Maybe it's too early in the morning, but can you explain what you mean by the latter point? I'm under the impression trans treatment is provided for individuals seeking gender affirming care, with parent agreement if the individual is a minor. Your statement sounds like only the parent is consenting...
EDIT: Thanks, EatATaco. So my confusion lies in the equating puberty to hormone therapy. Similar, but not the same.
I think that's because the descriptors come after the noun in reporting. Similar to how documentation is done for other professions, like healthcare. If it's out of the context of reporting, or other situations listed in the site below, it sounds grammatically strange or rude.
https://myenglishgrammar.com/lessons/adjectives-function-as-nouns/
Source: I'm in healthcare.