions can omit distress.
- That definitional shift changes who is eligible for medical interventions.
Adult Transition Outcomes Were Mixed
- The Dutch adult studies emphasized subjective outcomes and found mixed results with no objective improvement.
- Post-transition objective functioning (relationships, suicidality) often did not improve.
