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will_malone's profile
Will Malone MD
Will Malone MD
Will Malone MD
@will_malone

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Will Malone MD

@will_malone

Endocrinologist. Views my own. Society for Evidence-Based Gender Medicine (http://www.segm.org ). ReThink Identity Medicine Ethics (https://rethinkime.org ).

United States
Joined November 2010

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    Will Malone MD‏ @will_malone 16 May 2019

    Gender Dysphoria thread: link below to article from *the* Dutch Protocol transgender clinic (PB at 14, xsex hormones at 16, SRS >18). https://www.academia.edu/4322014/Clinical_Management_of_Gender_Dysphoria_in_Children_and_Adolescents_The_Dutch_Approach … They talk about rigorous screening prior to treatment. Here’s what they say: >>>

    10:25 AM - 16 May 2019
    • 17 Retweets
    • 24 Likes
    • seonaid dawn barber Natural Top ⚢ 🏳️‍🌈 💚🤍💜 InclusionNotRevolution Tiffany Blakeman 🕸goinglikeelsie Rep. Fred Deutsch Tenino Norma Moore The National Catholic Bioethics Center
    2 replies 17 retweets 24 likes
      1. New conversation
      2. Will Malone MD‏ @will_malone 16 May 2019

        “Gender variant behavior and even the wish to be of the other gender can be either a phase or a normal developmental variant without any adverse consequences for a child’s current functioning.”>>>

        1 reply 1 retweet 4 likes
        Show this thread
      3. Will Malone MD‏ @will_malone 16 May 2019

        ”First it is ascertained whether adolescents are suffering from a very early onset gender dysphoria that has increased around puberty, or whether something else brought them to the clinic (e.g., confusion about homosexuality or transvestic fetishism).”>>>

        1 reply 2 retweets 4 likes
        Show this thread
      4. Will Malone MD‏ @will_malone 16 May 2019

        “The possible relationship between the gender dysphoria and other diagnoses is investigated. >>>

        1 reply 1 retweet 2 likes
        Show this thread
      5. Will Malone MD‏ @will_malone 16 May 2019

        “In this way, for example, one can investigate whether an autistic boy’s fascination for fancy dresses and long hair is more part of his autism or whether his autism reinforces certain aspects of his gender dysphoria” >>>

        1 reply 1 retweet 5 likes
        Show this thread
      6. Will Malone MD‏ @will_malone 16 May 2019

        “Follow-up studies have demonstrated that only a small proportion of gender dysphoric children become transsexual at a later age, that a much larger proportion have a homosexual sexual orientation without any gender dysphoria...”>>>

        2 replies 1 retweet 4 likes
        Show this thread
      7. Will Malone MD‏ @will_malone 16 May 2019

        “The proportions of persistence [of GD]found in the initial studies were below 10%. More recent variations are 12-27%.”>>>

        1 reply 1 retweet 4 likes
        Show this thread
      8. Will Malone MD‏ @will_malone 16 May 2019

        “By informing parents about the various psychosexual trajectories, we want them to remain realistic about the actual situation. “>>>

        1 reply 1 retweet 5 likes
        Show this thread
      9. Will Malone MD‏ @will_malone 16 May 2019

        “If they speak about their natal son as being a girl with a [male genitalia], we stress that they have a male child who very much wants to be a girl, but will need an invasive treatment to align his body with his identity if this desire does not remit.”>>>

        1 reply 1 retweet 6 likes
        Show this thread
      10. Will Malone MD‏ @will_malone 16 May 2019

        My thoughts: Agree or disagree with the Dutch Protocol, the Endo society and AAP guidelines don’t come close to adequately addressing the above issues, which is why we’re in this situation. >>>

        1 reply 3 retweets 15 likes
        Show this thread
      11. Will Malone MD‏ @will_malone 16 May 2019

        More later. Dutch group argues for PB at 14, but don’t offer evidence beyond a self report study and their own in-clinic experience. ///

        1 reply 2 retweets 9 likes
        Show this thread
      12. End of conversation

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