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As far as I can tell trans kids are significantly safer on cross sex hormones and nearly everyone on blockers eventually takes cross sex hormones and the standard of care is actively more dangerous for no good reason.
Of course, at that point you have 12-year-olds making decisions for their adult selves *way* beyond their pay grade, like "I will never have a biological child." I don't feel remotely qualified to suggest how these tradeoffs should be made, but it baffles me that other people do
(Reader note: not all trans people are infertile, even after years of treatment with cross-sex hormones. But if you don't go through puberty, your gametes do not mature, and we currently have no reproductive tech that can do anything with immature gametes.)
I think nearly all trans kids have mature gametes by the time they start blockers or cross-sex hormones? Gametes mature early, thus how some ten-year-olds can get pregnant. Definitely agree we should automatically preserve gametes as part of the standard of care for trans kids.
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