Every couple of weeks it seems to me like we get someone posting a link to an article or making a discussion post about "How dangerous" blockers are, and about "How they're damaging our children!". Now I understand that many people may not just understand how the system works, so I wanted to make a post which lays out the general process.
This is how, for lack of fringe cases,hormone blockers are prescribed to children. So if you didn't know about this process, hopefully this helps you form a more informed opinion on it.
Children aren't randomly given blockers just because they asked nicely. The process to get blockers requires
A) A referral to a specialist gender clinic service, with a waiting list of commonly 1-3 years. This means that a child won't suddenly say "I'm a boy now" and get drugs, they commonly have to wait. In Wales, before this referral can take place, children are required to have a full psychological evaluation with their local mental health services.
B) A full evaluation during their first session with the service, which rarely results in any prescriptions. When I say rarely I mean rarely. It's traditional for any medical intervention to be flat out denied within the first session, and is normally only finalized in the second or even third. This is the same for adults, but since we're talking about children this would mean that the first appointment gets them nothing in a majority of cases. And the second one is normally anywhere from 6 months to 2 years after the first, so again, not exactly being fast tracked onto drugs.
C) Requires a shared care agreement with the GP. Gender clinics aren't typically qualified to administer hormone treatment or hormone blockers, they're only qualified to prescribe them. I the primary care doctor doesn't feel comfortable providing this care to the child, they don't. There have been cases of children being denied hormone treatment or blockers because their GP denied the recommendation of the gender clinic. These kids normally have to go somewhere else.
D) Close monitoring during the entire time they're on blockers, which will be at the longest 3-4 years. Most children start blockers at the age of 16 anyway, but when looking at the longest possible case this would be just before puberty starts or at the beginning, which would be ages 12-13. And these are the best case scenarios, or the result of seeking private treatment. During this time any and all shots are administered by nursing staff, regular blood tests are mandatory to check levels of E and T in the blood respectively, and all children on this medication are regularly checked for any of the side effects which can occur as a result of being on blockers. And I only say blockers here, because in the UK you must be I believe at least 17 to be prescribed hormones (16 I believe in Scotland), where you basically start the entire process I just laid out from the beginning for a different medication.
I say this sincerely. I wish DESPERATELY that I lived in the world where these hormones were apparently just handed out like everyone is scaremongering they are, because then I wouldn't be looking down the barrel of a 3 year waiting list for a first appointment, and then another year for my second. After being on the waiting list for a year already, mind you.
Kids aren't given blockers on demand, they're closely monitored when they are given blockers, and the ultimate aim is to get them off and get them onto something more stable and long term than to just keep them on blockers forever.
I hope this has helped explain what can be a confusing and emotional subject.