In the 2020s Paul became concerned about the use of
puberty blockers to delay the normally-timed
puberty of children. She wrote articles for the New Zealand weekly magazine
The Listener, and the monthly magazine
North and South. She was also quoted in a
Radio New Zealand story questioning New Zealand's guidelines on puberty blockers, with Paul stating, "The New Zealand Guidelines for Gender Affirming Care do not refer to the fact that this is an unapproved indication, or to the Medical Council guidelines and the need to ensure that patients know that this is an unapproved indication,", and the story stating, "New Zealand was out of step with many other countries, which were moving to a more cautious approach, she said." In early 2023, the New Zealand Ministry of Health removed a line stating that puberty blockers "are a safe and fully reversible medicine" from its website. In mid-November 2025, Paul welcomed the New Zealand Government's decision to suspend the issuing of puberty blockers in light of the
Cass review, saying that New Zealand clinicians should "give a pause for thought" and accused some of abandoning "normal standards of consent for children." == Personal life ==