Studies like this strengthen the academic consensus that wholesale “detransition”—where a person who medically transitions stops identifying as trans and regrets receiving gender-affirming care—is rare. For those who do stop taking hormones or regret gender-affirming care, studies find the reasons cited are more likely to be financial, such as a lack of insurance; legal, with patients losing their care when states restricted it; or, most of all, a response to transphobia and violence upon coming out.