In a time when you're called an ignorant bigot if you discuss the pros & cons of pediatric transition, it's crucial to be accurate in your claims. Example: Some say puberty blockers sterilize kids. No, they do not. Blockers followed directly by cross-sex hormones sterilize.
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Sterility is likely but not for certain. I recall gametes could potentially develop later if CSH are stopped; and additional drugs (hormones) can be given to stimulate. We just DK what we are doing when messing with normally timed puberty for fertility, bone, brain.
@will_malone -
If gametes do develop, whether naturally or with additional hormones, won't that allow the dreaded secondary sex characteristics that blockers were given to prevent, to also emerge? Like wouldn't it defeat the purpose of using blockers? (Don't tell me it's a "pause button".)
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UCSF Center for Trans Health: "For youth whose pubertal process has been suspended in the earliest stages, followed by administration of gender-affirming hormones, development of mature sperm or eggs is unlikely at the present time." https://transcare.ucsf.edu/guidelines/youth …
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I agree unlikely, but sterility is not guaranteed. Additionl drugs exist to stimulate the development. There is risk of overstating in everything. Sometimes the most important thing to say is,"we don't know, and nobody is studying it. We are conducting a live experiment on kids."
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We should let endocrinologists
@will_malone @MLaidlawMD weigh in. I think the most accuerate answer is "we don't know" and "risks are significant."I interacted with a women on Twitter who was on GnRH for CPP and is unable to have kids. It's a live experiment with no regulation. -
I would like to know if there are any follow up studies that confirm that people who take puberty blockers either for precocious puberty or gender dysphoria have become fertile adults.
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