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 @ZaneEmma
Ehrensaft: "If a child goes directly from puberty blockers to cross-sex hormones, they are forfeiting their fertility."https://www.dailymotion.com/video/x7kqndq
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Replying to @4th_WaveNow
I am extremely alarmed about fertility. But I think we can agree Ehrensaft is not someone whose opinion to look up too. Tagging again
@will_malone and @MLaidlawMD to chime in. I believe sterility is v. likely but not guaranteed (if CSH are stopped and additional drugs are used).2 replies 0 retweets 2 likes -
Replying to @ZaneEmma @will_malone
It's not a matter of "looking up to" Ehrensaft. She is only stating the medical consensus--see upthread, UCSF Center for Trans Health. MDs and endocrinologists author that material.
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Replying to @4th_WaveNow @will_malone
I think we are in violent agreement that Pbs+CSH=recipe for disaster for one's ability to have kids in the future. My only suggestion was to use the word "impaired fertility" since "sterility" implies an irreversible process, which may be reversible in some. We just don't know.
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The current consensus is that it's highly unlikely without high-tech intervention. It's really not that uncertain. There is also the precedent of prepubescent kids who underwent sterilizing cancer treatment as well.
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Stopping normal development is only reversible by a time machine. That is why even precocious puberty is treated by GnRHA only in extreme cases.
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