• Marmie@lemmy.world
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    1 year ago

    Glad that we are in agreement and can talk about this in a civil manner! I would just like to clear up a few things. A lot of people seem to think that when a child transitions they are immediately taken to a hospital where they’re pumped full of drugs and then snip snip.

    Stage one: the transition starts as a social one by changing their name, for instance. There’s nothing permanent about changing your name.

    Stage two: the next stage is puberty blockers. The criteria for a minor to get puberty blockers prescribed to them are:

    -They have to show a long-lasting and intense pattern of gender nonconformity or gender dysphoria
    -Have gender dysphoria that began or worsened at the start of puberty
    -Any psychological, medical or social problems that could interfere with treatment needs to be addressed.
    -Have entered the early stage of puberty
    -Be provided informed consent
    

    Puberty blockers temporarily stop puberty from setting in. By taking puberty blockers it keeps the person from undergoing changes that might lead to them undertaking surgeries later in life. And once you stop taking puberty blockers, the puberty kicks in. Nothing permanent about this stage either.

    Stage three: Next next is hormone treatment (or HRT). Hormone treatments for transwomen, for example, suppress things like testosterone production and decrease muscle mass/strength. Almost all effects of HRT are reversible, except breast development in transwomen. HRT can cause infertility, but not always, which is why a lot of transwomen first put their sperm in spermbanks, in case they ever want to have children. HRT is only legal for minors if they get parental consent, meet several criteria after having been diagnosed with gender dysphoria for at least 6 months.

    Stage four: Surgery. Mastectomies for transmen and penectomies for transwomen. Not legal without parental consent. Even when a minor has parental support for their transition, transition-related surgeries are not typically performed prior to the age of 18. While there are some reports of transgender teens between the ages of 16 and 18 receiving transition-related surgical care, these cases are exceedingly rare and based on the specific medical needs of the teen. Most trans people, counting adults, don’t ever go through gender affirming surgeries, in fact. Only about 30%, and then the satisfaction rate sits at around 99.7% currently.

    You mentioned that there are zero outcome studies, but gender affirming surgeries have been a thing for over sixty years! There have been plenty of studies. It’s just the last few years that people have been starting to realize trans people exist, it seems. They’ve actually been around in different cultures around the world for thousands of years.

    Sorry for the wall of text, and thanks for the chat. I hope we both can agree that since treatments seem to work and regret rates are low, we can with our current scientific understanding of the matter, along with decades worth of study, that there’s no point in being against them. I don’t think you’re a bad person for being critical and asking questions. I just think you’re misinformed. Have a nice day!

    • Optionhome@lemmy.worldOP
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      1 year ago

      I enjoyed reading your thorough description. I still believe rather than a real help for the patient it is about a new money trail for Big Pharma and Hospitals. Soon enough we will see how it works out.