It is misleading to state as fact that “puberty blockers are reversible”. No one knows if the physical and psychological impacts of halting normal puberty are reversible. >>
Show this thread
.@TheEndoSociety you are stating as fact things that are very contested; you have an obligation to acknowledge scientific debate regarding these issues; to do otherwise falls short of your mission as a medical society. >>https://twitter.com/TheEndoSociety/status/1217927489504280580 …
-
-
-
Here is a statement from the 50K strong Royal College of General Practitioners regarding uncertainties surrounding puberty blockers: https://www.rcgp.org.uk/-/media/Files/Policy/A-Z-policy/2019/RCGP-transgender-care-position-statement-june-2019.ashx?la=en … >>
Show this thread -
And another from the BMJ-EBM EIC: https://blogs.bmj.com/bmjebmspotlight/2019/02/25/gender-affirming-hormone-in-children-and-adolescents-evidence-review/ … And another urging caution: https://www.researchgate.net/publication/332078442_Gender_incongruence_in_children_adolescents_and_adults … >>
Show this thread -
And 3 more: https://www.researchgate.net/publication/318221283_Buying_time_or_arresting_development_The_dilemma_of_administering_hormone_blockers_in_trans_children_and_adolescents … https://journals.sagepub.com/doi/10.1177/0024363919873762 … https://www.thepublicdiscourse.com/2020/01/59422/ ( @MLaidlawMD ) >>
Show this thread -
The science you refer to supporting puberty blockers is highly contested (because it’s largely absent). Your guidelines support puberty blocker use based on a single study of 55 kids with gender dysphoria that had no counseling-only arm. >>
Show this thread -
Your guidelines only make suggestions (not recommendations) for puberty blockers b/c the quality of supporting evidence is ‘very low’ (your chosen evidence grading system, not mine). >>
Show this thread -
One problem with implementing any treatment based off of low-quality evidence is that there is a high likelihood for mistakes to be made. In this instance, it seems likely that your guidelines contain major errors. >>
Show this thread -
We are seeing the consequence of such a possibility: many are stepping forward and reporting that they did not receive adequate counseling for their distress, and that hormones and surgery did not help their gender dysphoria. The numbers are significant. >>
Show this thread -
They are organizing into networks, and advocacy groups, and clinicians are beginning to write about them in the medical literature.
@DetransAdNet@PiqueResProject https://www.reddit.com/r/detrans/ https://onlinelibrary.wiley.com/doi/full/10.1111/camh.12361 … >>Show this thread -
Your tweet should be revised to reflect the controversy surrounding this issue. More debate is needed on this issue, not less. >>
Show this thread -
Please take note current President and Board of Directors members of The Endocrine Society.
@IntMedAbel@DrGaryHammer@diabetes_slayer@cesarluizbogu@GhadaElHajj2@whitsgoldner@Smr94117@JoyYWu@BBKeenan_CEO ///Show this thread
End of conversation
New conversation -
Loading seems to be taking a while.
Twitter may be over capacity or experiencing a momentary hiccup. Try again or visit Twitter Status for more information.