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#detransition
dar-darson · 22 hours
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troutpopulation · 2 days
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I wish talking about detransition in any positive way wasn't completely co-opted by terfs and detrans kinks with the most violent, humiliating and degrading fantasies imaginable.
Because there is something profoundly beautiful and almost erotic in watching your own body change into something completely unfamiliar and uncanny, and intensely unexpected. The permanent changes of HRT being treasured souvenirs of a past life and an intrinsic part of you.
Feeling your hair texture change under your own fingertips. Your body changes once, twice, three times, you lose count but it's always uncharted territory. Just an alien shape to your own hips forming contours you don't recognize and will spend your next lifetime, one of many, exploring.
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The study itself is titled, “Long-Term Regret and Satisfaction With Decision Following Gender-Affirming Mastectomy,” and sought to study the rate of regret and satisfaction after 2 years or more following gender affirming top surgery. The study’s results were stunning - in 139 surgery patients, the median regret score was 0/100 and the median satisfaction score was 5/5 with similar means as well. In other words… regret was virtually nonexistent in the study among post-op transgender people. In fact, the regret was so low that many statistical techniques would not even work due to the uniformity of the numbers: In this cross-sectional survey study of participants who underwent gender-affirming mastectomy 2.0 to 23.6 years ago, respondents had a high level of satisfaction with their decision and low rates of decisional regret. The median Satisfaction With Decision score was 5 on a 5-point scale, and the median decisional regret score was 0 on a 100-point scale. This extremely low level of regret and dissatisfaction and lack of variance in scores impeded the ability to determine meaningful associations among these results, clinical outcomes, and demographic information. The numbers are in line with many other studies on satisfaction among transgender people. Detransition rates, for instance, have been pegged at somewhere between 1-3%, with transgender youth seeing very low detransition rates. Surgery regret is in line with at least 27 other studies that show a pooled regret rate of around 1% - compare this to regret rates from things like knee surgery, which can be as high as 30%. Gender affirming care appears to be extremely well tolerated with very low instances of regret when compared to other medically necessary care.
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The intense conservative backlash, to the point of disputing reputable scientific journals, likely stems from the fact that reduced regret rates weaken a central narrative these figures have championed in legal and legislative spaces. Over the past three years, anti-trans entities have showcased political detransitioners, reminiscent of the ex-gay campaigns from the 1990s and 2000s, to argue that regrets over gender transition and detransition are widespread. Some have even asserted detransition rates of up to 80%, a claim that has been broadly debunked. Yet, research consistently struggles to find substantial evidence supporting this narrative. The rarity of detransition and regret is underscored by Florida's inability to enlist a single resident to bear witness against a lawsuit challenging the state's ban on gender-affirming care.
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genderqueerdykes · 1 month
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my heart goes out to people who have been talked out of transitioning and people who have been talked out of detransitioning. having someone else convince you to avoid doing what is in your best interest and increase your comfort and quality of life is always heart breaking and exhausting- no matter what your choice, to transition, or to detransition, that is your choice, and it does not impact other people. you are not a bad person for wanting to do either of these things.
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transmascissues · 3 months
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you're gonna detransition in 10 years.
so i get a whole decade of living happily in the body i’m creating for myself now, and then i get to go through the process of metamorphosis and rediscover the joy of chasing gender euphoria all over again? i’ll take it!
i know people like you only see detransitioners as rhetorical tools to use against trans people, but the truth is that detransition is just another kind of transition. why would i be any more afraid of that one than i am of the one i’m in right now? if i was afraid of transitioning, of taking matters into my own hands when the body i have doesn’t feel like home anymore, i wouldn’t have transitioned in the first place. i’m where i am because i truly love this process, because it brings joy into my life, not because i fear it. being human means a life of constant change; none of us are the same people we were ten years ago. i for one won’t run from that change — i intend to greet the person i’m becoming with open arms, however different they might be from who i am now, and i’m sure that whoever they are, they wouldn’t want me to make my life miserable now just so theirs might be a little bit easier.
one of the greatest joys in life is that all of us are capable of change, and capable of enacting that change upon ourselves. i’ve been lucky enough to remold and remake myself once and, should i find myself faced with the opportunity to do so again, i’ll embrace that as the gift it is. there is no greater honor than to be reborn by your own hand.
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missmastectomy · 2 months
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I've been meeting more and more 21-24 year old trans people and so many of them are just so... childish?? They still act like teenagers. And at first I was judgemental of them. I do not respect that they are grown adults that continue acting this way.
But I've also learned that a lot of them started transitioning at 14, 15, 16, etc. So fucking young. Indoctrinated and put on this horrific medical malpractice train that they just can't get off of. There's a really disturbing lack of self-reflection that baffled me until I realized that transition has basically stunted them.
This applies more for the ~everyone is valid uwu~ crowd than the transmedicalists, who usually want to just move on with their lives. But these people are stuck in this ideological bubble where they cut out anyone who disagrees with them. They reject anything that makes them feel uncomfortable, that threatens their perception of their gender, which is so fragile that it can't be held under scrutiny. And they know it. It's why the act the way they do. Allowing their views about gender and the world at large to develop would also mean leaving behind their zealotry. They cannot do this because of how invested, physically and socially, they have become in this ideology. Leaving it behind would mean loss of friends, loss of ego, maybe even a full detransition. It would mean death.
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zinniajones · 11 months
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Text of thread at https://kolektiva.social/@zinnia/110418489814171631:
Yes - this is what is happening in Florida due to SB 254, which was signed into law on Tuesday 5/17/2023, taking immediate effect. This immediately cut off 80%+ of adult trans people in Florida from having their HRT refilled, because SB 254 uniquely prohibits only nurse practitioners from prescribing only gender-affirming medications.
This has already been in effect for 7 days now.
Trans adults in Florida have already been cut off from their HRT refills for a week now, including those of us who have been stable on these medications for years or decades.
This is VERY different from the general situation of trans youth care bans in 19 states, many still working their way through the courts.
This has *already* happened, to *all* of us: all trans adults in the third most populous state in the US.
The number of trans adults on HRT massively exceeds the sliver of the population that are under 18 and are prescribed puberty blockers or hormone therapy.
These laws, advanced under the pretext of 'protecting children', are now directly impacting a far larger group of people who are not children and are not subject to those pretextual concerns.
Other arguments about withholding public Medicaid funding for transition treatment also do not apply here: SB 254 does not even allow receiving this care through private insurance or paying cash out of pocket. The care isn't simply not covered - the care itself cannot be provided regardless.
What is happening in Florida requires special attention above the situation of trans youth care bans nationally. This is having a vastly larger impact quantifiably.
It will have worse impacts qualitatively as well: adults are responsible for taking care of and protecting trans kids and making sure they do not hurt themselves.
Whereas as a trans adult, we have no one standing guard at the brink but our own self and the void to which we are accountable.
These are the facts as they stand right now. These are the facts as they have stood for a WEEK and NO ONE nationally is putting any attention on this because there are 19 trans youth care bans all across the country going on, along with everything else targeting trans people and the LGBT community broadly.
This is a specific harm that is happening now and has been happening for 168 hours.
It is not a hypothetical issue to raise awareness of, as if it were at the stage of some proposal that needs to be fought back. This has already happened and is happening right now. Active harm is happening until this law is rolled back.
For all of Florida's history since the inception of the applicable regulatory and licensing bodies, nurse practitioners have been allowed to prescribe hormone therapy, testosterone blockers and other relevant gender-affirming medications.
That has been the case since I moved here in 2011. There was no reason why this wouldn't be the case. It's also the case in every other state.
This new law is a carveout of prescriptions when used for one purpose, gender-affirming care, from nurse practitioners specifically, in a way that has never been done before. It affects all ages.
It has immediately obstructed access to HRT prescription refills for more than 80% of TRANS ADULTS in Florida.
It has also prohibited first appointments for HRT via telehealth with in-state or out-of-state MDs or DOs - first appointments must be in person. This will require expensive and time-consuming travel that is beyond most trans people's means: driving to Georgia from Florida can take 8 hours.
This was an intentional targeting of almost all trans adults in Florida, and the means by which we have received our generic, FDA-approved medications for years. And it included closing every possible door that would let us find another way to keep taking the medications we have taken for...
Well, for me it was 3,891 days when the clock stopped
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hexagon-club · 2 months
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I think this is a big reason why TRAs are so desperate to shut down detransitioners. Seeing public detransitioners can cause people who are currently trans identified people to start to question the ideology. And this whole ideology is such a house of cards that once you start to think about it critically it's only a matter of time until it falls apart.
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kthulhu42 · 2 months
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First of all I despise how it is "Believe trans people" right up until they detransition and then they're all liars spreading misinformation.
Second of all, yes, testosterone can cause vaginal and urethral atrophy, which can cause incontinence and pain. It is sometimes reversible if caught early on.
Thirdly, doctors worldwide routinely do give out medication without accurate information regarding side effects, especially if giving accurate side-effect data is seen as a sign of "conversion therapy" to scare off possible transitioners. In my country, any doctor has to legally go through common side effects, or the risk percentages of surgery - despite it being a legal requirement, it is often referred to as "fear-mongering".
You cannot argue that she (being honest about her experience with testosterone) is a liar about the side effects and causing harm with misinformation, while also claiming that you believe a doctor would have explained these side effects prior.
You're just trying to silence a detransitioner to protect the ideology.
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vavandeveresfan · 3 months
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Holy shit, the New York Times is FINALLY interviewing and listening to detransistioners.
The tide is turning.
Opinion by Pamela Paul
As Kids, They Thought They Were Trans. They No Longer Do.
Feb. 2, 2024
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Grace Powell was 12 or 13 when she discovered she could be a boy.
Growing up in a relatively conservative community in Grand Rapids, Mich., Powell, like many teenagers, didn’t feel comfortable in her own skin. She was unpopular and frequently bullied. Puberty made everything worse. She suffered from depression and was in and out of therapy.
“I felt so detached from my body, and the way it was developing felt hostile to me,” Powell told me. It was classic gender dysphoria, a feeling of discomfort with your sex.
Reading about transgender people online, Powell believed that the reason she didn’t feel comfortable in her body was that she was in the wrong body. Transitioning seemed like the obvious solution. The narrative she had heard and absorbed was that if you don’t transition, you’ll kill yourself.
At 17, desperate to begin hormone therapy, Powell broke the news to her parents. They sent her to a gender specialist to make sure she was serious. In the fall of her senior year of high school, she started cross-sex hormones. She had a double mastectomy the summer before college, then went off as a transgender man named Grayson to Sarah Lawrence College, where she was paired with a male roommate on a men’s floor. At 5-foot-3, she felt she came across as a very effeminate gay man.
At no point during her medical or surgical transition, Powell says, did anyone ask her about the reasons behind her gender dysphoria or her depression. At no point was she asked about her sexual orientation. And at no point was she asked about any previous trauma, and so neither the therapists nor the doctors ever learned that she’d been sexually abused as a child.
“I wish there had been more open conversations,” Powell, now 23 and detransitioned, told me. “But I was told there is one cure and one thing to do if this is your problem, and this will help you.”
Progressives often portray the heated debate over childhood transgender care as a clash between those who are trying to help growing numbers of children express what they believe their genders to be and conservative politicians who won’t let kids be themselves.
But right-wing demagogues are not the only ones who have inflamed this debate. Transgender activists have pushed their own ideological extremism, especially by pressing for a treatment orthodoxy that has faced increased scrutiny in recent years. Under that model of care, clinicians are expected to affirm a young person’s assertion of gender identity and even provide medical treatment before, or even without, exploring other possible sources of distress.
Many who think there needs to be a more cautious approach — including well-meaning liberal parents, doctors and people who have undergone gender transition and subsequently regretted their procedures — have been attacked as anti-trans and intimidated into silencing their concerns.
And while Donald Trump denounces “left-wing gender insanity” and many trans activists describe any opposition as transphobic, parents in America’s vast ideological middle can find little dispassionate discussion of the genuine risks or trade-offs involved in what proponents call gender-affirming care.
Powell’s story shows how easy it is for young people to get caught up by the pull of ideology in this atmosphere.
“What should be a medical and psychological issue has been morphed into a political one,” Powell lamented during our conversation. “It’s a mess.”
A New and Growing Group of Patients
Many transgender adults are happy with their transitions and, whether they began to transition as adults or adolescents, feel it was life changing, even lifesaving. The small but rapidly growing number of children who express gender dysphoria and who transition at an early age, according to clinicians, is a recent and more controversial phenomenon.
Laura Edwards-Leeper, the founding psychologist of the first pediatric gender clinic in the United States, said that when she started her practice in 2007, most of her patients had longstanding and deep-seated gender dysphoria. Transitioning clearly made sense for almost all of them, and any mental health issues they had were generally resolved through gender transition.
“But that is just not the case anymore,” she told me recently. While she doesn’t regret transitioning the earlier cohort of patients and opposes government bans on transgender medical care, she said, “As far as I can tell, there are no professional organizations who are stepping in to regulate what’s going on.”
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Most of her patients now, she said, have no history of childhood gender dysphoria. Others refer to this phenomenon, with some controversy, as rapid onset gender dysphoria, in which adolescents, particularly tween and teenage girls, express gender dysphoria despite never having done so when they were younger. Frequently, they have mental health issues unrelated to gender. While professional associations say there is a lack of quality research on rapid onset gender dysphoria, several researchers have documented the phenomenon, and many health care providers have seen evidence of it in their practices.
“The population has changed drastically,” said Edwards-Leeper, a former head of the Child and Adolescent Committee for the World Professional Association for Transgender Health, the organization responsible for setting gender transition guidelines for medical professionals.
For these young people, she told me, “you have to take time to really assess what’s going on and hear the timeline and get the parents’ perspective in order to create an individualized treatment plan. Many providers are completely missing that step.”
Yet those health care professionals and scientists who do not think clinicians should automatically agree to a young person’s self-diagnosis are often afraid to speak out. A report commissioned by the National Health Service about Britain’s Tavistock gender clinic, which, until it was ordered to be shut down, was the country’s only health center dedicated to gender identity, noted that “primary and secondary care staff have told us that they feel under pressure to adopt an unquestioning affirmative approach and that this is at odds with the standard process of clinical assessment and diagnosis that they have been trained to undertake in all other clinical encounters.”
Of the dozens of students she’s trained as psychologists, Edwards-Leeper said, few still seem to be providing gender-related care. While her students have left the field for various reasons, “some have told me that they didn’t feel they could continue because of the pushback, the accusations of being transphobic, from being pro-assessment and wanting a more thorough process,” she said.
They have good reasons to be wary. Stephanie Winn, a licensed marriage and family therapist in Oregon, was trained in gender-affirming care and treated multiple transgender patients. But in 2020, after coming across detransition videos online, she began to doubt the gender-affirming model. In 2021 she spoke out in favor of approaching gender dysphoria in a more considered way, urging others in the field to pay attention to detransitioners, people who no longer consider themselves transgender after undergoing medical or surgical interventions. She has since been attacked by transgender activists. Some threatened to send complaints to her licensing board saying that she was trying to make trans kids change their minds through conversion therapy.
In April 2022, the Oregon Board of Licensed Professional Counselors and Therapists told Winn that she was under investigation. Her case was ultimately dismissed, but Winn no longer treats minors and practices only online, where many of her patients are worried parents of trans-identifying children.
“I don’t feel safe having a location where people can find me,” she said.
Detransitioners say that only conservative media outlets seem interested in telling their stories, which has left them open to attacks as hapless tools of the right, something that frustrated and dismayed every detransitioner I interviewed. These are people who were once the trans-identified kids that so many organizations say they’re trying to protect — but when they change their minds, they say, they feel abandoned.
Most parents and clinicians are simply trying to do what they think is best for the children involved. But parents with qualms about the current model of care are frustrated by what they see as a lack of options.
Parents told me it was a struggle to balance the desire to compassionately support a child with gender dysphoria while seeking the best psychological and medical care. Many believed their kids were gay or dealing with an array of complicated issues. But all said they felt compelled by gender clinicians, doctors, schools and social pressure to accede to their child’s declared gender identity even if they had serious doubts. They feared it would tear apart their family if they didn’t unquestioningly support social transition and medical treatment. All asked to speak anonymously, so desperate were they to maintain or repair any relationship with their children, some of whom were currently estranged.
Several of those who questioned their child’s self-diagnosis told me it had ruined their relationship. A few parents said simply, “I feel like I’ve lost my daughter.”
One mother described a meeting with 12 other parents in a support group for relatives of trans-identified youth where all of the participants described their children as autistic or otherwise neurodivergent. To all questions, the woman running the meeting replied, “Just let them transition.” The mother left in shock. How would hormones help a child with obsessive-compulsive disorder or depression? she wondered.
Some parents have found refuge in anonymous online support groups. There, people share tips on finding caregivers who will explore the causes of their children’s distress or tend to their overall emotional and developmental health and well-being without automatically acceding to their children’s self-diagnosis.
Many parents of kids who consider themselves trans say their children were introduced to transgender influencers on YouTube or TikTok, a phenomenon intensified for some by the isolation and online cocoon of Covid. Others say their kids learned these ideas in the classroom, as early as elementary school, often in child-friendly ways through curriculums supplied by trans rights organizations, with concepts like the gender unicorn or the Genderbread person.
‘Do You Want a Dead Son or a Live Daughter?’
After Kathleen’s 15-year-old son, whom she described as an obsessive child, abruptly told his parents he was trans, the doctor who was going to assess whether he had A.D.H.D. referred him instead to someone who specialized in both A.D.H.D. and gender. Kathleen, who asked to be identified only by her first name to protect her son’s privacy, assumed that the specialist would do some kind of evaluation or assessment. That was not the case.
The meeting was brief and began on a shocking note. “In front of my son, the therapist said, ‘Do you want a dead son or a live daughter?’” Kathleen recounted.
Parents are routinely warned that to pursue any path outside of agreeing with a child’s self-declared gender identity is to put a gender dysphoric youth at risk for suicide, which feels to many people like emotional blackmail. Proponents of the gender-affirming model have cited studies showing an association between that standard of care and a lower risk of suicide. But those studies were found to have methodological flaws or have been deemed not entirely conclusive. A survey of studies on the psychological effects of cross-sex hormones, published three years ago in The Journal of the Endocrine Society, the professional organization for hormone specialists, found it “could not draw any conclusions about death by suicide.” In a letter to The Wall Street Journal last year, 21 experts from nine countries said that survey was one reason they believed there was “no reliable evidence to suggest that hormonal transition is an effective suicide prevention measure.”
Moreover, the incidence of suicidal thoughts and attempts among gender dysphoric youth is complicated by the high incidence of accompanying conditions, such as autism spectrum disorder. As one systematic overview put it, “Children with gender dysphoria often experience a range of psychiatric comorbidities, with a high prevalence of mood and anxiety disorders, trauma, eating disorders and autism spectrum conditions, suicidality and self-harm.”
But rather than being treated as patients who deserve unbiased professional help, children with gender dysphoria often become political pawns.
Conservative lawmakers are working to ban access to gender care for minors and occasionally for adults as well. On the other side, however, many medical and mental health practitioners feel their hands have been tied by activist pressure and organizational capture. They say that it has become difficult to practice responsible mental health care or medicine for these young people.
Pediatricians, psychologists and other clinicians who dissent from this orthodoxy, believing that it is not based on reliable evidence, feel frustrated by their professional organizations. The American Psychological Association, American Psychiatric Association and the American Academy of Pediatrics have wholeheartedly backed the gender-affirming model.
In 2021, Aaron Kimberly, a 50-year-old trans man and registered nurse, left the clinic in British Columbia where his job focused on the intake and assessment of gender-dysphoric youth. Kimberly received a comprehensive screening when he embarked on his own successful transition at age 33, which resolved the gender dysphoria he experienced from an early age.
But when the gender-affirming model was introduced at his clinic, he was instructed to support the initiation of hormone treatment for incoming patients regardless of whether they had complex mental problems, experiences with trauma or were otherwise “severely unwell,” Kimberly said. When he referred patients for further mental health care rather than immediate hormone treatment, he said he was accused of what they called gatekeeping and had to change jobs.
“I realized something had gone totally off the rails,” Kimberly, who subsequently founded the Gender Dysphoria Alliance and the L.G.B.T. Courage Coalition to advocate better gender care, told me.
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Gay men and women often told me they fear that same-sex-attracted kids, especially effeminate boys and tomboy girls who are gender nonconforming, will be transitioned during a normal phase of childhood and before sexual maturation — and that gender ideology can mask and even abet homophobia.
As one detransitioned man, now in a gay relationship, put it, “I was a gay man pumped up to look like a woman and dated a lesbian who was pumped up to look like a man. If that’s not conversion therapy, I don’t know what is.”
“I transitioned because I didn’t want to be gay,” Kasey Emerick, a 23-year-old woman and detransitioner from Pennsylvania, told me. Raised in a conservative Christian church, she said, “I believed homosexuality was a sin.”
When she was 15, Emerick confessed her homosexuality to her mother. Her mother attributed her sexual orientation to trauma — Emerick’s father was convicted of raping and assaulting her repeatedly when she was between the ages of 4 and 7 — but after catching Emerick texting with another girl at age 16, she took away her phone. When Emerick melted down, her mother admitted her to a psychiatric hospital. While there, Emerick told herself, “If I was a boy, none of this would have happened.”
In May 2017, Emerick began searching “gender” online and encountered trans advocacy websites. After realizing she could “pick the other side,” she told her mother, “I’m sick of being called a dyke and not a real girl.” If she were a man, she’d be free to pursue relationships with women.
That September, she and her mother met with a licensed professional counselor for the first of two 90-minute consultations. She told the counselor that she had wished to be a Boy Scout rather than a Girl Scout. She said she didn’t like being gay or a butch lesbian. She also told the counselor that she had suffered from anxiety, depression and suicidal ideation. The clinic recommended testosterone, which was prescribed by a nearby L.G.B.T.Q. health clinic. Shortly thereafter, she was also diagnosed with A.D.H.D. She developed panic attacks. At age 17, she was cleared for a double mastectomy.
“I’m thinking, ‘Oh my God, I’m having my breasts removed. I’m 17. I’m too young for this,’” she recalled. But she went ahead with the operation.
“Transition felt like a way to control something when I couldn’t control anything in my life,” Emerick explained. But after living as a trans man for five years, Emerick realized her mental health symptoms were only getting worse. In the fall of 2022, she came out as a detransitioner on Twitter and was immediately attacked. Transgender influencers told her she was bald and ugly. She received multiple threats.
“I thought my life was over,” she said. “I realized that I had lived a lie for over five years.”
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Today Emerick’s voice, permanently altered by testosterone, is that of a man. When she tells people she’s a detransitioner, they ask when she plans to stop taking T and live as a woman. “I’ve been off it for a year,” she replies.
Once, after she recounted her story to a therapist, the therapist tried to reassure her. If it’s any consolation, the therapist remarked, “I would never have guessed that you were once a trans woman.” Emerick replied, “Wait, what sex do you think I am?”
To the trans activist dictum that children know their gender best, it is important to add something all parents know from experience: Children change their minds all the time. One mother told me that after her teenage son desisted — pulled back from a trans identity before any irreversible medical procedures — he explained, “I was just rebelling. I look at it like a subculture, like being goth.”
“The job of children and adolescents is to experiment and explore where they fit into the world, and a big part of that exploration, especially during adolescence, is around their sense of identity,” Sasha Ayad, a licensed professional counselor based in Phoenix, told me. “Children at that age often present with a great deal of certainty and urgency about who they believe they are at the time and things they would like to do in order to enact that sense of identity.”
Ayad, a co-author of “When Kids Say They’re Trans: A Guide for Thoughtful Parents,” advises parents to be wary of the gender affirmation model. “We’ve always known that adolescents are particularly malleable in relationship to their peers and their social context and that exploration is often an attempt to navigate difficulties of that stage, such as puberty, coming to terms with the responsibilities and complications of young adulthood, romance and solidifying their sexual orientation,” she told me. For providing this kind of exploratory approach in her own practice with gender dysphoric youth, Ayad has had her license challenged twice, both times by adults who were not her patients. Both times, the charges were dismissed.
Studies show that around eight in 10 cases of childhood gender dysphoria resolve themselves by puberty and 30 percent of people on hormone therapy discontinue its use within four years, though the effects, including infertility, are often irreversible.
Proponents of early social transition and medical interventions for gender dysphoric youth cite a 2022 study showing that 98 percent of children who took both puberty blockers and cross-sex hormones continued treatment for short periods, and another study that tracked 317 children who socially transitioned between the ages of 3 and 12, which found that 94 percent of them still identified as transgender five years later. But such early interventions may cement children’s self-conceptions without giving them time to think or sexually mature.
‘The Process of Transition Didn’t Make Me Feel Better’
At the end of her freshman year of college, Grace Powell, horrifically depressed, began dissociating, feeling detached from her body and from reality, which had never happened to her before. Ultimately, she said, “the process of transition didn’t make me feel better. It magnified what I found was wrong with myself.”
“I expected it to change everything, but I was just me, with a slightly deeper voice,” she added. “It took me two years to start detransitioning and living as Grace again.”
She tried in vain to find a therapist who would treat her underlying issues, but they kept asking her: How do you want to be seen? Do you want to be nonbinary? Powell wanted to talk about her trauma, not her identity or her gender presentation. She ended up getting online therapy from a former employee of the Tavistock clinic in Britain. This therapist, a woman who has broken from the gender-affirming model, talked Grace through what she sees as her failure to launch and her efforts to reset. The therapist asked questions like: Who is Grace? What do you want from your life? For the first time, Powell felt someone was seeing and helping her as a person, not simply looking to slot her into an identity category.
Many detransitioners say they face ostracism and silencing because of the toxic politics around transgender issues.
“It is extraordinarily frustrating to feel that something I am is inherently political,” Powell told me. “I’ve been accused multiple times that I’m some right-winger who’s making a fake narrative to discredit transgender people, which is just crazy.”
While she believes there are people who benefit from transitioning, “I wish more people would understand that there’s not a one-size-fits-all solution,” she said. “I wish we could have that conversation.”
In a recent study in The Archives of Sexual Behavior, about 40 young detransitioners out of 78 surveyed said they had suffered from rapid onset gender dysphoria. Trans activists have fought hard to suppress any discussion of rapid onset gender dysphoria, despite evidence that the condition is real. In its guide for journalists, the activist organization GLAAD warns the media against using the term, as it is not “a formal condition or diagnosis.” Human Rights Campaign, another activist group, calls it “a right-wing theory.” A group of professional organizations put out a statement urging clinicians to eliminate the term from use.
Nobody knows how many young people desist after social, medical or surgical transitions. Trans activists often cite low regret rates for gender transition, along with low figures for detransition. But those studies, which often rely on self-reported cases to gender clinics, likely understate the actual numbers. None of the seven detransitioners I interviewed, for instance, even considered reporting back to the gender clinics that prescribed them medication they now consider to have been a mistake. Nor did they know any other detransitioners who had done so.
As Americans furiously debate the basis of transgender care, a number of advances in understanding have taken place in Europe, where the early Dutch studies that became the underpinning of gender-affirming care have been broadly questioned and criticized. Unlike some of the current population of gender dysphoric youth, the Dutch study participants had no serious psychological conditions. Those studies were riddled with methodological flaws and weaknesses. There was no evidence that any intervention was lifesaving. There was no long-term follow-up with any of the study’s 55 participants or the 15 who dropped out. A British effort to replicate the study said that it “identified no changes in psychological function” and that more studies were needed.
In countries like Sweden, Norway, France, the Netherlands and Britain — long considered exemplars of gender progress — medical professionals have recognized that early research on medical interventions for childhood gender dysphoria was either faulty or incomplete. Last month, the World Health Organization, in explaining why it is developing “a guideline on the health of trans and gender diverse people,” said it will cover only adults because “the evidence base for children and adolescents is limited and variable regarding the longer-term outcomes of gender-affirming care for children and adolescents.”
But in America, and Canada, the results of those widely criticized Dutch studies are falsely presented to the public as settled science.
Other countries have recently halted or limited the medical and surgical treatment of gender dysphoric youth, pending further study. Britain’s Tavistock clinic was ordered to be shut down next month, after a National Health Service-commissioned investigation found deficiencies in service and “a lack of consensus and open discussion about the nature of gender dysphoria and therefore about the appropriate clinical response.”
Meanwhile, the American medical establishment has hunkered down, stuck in an outdated model of gender affirmation. The American Academy of Pediatrics only recently agreed to conduct more research in response to yearslong efforts by dissenting experts, including Dr. Julia Mason, a self-described “bleeding-heart liberal.”
The larger threat to transgender people comes from Republicans who wish to deny them rights and protections. But the doctrinal rigidity of the progressive wing of the Democratic Party is disappointing, frustrating and counterproductive.
“I was always a liberal Democrat,” one woman whose son desisted after social transition and hormone therapy told me. ���Now I feel politically homeless.”
She noted that the Biden administration has “unequivocally” supported gender-affirming care for minors, in cases in which it deems it “medically appropriate and necessary.” Rachel Levine, the assistant secretary for health at the U.S. Department of Health and Human Services, told NPR in 2022 that “there is no argument among medical professionals — pediatricians, pediatric endocrinologists, adolescent medicine physicians, adolescent psychiatrists, psychologists, et cetera — about the value and the importance of gender-affirming care.”
Of course, politics should not influence medical practice, whether the issue is birth control, abortion or gender medicine. But unfortunately, politics has gotten in the way of progress. Last year The Economist published a thorough investigation into America’s approach to gender medicine. Zanny Minton Beddoes, the editor, put the issue into political context. “If you look internationally at countries in Europe, the U.K. included, their medical establishments are much more concerned,” Beddoes told Vanity Fair. “But here — in part because this has become wrapped up in the culture wars where you have, you know, crazy extremes from the Republican right — if you want to be an upstanding liberal, you feel like you can’t say anything.”
Some people are trying to open up that dialogue, or at least provide outlets for kids and families to seek a more therapeutic approach to gender dysphoria.
Paul Garcia-Ryan is a psychotherapist in New York who cares for kids and families seeking holistic, exploratory care for gender dysphoria. He is also a detransitioner who from ages 15 to 30 fully believed he was a woman.
Garcia-Ryan is gay, but as a boy, he said, “it was much less threatening to my psyche to think that I was a straight girl born into the wrong body — that I had a medical condition that could be tended to.” When he visited a clinic at 15, the clinician immediately affirmed he was female, and rather than explore the reasons for his mental distress, simply confirmed Garcia-Ryan’s belief that he was not meant to be a man.
Once in college, he began medically transitioning and eventually had surgery on his genitals. Severe medical complications from both the surgery and hormone medication led him to reconsider what he had done, and to detransition. He also reconsidered the basis of gender affirmation, which, as a licensed clinical social worker at a gender clinic, he had been trained in and provided to clients.
“You’re made to believe these slogans,” he said. “Evidence-based, lifesaving care, safe and effective, medically necessary, the science is settled — and none of that is evidence based.”
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Garcia-Ryan, 32, is now the board president of Therapy First, an organization that supports therapists who do not agree with the gender affirmation model. He thinks transition can help some people manage the symptoms of gender dysphoria but no longer believes anyone under 25 should socially, medically or surgically transition without exploratory psychotherapy first.
“When a professional affirms a gender identity for a younger person, what they are doing is implementing a psychological intervention that narrows a person’s sense of self and closes off their options for considering what’s possible for them,” Garcia-Ryan told me.
Instead of promoting unproven treatments for children, which surveys show many Americans are uncomfortable with, transgender activists would be more effective if they focused on a shared agenda. Most Americans across the political spectrum can agree on the need for legal protections for transgender adults. They would also probably support additional research on the needs of young people reporting gender dysphoria so that kids could get the best treatment possible.
A shift in this direction would model tolerance and acceptance. It would prioritize compassion over demonization. It would require rising above culture-war politics and returning to reason. It would be the most humane path forward. And it would be the right thing to do.
*~*~*~*~*~*
For those who want tor ead more by those fighting the cancellation forquestioning, read:
Graham Lineham, who's been fighting since the beginning and paid the price, but is not seeing things turn around.
The Glinner Update, Grahan Linehan's Substack.
Kellie-Jay Keen @ThePosieParker, who's been physically attacked for organizing events for women demanding women-only spaces.
REDUXX, Feminst news & opinion.
Gays Against Groomers @againstgrmrs, A nonprofit of gay people and others within the community against the sexualization, indoctrination and medicalization of children under the guise of "LGBTQIA+"
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By: Chloe Cole
Published: July 28, 2023
On Thursday, her 19th birthday, Chloe Cole testified to Congress with a “final warning” that medical treatments to change the gender of confused children is horrific. Cole, who was given surgery as a teenager to become male and soon regretted it, said what she needed most was therapy, not a scalpel. Here is what she told lawmakers:
My name is Chloe Cole and I am a de-transitioner.
Another way to put that would be: I used to believe that I was born in the wrong body and the adults in my life, whom I trusted, affirmed my belief, and this caused me lifelong, irreversible harm. 
I speak to you today as a victim of one of the biggest medical scandals in the history of the United States of America. 
I speak to you in the hope that you will have the courage to bring the scandal to an end, and ensure that other vulnerable teenagers, children and young adults don’t go through what I went through. 
Deceit & coercion 
At the age of 12, I began to experience what my medical team would later diagnose as gender dysphoria.
I was well into an early puberty, and I was very uncomfortable with the changes that were happening to my body. I was intimidated by male attention. 
And when I told my parents that I felt like a boy, in retrospect, all I meant was that I hated puberty, that I wanted this newfound sexual tension to go away.
I looked up to my brothers a little bit more than I did to my sisters. 
I came out as transgender in a letter I sent on the dining room table.
My parents were immediately concerned.
They felt like they needed to get outside help from medical professionals. 
But this proved to be a mistake.
It immediately set our entire family down a path of ideologically motivated deceit and coercion.
The general specialist I was taken to see told my parents that I needed to be put on puberty-blocking drugs right away. 
They asked my parents a simple question: Would you rather have a dead daughter or a living transgender son? 
The choice was enough for my parents to let their guard down, and in retrospect, I can’t blame them.
This is the moment that we all became victims of so-called gender-affirming care.
I was fast-tracked onto puberty blockers and then testosterone. 
The resulting menopausal-like hot flashes made focusing on school impossible.
I still get joint pains and weird pops in my back.
But they were far worse when I was on the blockers. 
Forever changed 
A month later, when I was 13, I had my first testosterone injection.
It has caused permanent changes in my body: My voice will forever be deeper, my jawline sharper, my nose longer, my bone structure permanently masculinized, my Adam’s apple more prominent, my fertility unknown. 
I look in the mirror sometimes, and I feel like a monster.
I had a double mastectomy at 15.
They tested my amputated breasts for cancer.
That was cancer-free, of course; I was perfectly healthy.
There is nothing wrong with my still-developing body, or my breasts other than that, as an insecure teenage girl, I felt awkward about it.
After my breasts were taken away from me, the tissue was incinerated — before I was able to legally drive. 
I had a huge part of my future womanhood taken from me.
I will never be able to breastfeed.
I struggle to look at myself in the mirror at times.
I still struggle to this day with sexual dysfunction.
And I have massive scars across my chest and the skin grafts that they used, that they took of my nipples, are weeping fluid today, and they’re grafted into a more masculine positioning, they said. 
After surgery, my grades in school plummeted.
Everything that I went through did nothing to address the underlying mental health issues that I had.
And my doctors with their theories on gender that all my problems would go away as soon as I was surgically transformed into something that vaguely resembled a boy — their theories were wrong.
The drugs and surgeries changed my body, but they did not and could not change the basic reality that I am, and forever will be, a female. 
Depths of despair 
When my specialists first told my parents they could have a dead daughter or a live transgender son, I wasn’t suicidal.
I was a happy child who struggled because she was different. 
However at 16, after my surgery, I did become suicidal.
I’m doing better now, but my parents almost got the dead daughter promised to them by my doctors.
My doctor had almost created the very nightmare they said they were trying to avoid. 
So what message do I want to bring to American teenagers and their families?
I didn’t need to be lied to.
I needed compassion.
I needed to be loved. 
I needed to be given therapy that helped me work through my issues, not affirmed my delusion that by transforming into a boy, it would solve all my problems. 
We need to stop telling 12-year-olds that they were born wrong, that they are right to reject their own bodies and feel uncomfortable with their own skin. 
We need to stop telling children that puberty is an option, that they can choose what kind of puberty they will go through, just like they can choose what clothes to wear or what music to listen to. 
Pseudoscience 
Puberty is a rite of passage to adulthood, not a disease to be mitigated.
Today, I should be at home with my family celebrating my 19th birthday.
Instead, I’m making a desperate plea to my elected representatives.
Learn the lessons from other medical scandals, like the opioid crisis. 
Recognize that doctors are human, too, and sometimes they are wrong. 
My childhood was ruined along with thousands of de-transitioners that I know through our networks.
This needs to stop. You alone can stop it. 
Enough children have already been victimized by this barbaric pseudoscience.
Please let me be your final warning. 
Thank you.
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Might as well call her a murtad and kufr.
"The medical industry mutilated me, maybe don't mutilate other kids," shouldn't require bravery or renouncing an ideology.
Reminder: A minor under the age of 18 is too young to agree to a cellphone contract. 🤦‍♀️
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contraspem--spero · 3 months
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A new and inventive spin on the classic "detransitioners we're never actually trans" by yours truly.
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genderqueerdykes · 8 months
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detransition isn't a mark of failure, it's one that shows you were willing to take a huge step to figure out who you are, and you came out the other side learning something from your experience. it's more important to find that out than to spend the rest of your life wondering, and not knowing
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spiderfreedom · 4 months
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I honestly owe detrans people, and especially detrans women, so much, because reading about their experiences has taught me a lot about... well, everything? About myself and my own trauma re: femaleness, autism. About the factors that lead people to transition. About resilience and moving forward and making a life for yourself in a world where there's no space for you.
Some of my favorite writings from detrans people:
somenuancepls (Michelle Alava, active on substack) has multiple great posts, especially on resilience and growth for detrans people. I recommend "Actually I was just crazy the whole time" (on the mindset that leads medical transition to be viewed as a panacea), "We Shouldn't Have to Be Here" (on how detrans people are expected to act as martyrs) and "Let's Talk About How We Talk About Detransition" (on how to ethically and compassionately talk about transition and detransition without harming (de)/transitioners).
destroyyourbinder (no longer active) has so many amazing posts that I really can't list them all, but "Unriddling the Sphinx: Autism and the Magnetism of Gender Transition" was genuinely revelatory for me as a gender non-conforming autistic woman. (It also kinda sent me spiraling for a few days so if you are also an autistic gnc, read with caution)
funkypsyche has been writing a lot about 'woke' culture in a way I don't agree with, but "The Archetypal FTM Sensitive, Quirky, Artistic Weird Girls" (on the type of people attracted to transmasc identification and the ways society fails them - do you see also see yourself in this list?) is a good read. As a supplement, there is "The History of Tumblr: Gender and Woke Indoctrination, Video Essay", and if you can get through the parts about, well, 'woke indoctrination', it provides a perspective on tumblr and its relationship to mental illness and gender. You do not realize how much mental illness is normalized and glorified on tumblr until you see someone explaining it from the outside and you go "huh, I did not realize that happens and that I do that, too..."
Max Robinson wrote "Detransition: Beyond, Before, and After", the only academic text on detransition to my knowledge. An in depth view on factors influencing transition such as lesbophobia, and the relationship between gender dysphoria and body dysmorphia and how the latter is treated as frivolous and vain while the former is treated as profound and serious.
And there are a lot of tweets I've collected I can't really link here, there are many detransitioners on Twitter. I really do recommend reading a broad variety of detransitioned people, detrans women and men. Even read people who retrans like CrashChaosChats, who once wrote on detransition but then retransitioned after finding that she was unable to deal with dysphoria. If you actually care about dysphoric people, trans people, and detrans people, you need to read broadly to understand the full range of reasons people transition or detransition or retransition.
Feel free to reblog with your additions of writings by detrans people, or people you follow on Twitter or other social media if they don't have long-form content.
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uncanny-tranny · 1 year
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If it's true that transition inherently carries the risk for detransitioning people who regret transition, the solution isn't to ban transition.
The solutions that would help trans people and detrans people would be:
1. Not tying transness or somebody's gender/sexuality to their transition status
2. Not pressuring people to transition to "prove themselves" or to "go all the way" if they were really dedicated to being their gender
3. Reaffirming that you don't have to be "right," just happy
4. Not ridiculing people who regret transition, making them feel stupid, worthless, or that they can't "really" be their gender because they have transitioned in the past
5. Recognizing that detransition ≠ being cisgender, or otherwise not being trans
6. Educating people about the effects of transition in an accurate, compassionate manner and - equally important - letting them decide if that part of transition care is right for them.
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woman-for-women · 1 year
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You are not trapped in your body. You feel trapped by how others perceive it.
*Feel free to repost
Click here to see more of my original content & follow for more
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