I've spent the last years traversing a medical system that gatekeeps the fuck out of trans healthcare and there's no bigger red flag to spot transphobic doctors than unprovoked questions about our sexual lifes.
Not the least bit surprised that the genocidal Cass Report views that as the ideal form of treatment, the entire thing is a deliberate right wing smear piece thoroughly designed to lend an air of scientific legitimacy to trans exterminatory policies. It is a direct, intentional contribution to the systemic murder of trans people, particularly children, and should be attacked wherever you come across it, which will be any article about trans healthcare in the MSM for the next 5 years or so. This shit is a serious threat to all of our safety, and should be deligitimized and made politically unusable asap.