While Gays claim that they are born that way, studies of identical twins who share 100 % of their DNA show only 28% share transgender confusion so it does not manifest itself without outside non-biological factors. Anyone else expressing confusion about the reality around them is declared confused or delusional, but gender confusion is considered an exception. Studies show that gender identity is very flexible. Prior to the widespread promotion of transgender therapy, 75-95% of children experiencing gender distress before puberty, outgrew it. Most of them outgrew it by late adolescence, after going through puberty. Since widespread promotion, the number of those experiencing gender distress and the persistence of such distress has increased dramatically. Children under the age of 21 lack the ability to access risk factors and can not give valid consent. To submit them to transition therapy which is irreversible and life changing based on their feelings is irresponsible. Transition therapy stops their bodies normal production of hormones and substitutes the hormones needed to produce the physical qualities of the opposite sex. Once a children goes through transition therapy, often around age 10-12 when they begin to experience changes, they become permanently sterile and can never have kids. While they claim transition affirming therapy will help the child adjust to their perceived gender, it has not reduced the rate of suicide which remains around 20 times that of the general population.