I was going to downvote and move on, but instead…

I have family and friends that are trans, so I have been able to kind of follow their outcomes over the years.

1. Human gender identity and sexuality does seem to fluctuate somewhat, but it doesn’t seem to me to be random. Some people fully identify as one gender but like to perform as a different one. Other people don’t vary at all. In cases where people “change their mind”, it’s usually because they get discouraged about being able to successfully transition, or they experience severe harassment/workplace discrimination. Just in my anecdotal experience, it’s never because they just randomly decide they no longer want to be trans

2. No one is getting permanent gender affirmation treatment until they are old enough to know and have been in discussions with doctors for years. I’m sure there are exceptions where some poor 5 year olds parent(s) treated them without medical oversight but it’s not common and no one wants this.

So you don’t have to wonder anymore: https://en.wikipedia.org/wiki/Transsexual#Regrets_and_detransitions

Extremely uncommon. But on the off chance it happens, they just stop taking the puberty blockers and everything proceeds as normal.

I’m assuming you’re asking in good faith. I found this type of question to be especially controversial due to the legislation against gender-affirming care, especially puberty blockers. In researching further:

As others have stated, cases where permanent gender-affirming care was given, such as HRT (hormone therapy) and GRS (genital reconfiguration surgery), instances of regret are incredibly rare, and almost always predicated by lack of support for the individual. They are far outnumbered by instances of trans people undergoing puberty incompatible with their gender, which is itself damaging and irreversible.

The type of care discussed in this article, GnRH (puberty blockers), has been shown to not have long term consequences, and is only used to delay puberty and the potential long term effects, giving them enough time to make an informed decision about their transition. From the Mayo Clinic:

GnRH analogues don’t cause permanent physical changes. Instead, they pause puberty. That offers a chance to explore gender identity. It also gives youth and their families time to plan for the psychological, medical, developmental, social and legal issues that may lie ahead…

When a person stops taking GnRH analogues, puberty starts again.

Basically non-existant but of course when it does happen it gets repeated over and over again. The main reason why anybody detransitions is because of how they get treated during their transition.

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