Evan Urquhart

OK gang! Let's raise some awareness about the FACTS around detransition! 1/ #DetransAwarenessDay

When I write about detransition, I like to use an estimated rate of between 1 and 3 percent of people who transition. But here's a secret, between you and me: The numbers don't reeeeeally support that. They support a rate of >1%. 2/ #DetransAwarenessDay

The overall research on detransition is still quite weak, and I want to give as generous a reading as possible to the criticsms. So, when I say 1-3%, I'm overweighting studies that show a higher rate, out of caution. 3/ #DetransAwarenessDay

This means I have to do quite a lot of cherry picking, to support my higher, more conservative estimate. Most studies give numbers more like this one, which found 0.4% regret: https://mermaidsuk.org.uk/wp-content/uploads/2020/05/charing-Cross-study-nhs.pdf … Most studies support a <1% rate of detransition. 4/ #DetransAwarenessDay

curious if cosmetic surgery has similar loss to follow up as trans procedures?

Best I can tell (and I haven't looked into them as extensively), the numbers on cosmetic surgery are even sketchier than the numbers on detransition. You get some *HUGE* numbers, like 2/3 regret... and that feels like it couldn't possibly be accurate.

I mean loss to follow up. How do they know if a cosmetic pt. regrets? Do they only assume regret if the person comes back and says "I regret"? Do they survey patients and ask them, and if they do, how many of them do they actually reach?