The evidence from trial showed that the medical ethics of gender dysphoria treatment for children and adolescents are entirely unsettled,’ the judge wrote.

Missouri’s restrictions on puberty blockers and hormone treatment for transgender minors are constitutional and may remain in place, Wright County Circuit Court Judge Craig Carter wrote in a 74-page ruling Monday.

Plaintiffs were challenging the block on gender-affirming health care, ahead of a US Supreme Court case next month.

A circuit court judge in Cole County, Missouri, on Monday upheld the state's law that bans transgender health care for minors.