Medical textbook removes ‘gender dysphoria’ definition after Florida Dept. of Health reference

The most popular medical textbook publisher in the world was triggered after Florida Surgeon General Joseph Ladapo referenced its definition of “gender dysphoria” in recent guidance advising against gender reassignment procedures for minors.

The Merck Manual director of marketing and brand awareness reached out to the Florida Department of Health to request they adjust their April 20 guidance for the “Treatment of Gender Dysphoria for Children and Adolescents,” according to Fox News Digital.

“We were in the process of updating our online chapter on that subject so I wanted to make sure you had the latest information,” Melissa Adams wrote.

“Some of the verbiage you reference in quotes has now been omitted as a result of the update which went live on our site at the end of April,” she added before she went on to request that Ladapo remove the information from the state’s fact sheet.

The definition in dispute was removed from the Merck website on April 20.

“Gender dysphoria is characterized by a strong, persistent cross-gender identification associated with anxiety, depression, irritability, and often a wish to live as a gender different from the one associated with the sex assigned at birth,” the Merck Manual read previously.

Ladapo posted a screenshot of the email on social media and called the move “political activism disguised as medical advancement.”


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

Florida’s guidance was issued after the U.S. Department of Health and Human Services (HHS) released guidance in March for “Gender-Affirming Care and Young People” that recommended irreversible surgery “in adulthood or case-by-case in adolescence.”

HHS guidelines also recommended “social affirmation” and puberty blockers as reversible options and “hormone therapy” for early adolescence onward as a partially reversible option.

The dumbfounded replied on Twitter, bewildered by the now-deleted introductory definition.

Although some thought the original definition cited was already politicized by using the wording “assigned at birth” instead of “biological sex.”

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