There is intensifying critical media attention on referrals to GIDS of people assigned female at birth who identify as male or non-binary. In 2009–10 the number of new referrals from this group was forty; in 2017–18 it had risen to 1,806. Whereas young people transitioning from male to female were once the largest group, now two thirds of GIDS patients were born female. This is a trend reflected worldwide, and it has caused significant speculation. Though the root cause is unknown, the general explanation offered by trans communities – that it is a result of increased visibility, acceptance
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