Evan Urquhart

In this situation, what would improve healthcare for these patients? A) Destigmatizing the condition and treatment so more patients who need it get it. B) Focus attention on 1-3% for whom the treatment is not effective, try to reduce the number to zero.

It's A, guys. It's A. I know how tough it must be for detransitioners to have hope for a medical treatment and be in the number of people for whom it didn't work. But, this is very normal, in medicine. It's disappointing. It's tough. These folks deserve support, and empathy.

However, they should not be allowed to harm patients who need this effective and highly stigmatized treatment. That's not evidence based medicine. That's transphobic stigma and moral panic.

When the evidence changes doctors opinions will change. So will mine. If a wave of AFAB detransitioners ever finally materializes IN THE DATA, we'll listen. But there is no current support for the belief that a main issue in trans medical care is too much ineffective treatment.

Can you really not see that wave, it’s already clearly happening

No support for it in the data. I'll believe in it when it's more than anecdotes, and not a moment before.

But is the fact that there’s noaccurate numbers on a tiny ill-defined group like this surprising? Who is asking questions? Who is following up?

There have been studies, though. Imperfect methods, admittedly, but they largely agree with one another. To imagine they all undercounted detransitioners by orders of magnitude is unlikely.