It is relevant to note that while more people may be coming out the current observed ratio of females to males with gender dysphoria in youth clinics does not match the numbers of transitioners in the adult population in the most recent past. It is important to understand what is driving this trend. Not all of them will necessarily medically transition, but more and more females are distressed enough about their gender to seek mental health and medical advice.
While the explosion in referrals of children to gender identity clinics could be explained by greater societal and parental awareness and children feeling more comfortable in coming out, what is more difficult to explain is the drastic sex ratio reversal of females presenting with gender dysphoria.
