Article Text

Download PDFPDF
Reply to ‘Hormone replacement therapy: informed consent without assessment?’
  1. Florence Ashley
  1. Faculty of Law, McGill University, Montréal, Quebec, Canada
  1. Correspondence to Florence Ashley, Faculty of Law, McGill University, Montréal, QC, H3A 1W9, Canada; florence.pare{at}


In a previous article, I argued that assessment requirements for transgender hormone replacement therapy (HRT) are unethical and dehumanising. A recent response published by the Journal of Medical Ethics criticises this proposal. In this reply, I advance that their response misunderstood core parts of my argument and fails to provide independent support for assessment requirements. Though transition-related care may have similarities with cosmetic surgeries, this does not suffice to establish a need for assessments, and nor do the high rates of depression and anxiety justify assessments, especially given the protective role HRT plays towards mental well-being.

  • sexuality/gender

Statistics from


  • Contributors FA is the sole author of this work.

  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.

  • Correction notice This version has been corrected. The sentence "That the fates of abortion and HRT are tied is a bug, not a feature" should read "That the fates of abortion and HRT are tied is a feature, not a bug ".

  • Patient consent for publication Not required.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Linked Articles