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this is interesting as it is harder for an adult to get treatment to become infertile than it is for a child to get hormone drugs that can do the same thing th

this is interesting as it is harder for an adult to get treatment to become infertile than it is for a child to get hormone drugs that can do the same thing this seems to be in the interest of not having parents make knee jerk and unhelpful reactions, instead of the doctors actually evaluating potential underlying conditions of the patient from my understanding, we are trying to accommodate body dysmorphia because it is easy to accommodate: give people what they want and the rest of us just say a pronoun so that they don’t feel marginalized, but for science this is a stopgap solution and there is interest in understanding and preventing the dysmorphia to begin with. It seems this message gets lost because people don't want to be seen as transphobic or don’t want the “mental health” research to be misconstrued as “I want to ignore those crazy people”, as a lot of transphobes do consider things that way. While this is inherently a mental incongruence, it is easy to accommodate while we work to avoid it happening.

whyamibothering 6y ago
Infertility as a result of puberty blockers (and hormones, but it is incredibly uncommon to prescribe them to kids in the US or the UK) is actually fully-reversible. The only long-term effect is a (very slightly) lower bone density, if you're on them for ten years. [Note on this at the end of comment for pedantic people] Pretty much nowhere is it standard practice to administer hormones to anyone below 18, and few people are advocating for that. The rate of attempted suicide in people yet to transition with gender dysphoria is 41%. That is the highest rate of any physical or mental condition we have on the books. This rate drops when you put them on hormone blockers (in cases of minors) and it drops when you put them on cross-sex hormones (in cases of adults). Getting HN to come around on this issue is likely impossible, but if you want to hear from an actual expert (effectively the expert on the topic), here's a presentation you might find interesting from a medical doctor: https://www.youtube.com/watch?v=fefu33e8O-0 https://www.youtube.com/watch?v=fefu33e8O-0 If not for compassion, you should check it out for intellectual curiosity. The talk goes into a lot of detail on how a general human's endocrine system works, has some interesting medical information even if you're not trans, and takes a really balanced approach to the issue. ----- [Note] Fertility returning by simply stopping anti-androgens isn't necessarily a given, but getting it back is actually entirely doable. If you take the time to watch the talk, the doctor goes into how he's managed to get 100% of patients desiring it fertility back.
- vmception 6y ago
  you use the term gender dysphoria, is it more productive if I use that instead of body dysmorphia? there seems like there can be significant overlap in an individual, but when discussing transitioning exclusively is it that gender dysphoria conveys the topic more specifically?
  - whyamibothering 6y ago
    The reason I didn't use body dysmorphia is because body dysmorphia applies to more than transgender individuals. Gender-related body dysmorphia is somewhat unique because unlike the general case, therapy hasn't been shown to be effective in treating it. Gender dysphoria is a broader term and includes body dysmorphia.
DanBC 6y ago
> as it is harder for an adult to get treatment to become infertile than it is for a child to get hormone drugs that can do the same thing It is not possible for children in the UK to get cross sex hormones. Currently we're talking about at most a couple of hundred children (out of a population of 60m people in UK). Very many more adults have vasectomies.

whyamibothering 6y ago

Infertility as a result of puberty blockers (and hormones, but it is incredibly uncommon to prescribe them to kids in the US or the UK) is actually fully-reversible. The only long-term effect is a (very slightly) lower bone density, if you're on them for ten years. [Note on this at the end of comment for pedantic people] Pretty much nowhere is it standard practice to administer hormones to anyone below 18, and few people are advocating for that. The rate of attempted suicide in people yet to transition with gender dysphoria is 41%. That is the highest rate of any physical or mental condition we have on the books. This rate drops when you put them on hormone blockers (in cases of minors) and it drops when you put them on cross-sex hormones (in cases of adults). Getting HN to come around on this issue is likely impossible, but if you want to hear from an actual expert (effectively the expert on the topic), here's a presentation you might find interesting from a medical doctor: https://www.youtube.com/watch?v=fefu33e8O-0 https://www.youtube.com/watch?v=fefu33e8O-0 If not for compassion, you should check it out for intellectual curiosity. The talk goes into a lot of detail on how a general human's endocrine system works, has some interesting medical information even if you're not trans, and takes a really balanced approach to the issue. ----- [Note] Fertility returning by simply stopping anti-androgens isn't necessarily a given, but getting it back is actually entirely doable. If you take the time to watch the talk, the doctor goes into how he's managed to get 100% of patients desiring it fertility back.

vmception 6y ago
you use the term gender dysphoria, is it more productive if I use that instead of body dysmorphia? there seems like there can be significant overlap in an individual, but when discussing transitioning exclusively is it that gender dysphoria conveys the topic more specifically?
- whyamibothering 6y ago
  The reason I didn't use body dysmorphia is because body dysmorphia applies to more than transgender individuals. Gender-related body dysmorphia is somewhat unique because unlike the general case, therapy hasn't been shown to be effective in treating it. Gender dysphoria is a broader term and includes body dysmorphia.

DanBC 6y ago

> as it is harder for an adult to get treatment to become infertile than it is for a child to get hormone drugs that can do the same thing It is not possible for children in the UK to get cross sex hormones. Currently we're talking about at most a couple of hundred children (out of a population of 60m people in UK). Very many more adults have vasectomies.