Asklemmy

No worries. Sorry for being defensive. I’ve received death threats before so you can imagine my reticence to speak freely.

Forgive the brevity. The topic is quite personal to me. I had a trans person in my family until recently. They committed suicide. I took it upon myself to research the topic to the best of my abilities. My current stance is that, while I support the right for adults to do with their body as they wish, I do not support the practise of transitioning children; be it medically or socially. In all my research I couldn’t find a single study, anywhere, demonstrating an objective quality of life improvement. These would be measurable metrics like:

• Life expectancy.
• Suicide rate.
• Rates of addiction.
• Health outcomes such as reduced rates of obesity and heart attacks.
• Rates of crime.
• Rates of homelessness.
• Rates of victimisation (rape, assault, etc.).
• Income.
• Wealth.

It’s not for lack of trying, either. I’ve never seen so much funding go to any single topic in academia. Given this lack of evidence, researchers turned to subjective measures of improvement. The primary being “suicidality.” They ask subjects how they feel about suicide. This is an effective proxy for, “are you happy with the major medical procedure you just asked for?” Unsurprisingly, this is subject to enormous bias.

Instead, I found evidence that not transitioning is a much better, much more effective treatment for children. This study found that only 37% of children still identified as dysphoric five years later. This study found that 88% had desisted (they were no longer dysphoric). This mirrors other historical research into various areas of child psychology. Children frequently change identity and beliefs around identity.

The primary arguments appear to be, a) if we don’t transition children, they will commit suicide. As above, I believe this is false. The second premise is, b) puberty blockers are completely reversible. This isn’t true either. These are the expected side effects of puberty blockers:

Common side effects of the GnRH agonists and antagonists include symptoms of hypogonadism such as hot flashes, gynecomastia, fatigue, weight gain, fluid retention, erectile dysfunction and decreased libido. Long term therapy can result in metabolic abnormalities, weight gain, worsening of diabetes and osteoporosis. Rare, but potentially serious adverse events include transient worsening of prostate cancer due to surge in testosterone with initial injection of GnRH agonists and pituitary apoplexy in patients with pituitary adenoma. Single instances of clinically apparent liver injury have been reported with some GnRH agonists (histrelin, goserelin), but the reports were not very convincing. There is no evidence to indicate that there is cross sensitivity to liver injury among the various GnRH analogues despite their similarity in structure. There is also a report that GnRH agonists used in the treatment of advanced prostate cancer may increase the risk of heart problems by 30%.

Osteoporosis and diabetes are absolutely life altering. Sweden went all-in on "temporary" puberty blockers for gender affirming care until children started experiencing life-long injuries. They are now effectively banned for gender affirming care for children.

In one particularly shocking case, a girl who wanted to become a boy began taking hormone-blocking drugs at just 11-years-old. Almost five years after the treatment began, the puberty-pausing drugs induced osteoporosis and permanently damaged the teen’s vertebrae, severely limiting the teen’s mobility.

“When we asked him regularly how his back felt, he said: ‘I’m in pain all the time’,” she added.

Further, there is a growing body of evidence to show high risk of infertility after prolonged use of these drugs.

And these are just the dangerous irreversible side effects. The cosmetic side effects are devastating, and include men with child-sized penises and testicles, and women without breasts. This is one such case. The teenager had taken puberty blockers, resulting in a small penis. With insufficient penile tissue, doctors attempted to remove and use part of his colon to create a fake vagina. He died less than a day later from complications.

Ultimately, I believe I am very open to evidence. I have reached my position precisely by pouring over research. I am open to honest discussion and debate. I don't belittle or minimise anyone's experiences or beliefs. I simply want the best outcomes for children. For this opinion, I have been banned on many subreddits. I have been sent death threats. I have been called every disgusting name in the dictionary, and then more. I hope that Lemmy is a place which allows respectful discussion.