5 ms·

I didn't mean to make this about transgender medicine. The evidence is pretty strong that hormone treatment improves wellbeing for transgender patients[1], and

I didn't mean to make this about transgender medicine. The evidence is pretty strong that hormone treatment improves wellbeing for transgender patients[1], and of course, they can always stop it if it doesn't. The fact that very few do is a good indicator of satisfaction overall. There is a very strong bias towards safety in the practice of transgender medicine. I can also personally attest that transgender medicine has vastly improved my life. The changes in appearance reduce awkward interactions (I presented female almost always even before transitioning). The mental changes have all been positive and left me feeling much more in control of myself and my life. There is a lot more science to be done and things to be discovered especially when it comes to brain impacts. Transgender medicine is a new field where there is much to be discovered. It's still a super important thing I'm glad exists. In any case, I was using it as an example where these brain interactions become super visible and complicated, not trying to debate it directly. [1] (simply the first thing I found googling) https://link.springer.com/article/10.1007/s11136-006-0002-3 https://link.springer.com/article/10.1007/s11136-006-0002-3

allovernow 7y ago
And where are the studies regarding post transition surgery regret? I would caution you to be very careful in forming your opinion from modern research in the field. The institution has undeniably accumulated a very strong bias with the emergent result that published results (and research direction) tends to be very one sided. But looking in from the outside, I absolutely cannot take seriously an establishment which unironically recommends permanent genital mutilation which results in a potential lifetime of pain from daily dilation of an artificial orifice which is little more than a glorified wound, which is neither self cleaning nor self lubricating. What is even the point? Surely believing that this is in any way equivalent to a vagina is a medically encouraged delusion, no? I do not mean to be insensitive to your plight. And I cannot deny that you personally have, at least in the short term, benefited from your treatment, and that's wonderful. But we have reached a point now where young adults are being lead by doctors they trust to make irreversible changes which may permanently worsen their quality of life, in a way that seemingly contradicts the standard approach to any other brain disorder (and, yes, it fits that definition, regardless of whether the fad of the day is to pretend it doesn't). I'd have been less explicit in my comments if I didn't feel that dancing around this subject with kids gloves is the reason that we're slipping into this mess.
- lilyball 7y ago
  I don't have statistics on-hand, but as I understand it, bottom surgery (SRS, GRS, whatever you want to call it) has one of the absolute highest patient satisfaction rates of any major surgery (including lifesaving surgeries). > permanent genital mutilation which results in a potential lifetime of pain from daily dilation of an artificial orifice which is little more than a glorified wound Pretty much every single word of what you just wrote is not only wrong, but highly offensive. Please don't speak of things you don't understand.
  - teh_klev 7y ago
    > I don't have statistics on-hand, but as I understand it, bottom surgery (SRS, GRS, whatever you want to call it) has one of the absolute highest patient satisfaction rates of any major surgery (including lifesaving surgeries I think you really do need to cite these statistics given the controversial nature of the subject matter in hand.
    - lilyball 7y ago
      It's actually not controversial at all among the people actually impacted by it. It's only "controversial" in that a lot of people are transphobic and are offended that trans people are allowed access to gender-affirming medical care. Besides, nobody's asking for statistics on how many people are satisfied with surgery to remove cancer, or other "obviously" good surgeries. Why are we expected to justify the existence of gender-affirming surgeries?
      - teh_klev 7y ago
        > It's actually not controversial at all among the people actually impacted by it. Confirmation bias much? > a lot of people are transphobic and are offended that trans people are allowed access to gender-affirming medical care. Again, stats please, ideally by country so we might have a proper discussion. > Besides, nobody's asking for statistics on how many people are satisfied with surgery to remove cancer, or other "obviously" good surgeries. Sorry, but that does actually happen, they're called survival statistic, most, if not all health care systems record them. People who survive cancer are generally happy they're alive. > gender-affirming surgeries There's no such thing as "gender-affirming surgeries", they're called sex changes. Gender is a role unlike biological sex.

allovernow 7y ago

And where are the studies regarding post transition surgery regret? I would caution you to be very careful in forming your opinion from modern research in the field. The institution has undeniably accumulated a very strong bias with the emergent result that published results (and research direction) tends to be very one sided. But looking in from the outside, I absolutely cannot take seriously an establishment which unironically recommends permanent genital mutilation which results in a potential lifetime of pain from daily dilation of an artificial orifice which is little more than a glorified wound, which is neither self cleaning nor self lubricating. What is even the point? Surely believing that this is in any way equivalent to a vagina is a medically encouraged delusion, no? I do not mean to be insensitive to your plight. And I cannot deny that you personally have, at least in the short term, benefited from your treatment, and that's wonderful. But we have reached a point now where young adults are being lead by doctors they trust to make irreversible changes which may permanently worsen their quality of life, in a way that seemingly contradicts the standard approach to any other brain disorder (and, yes, it fits that definition, regardless of whether the fad of the day is to pretend it doesn't). I'd have been less explicit in my comments if I didn't feel that dancing around this subject with kids gloves is the reason that we're slipping into this mess.

lilyball 7y ago
I don't have statistics on-hand, but as I understand it, bottom surgery (SRS, GRS, whatever you want to call it) has one of the absolute highest patient satisfaction rates of any major surgery (including lifesaving surgeries). > permanent genital mutilation which results in a potential lifetime of pain from daily dilation of an artificial orifice which is little more than a glorified wound Pretty much every single word of what you just wrote is not only wrong, but highly offensive. Please don't speak of things you don't understand.
- teh_klev 7y ago
  > I don't have statistics on-hand, but as I understand it, bottom surgery (SRS, GRS, whatever you want to call it) has one of the absolute highest patient satisfaction rates of any major surgery (including lifesaving surgeries I think you really do need to cite these statistics given the controversial nature of the subject matter in hand.
  - lilyball 7y ago
    It's actually not controversial at all among the people actually impacted by it. It's only "controversial" in that a lot of people are transphobic and are offended that trans people are allowed access to gender-affirming medical care. Besides, nobody's asking for statistics on how many people are satisfied with surgery to remove cancer, or other "obviously" good surgeries. Why are we expected to justify the existence of gender-affirming surgeries?
    - teh_klev 7y ago
      > It's actually not controversial at all among the people actually impacted by it. Confirmation bias much? > a lot of people are transphobic and are offended that trans people are allowed access to gender-affirming medical care. Again, stats please, ideally by country so we might have a proper discussion. > Besides, nobody's asking for statistics on how many people are satisfied with surgery to remove cancer, or other "obviously" good surgeries. Sorry, but that does actually happen, they're called survival statistic, most, if not all health care systems record them. People who survive cancer are generally happy they're alive. > gender-affirming surgeries There's no such thing as "gender-affirming surgeries", they're called sex changes. Gender is a role unlike biological sex.