Did you read all of it and do you understand how research is conducted and reported? More importantly, the small percentage of the TGD individuals who reported considering or actually detransitioning stated this cause: "Conclusion: Among TGD adults with a reported history of detransition, the vast majority reported that their detransition was driven by external pressures. Clinicians should be aware of these external pressures, how they may be modified, and the possibility that patients may once again seek gender affirmation in the future."