As a parent of a "trans" teen, I ask you: In what other medical area would it be possible for the patient (an adolescent, no less!!) to not only self-diagnose but also prescribe treatment, including drugs and surgery that are potentially irreversible and for which the long-term effects have not been studied? The social media-fueled trans contagion among adolescents, particularly girls - further exacerbated by activists (no matter how well-intentioned their support for trans people) - has gotten out of control. Especially among the white upper-middle class youth and their enabling schools, psychologists and psychiatrists. True gender dysphoria is one thing. This craze is another thing entirely. YES, teens need to be screened thoroughly, if not to say aggressively, NOT just affirmed.
If you can't, as a doctor, answer how many children will later want to detransition ("it's thought to be rare" is shoddy data), and there is no formal system for tracking this data, you're running an uncontrolled experiment.
Simply stated, it should be against the law to let any person under 18 years of age have gender reassignment treatments of any kind. As a gay boy, most of my friends in school were “sissies” or “tom boys” and were very seriously into hacking the opposite gender, as expressed by all sorts of behavior that in this climate would likely be called “gender fluidity.” Not a single one if asked today would say they wanted a sex change. It’s bizarre and unthinkable to take developing adolescent minds and imaginations so seriously as to prescribe such treatments.