Evan Urquhart

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.

Setting aside detrans experiences as anecdotes too rare to care about is cruel & shortsighted. All detrans stories show where we can do better for any patient dx’d with dysphoria.

It's not about caring, it's about comparing apples to apples. All treatments have failure rates. The data determine which treatments are likely to be helpful, not compassion for those with a poor experience. Trans care should be held to the same standards of other medicine.

Considering that we are seeing cases like these, and considering we are making irreversible changes based on a model that is still not flawless, it should be held to a higher standard. Why is it a problem when detrans people demand more scrutiny into this model? We want better.

It's a problem when trans medical care is held to a standard that no other treatment in the world is subject to. False postives exist in all medicine, as do negative outcomes and treatment-resistant cases.