Medical textbook removes gender dysphoria definition after being cited by Florida

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The world’s best-selling medical textbook removed the definition of gender dysphoria from its website after the Florida Department of Health cited it in recent advice advising against gender transitions for children and adolescents, according to an email obtained by Fox News Digital.

The email from Melissa Adams, director of marketing and brand awareness at Merck Manuals, also asked the Florida Department of Health to adjust its advice based on the manual’s update, which has was first published in 1899 and remains the oldest continuously published medical document. English manual.

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“Gender dysphoria is characterized by strong and persistent cross-identification associated with anxiety, depression, irritability, and often a desire to live in a different gender from that associated with the sex assigned at birth,” according to the Merck manual. definition, which has since been removed.

Florida Surgeon General Joseph Ladapo speaks during a press conference at Neo City Academy in Kissimmee, Florida in September 2021.
(Paul Hennessy/SOPA Images/LightRocket via Getty Images)

“We were in the process of updating our online chapter on this topic, so I wanted to make sure you had the latest information,” wrote Adams, who did not respond to multiple requests for comment.

“Some of the verbiage you refer to in quotes has now been omitted following the update that went live on our site in late April,” Adams added.

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The email then asked Florida to remove its language after it was updated. Florida Surgeon General Joseph Ladapo responded by tweeting a screenshot of Adams’ email and alleging Merck’s decision was “political activism disguised as medical progress.”

“Medicine cannot be a weapon used to divide communities, and Florida’s directions will not change due to political pressure,” Ladapo added.

Merck removed the definition from its website after Ladapo posted a fact sheet on April 20 in response to guidance from the Department of Health and Human Services (HHS) in March.

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According to new HHS guidelines, “gender-affirming care” includes social affirmation at any age, puberty blockers during puberty, and hormone therapy beginning in early adolescence. Irreversible surgery is “generally used in adulthood or on a case-by-case basis in adolescence”.

Assistant Secretary of Health and Human Services Rachel Levine testifies before the Senate Committee on Health, Education, Labor, and Pensions February 25, 2021, on Capitol Hill in Washington, DC
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Assistant Secretary of Health and Human Services Rachel Levine testifies before the Senate Committee on Health, Education, Labor, and Pensions February 25, 2021, on Capitol Hill in Washington, DC
(Tom Brenner-Pool/Getty Images)

Citing a “lack of conclusive evidence and the potential for long-term irreversible effects,” the Florida Department of Health advised against social transition, puberty blockers, hormones and surgery as treatment options for children. and teenagers.

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Ladapo’s office told Fox News Digital that they have no plans to change their guidelines at this time.

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