Recent research uncovers a significant link between conversion therapy and increased cardiovascular risk in young adults assigned male at birth, noting blood pressure readings 3 to 5 points higher in those who experienced the discredited practice.
This evidence holds considerable implications for cardiologists and primary care providers. Clinicians are now encouraged to incorporate routine cardiovascular screenings and blood pressure monitoring in the care of young patients with a history of conversion therapy, facilitating early detection and timely intervention.
Background and Context
Conversion therapy has been discredited as both ineffective and harmful, with no basis for altering sexual orientation, as documented across psychological and medical literature. Yet, new perspectives challenge the view that its negative effects are solely mental health-related.
Research is now suggesting that the harmful impact of conversion therapy may extend to physical health, specifically affecting cardiovascular function. This broader perspective necessitates a comprehensive understanding of its long-term risks.
Study Findings on Cardiovascular Risk
A 2025 cohort study published in JAMA Network Open investigated blood pressure differences in young adults exposed to conversion therapy. The findings indicated that these individuals experienced an average blood pressure increase of 3 to 5 points compared to their peers who were not exposed.
These differences remained statistically significant after adjusting for factors such as age, race, education, and general health behaviors. This controlled approach substantiates the inference that exposure is linked to elevated cardiovascular risks.
Implications for Long-Term Cardiovascular Health
Elevated blood pressure is recognized as a risk factor for serious cardiovascular conditions including heart disease and stroke. Even modest increases, if sustained, can have substantial long-term health implications.
The observed 3 to 5 point elevation associated with conversion therapy exposure is concerning, as minor blood pressure increases can translate into higher cardiovascular morbidity risks over time. Acknowledging this relationship underscores the importance of early detection and intervention to mitigate long-term health complications.
Clinical Implications and Recommendations
In light of these findings, healthcare providers should incorporate regular cardiovascular screenings into the routine care of individuals with a history of conversion therapy. A proactive approach, including periodic blood pressure monitoring, can help identify early cardiovascular changes.
Clinicians should consider a patient's exposure to conversion therapy as a potential risk factor when developing preventative care strategies. By aligning clinical practices with these insights, practitioners can enhance early intervention efforts and potentially reduce future cardiovascular complications, as supported by the recent study.
Acknowledging Limitations and Future Directions
Although the current study provides compelling evidence of an association between conversion therapy and elevated blood pressure, its cross-sectional design limits the ability to draw definitive causal conclusions. Potential confounders necessitate cautious result interpretation.
Future longitudinal research is essential to explore the biological mechanisms involved and to evaluate long-term cardiovascular outcomes in this population. Such studies are crucial in confirming these preliminary findings and refining clinical guidelines for preventive care.