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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 25 May 2019

    Gender dysphoria(GD)thread: An argument can be made that *the* cornerstone article which the Endocrine society uses to justify cross sex hormones(CSH)and sex reassignment surgery(SRS),actually shows they don’t help improve the psychological outcomes of GD youth at all. >>

    2:25 PM - 25 May 2019
    • 42 Retweets
    • 91 Likes
    • Dr vrarda in the wold 🟥 nkolb Starri_XX♀ 🇺🇸God Bless America Land That I Love. 🙏🇺🇸 James Shupe (Formerly Jamie Shupe) Jenny Cyphers #istandwithJKRowling David Isherwood vettigamorsan
    3 replies 42 retweets 91 likes
      1. New conversation
      2. Will Malone MD‏ @will_malone 25 May 2019

        Link: https://pediatrics.aappublications.org/content/134/4/696 … Weaknesses of the study: no counseled-only controls, have to go to a second paper to understand the type of counseling provided to patients, poor peer review(multiple different conclusions are possible from this paper).>>

        1 reply 4 retweets 22 likes
        Show this thread
      3. Will Malone MD‏ @will_malone 25 May 2019

        The paper’s authors conclude: “A clinical protocol of a multidisciplinary team with mental health professionals, physicians, and surgeons, including puberty suppression, >>

        1 reply 2 retweets 17 likes
        Show this thread
      4. Will Malone MD‏ @will_malone 25 May 2019

        followed by CSH and SRS, provided gender dysphoric youth who seek gender reassignment from early puberty on, the opportunity to develop into well-functioning young adults.” >>

        2 replies 2 retweets 18 likes
        Show this thread
      5. Will Malone MD‏ @will_malone 25 May 2019

        There’s other possible conclusions from the data:  1.  The intensive 'modified therapeutic model' of counseling applied to GD youth and their families, as part of the Dutch Protocol, or just the aging process itself, or both, >>

        1 reply 1 retweet 20 likes
        Show this thread
      6. Will Malone MD‏ @will_malone 25 May 2019

        resulted in slow but steady improvements in some markers of psychological health over the course of 6 years. >>

        1 reply 1 retweet 20 likes
        Show this thread
      7. Will Malone MD‏ @will_malone 25 May 2019

        2. CSH&SRS resolved gender dysphoria, but that had no noticeable positive impact on psychological well being. Why do I say that? >>

        1 reply 1 retweet 20 likes
        Show this thread
      8. Will Malone MD‏ @will_malone 25 May 2019

        Psychological improvements did not speed up after CSH/SRS, they stayed the same, or even slowed down.  CSH/SRS seemed to have had no positive impact on psychological improvement. >>

        1 reply 2 retweets 22 likes
        Show this thread
      9. Will Malone MD‏ @will_malone 25 May 2019

        If CSH&/orSRS was an impactful therapeutic intervention, the biggest improvements in psychological functioning would have been expected to occur after these interventions. They did not. >>

        1 reply 1 retweet 26 likes
        Show this thread
      10. Will Malone MD‏ @will_malone 25 May 2019

        Possible explanations? 1. Gender dysphoria is a symptom of an underlying root issue (autogynephilia, or rejection of one’s same sex attraction, or more recently of trauma, or ASC thought processes, or pubertal stress), not a stand alone primary entity. >>

        3 replies 7 retweets 34 likes
        Show this thread
      11. Will Malone MD‏ @will_malone 25 May 2019

        2. CSH&SRS treat the symptom, not the underlying etiology. (Tylenol treats a fever, but not the underlying cause, to borrow an analogy).  3. Intensive counseling, or brain maturation as a result of aging, or both, helps resolve conflicts of identity. >>

        1 reply 3 retweets 30 likes
        Show this thread
      12. Will Malone MD‏ @will_malone 25 May 2019

        The point is, definitive conclusions are not possible from a study like this, and there is not enough evidence to support PB, CSH and GRS in adolescents with GD. Hormones and surgical treatments for GD in adolescents should be restricted to clinical trials. >>

        2 replies 3 retweets 26 likes
        Show this thread
      13. Will Malone MD‏ @will_malone 25 May 2019

        [of last note, only MtF ID’d showed statistically significant improvements in global functioning, and no subgroup analysis was done (AGP vs same sex attracted]. ///

        2 replies 2 retweets 24 likes
        Show this thread
      14. Will Malone MD‏ @will_malone 25 May 2019

        To add more clarity to my position, I personally don’t see how minors can consent to any of these interventions, and so the use of hormones and surgery, even in the context of clinical trials, is highly problematic. ////

        1 reply 11 retweets 59 likes
        Show this thread
      15. End of conversation

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