Table 2.

Reasons for Detransition Among Respondents

Reason	Responses endorsing this reason
	N	%
Caregiving reasons	26	1.2
Difficult to blend in as identified gender	22	1.0
Financial reasons	79	3.5
Fluctuations in identity or desire	235	10.5
Inconclusive/something else/don't know/NA	51	2.3
It was just too hard for me	753	33.6
Lack of support	19	0.8
Legal reasons	19	0.8
Medical reasons	73	3.3
Fertility reasons specifically	9	0.4
Pressure
Pressure from a medical health professional	11	0.5
Pressure from a mental health professional	127	5.7
Pressure from a parent	798	35.6
Pressure from community or societal stigma	729	32.5
Pressure from my employer	392	17.5
I had trouble getting a job	603	26.9
Pressure from military-related service	11	0.5
Pressure from friends or roommates	319	14.2
Pressure from other family members	580	25.9
Pressure from religion	121	5.4
Pressure from school	24	1.1
Pressure from spouse or partner	454	20.2
Wanting to find a spouse or partner	8	0.4
Psychological reasons	87	3.9
Sexual or physical assault	19	0.8
Sports-related reasons	2	0.1
Travel or relocation	38	1.7
Unable to access hormones	14	0.6
Uncertainty or doubt around gender	54	2.4
Cited at least one listed external factor	1850	82.5
Cited at least one listed internal factor	357	15.9

Respondents who endorsed a history of detransitioning (N = 2242) were asked to select from a prewritten list of reasons in response to the question: “Why did you de-transition? In other words, why did you go back to living as your sex assigned at birth? (Mark all that apply).” Some respondents (N = 800) opted to provide free responses. This table combines data from the survey's prewritten options (Supplementary Table S1) as well as qualitative recoding of free responses.

NA, not applicable.