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This is just so *dishonest.* If there's evidence that puberty blockers reduce bone density relative to the gains expected, we should be figuring out whether kids catch up once they're either taken off of them or switched to hormones, whether the effect can be mitigated, etc.!
I'm sure I look anti-trans to some folks when I post this stuff, but I'm just ALARMED by the extent to which it seems like some researchers/clinicians feel a greater loyalty to the *current* transition process than to scientific rigor or actual trans people, including KIDS.
Follow up: a friend shared a press release from a professional medical org citing research showing that cross-sex hormones corrected bone density to normal or "near normal" measures. Seeing if she can get the paper/data, this is an important qualifier: https://www.endocrine.org/news-room/press-release-archives/2013/medical-intervention-in-transgender-adolescents-appears-to-be-safe-and-effective …
I feel like this thread (esp. my replies re: fertility) might give the impression that I'm strongly against child transition. I actually have strong suspicions that chronic stress in childhood (inc. unmanaged dysphoria) is more harmful to lifelong health than we currently assume
My worry is that these treatments are so politicized that it distorts the research environment & advocacy/education in favor of underplaying or dismissing risks/tradeoffs. I'm a big advocate of personal fertility awareness and the relative silence there is what first concerned me
This isn't to say that I feel positioned to tell children or their families what they should do, that I've reached a stable perspective or even just have the info I'd need to do that. I just wish more of the information available, academic and popular, looked fully truth-seeking.
I do feel sort of compelled to cap this off with a message I've put out in other contexts: if a kid tells you that they're consistently unhappy, that's a problem. It can be a tough problem, because the causes can be complex & quite stable, but it's not something to write off.
Another interesting metric to see would be the ultimate effect on suicide rate that transition therapy (hormone blockers) has on ult suicide rate. I had read that 80% of kids w/ gender dysphoria spontaneously resolve w/o treatment, and that 40% who do not resolve kill themselves
Also read that 40% of trans ppl kill themselves both PRE and POST gender reassignment surgery. So apparently later interventions don't work so well. Perhaps medicine needs some way to identify the 20% of kids that won't spontaneously resolve and treat early.
as if they have a choice...
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