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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Replying to @4th_WaveNow
Even if PBs are followed by cross-sex hormones (CSH), which are later stopped, fertility may return (so it's not technically sterility). On the other hand, we DK if fertility is retained even if PBs are NOT followed by CSH (some can't conceive as adults). It's a live experiment.
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Replying to @ZaneEmma
When kids are blocked at Tanner 2, then go on to cross sex hormones, all experts say they are permanently infertile because gametes did not develop. Am not aware of anyone saying otherwise. Also, kids on GnRH agonists just for precocious puberty are not sterilized.
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Replying to @4th_WaveNow @ZaneEmma
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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Replying to @4th_WaveNow
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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Replying to @ZaneEmma
4thWaveNow Retweeted 4thWaveNow
More than unlikely. There's a consensus that administration of cross sex hormones post-Tanner 2 blocking damages/prevents maturation of gametes. We also know blockers alone don't sterilize.https://twitter.com/4th_WaveNow/status/1223279249672396800 …
4thWaveNow added,
4thWaveNow @4th_WaveNowSahar Sadjadi, medical anthropologist and bioethicist, writing (2013) on the stunning lack of vigorous discussion about the sterilization of trans kids: https://www.researchgate.net/publication/236048765_The_Endocrinologist's_Office-Puberty_Suppression_Saving_Children_from_a_Natural_Disaster … pic.twitter.com/VdeA77GpkeShow this thread2 replies 0 retweets 2 likes
4thWaveNow Retweeted 4thWaveNow
Robert Garafolo, MD:https://twitter.com/4th_WaveNow/status/1223269407331209216 …
4thWaveNow added,
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