Over the next year, as Dr. Littman prepared her study, analyzed the data, and wrote her paper, clinicians across the Western world began reporting seeing more female adolescents presenting with gender dysphoria.27 Clinics in Sweden,28 Toronto, and Amsterdam reported that their ratios of gender dysphoria had flipped, from predominately natal males prior to 2006, to predominately natal females from 2006 to 2013.29
