6 ms·

Puberty is an incredibly complicated process, involving innumerable intertwined signaling pathways, gene expression changes, physical and mental changes, etc. W

Puberty is an incredibly complicated process, involving innumerable intertwined signaling pathways, gene expression changes, physical and mental changes, etc. We are only beginning to understand it all; to think we can just "pause" it like an MP3 player is the height of hubris. These experimental treatments have many potential negative side effects, including osteoporosis and infertility. Teenagers who feel insecure about their bodies (which is totally normal at that age) are being pressured and induced into potentially destroying their future at an age where they are not mentally mature to make these permanent life-altering decisions. Many will sorely regret it, some will even take their own lives. A tragedy in the making

pritambaral 3y ago
> ... are being pressured and induced into ... Citation needed.
glimshe 3y ago
Agreed. We've created societal structures and cultural norms that have survived thousands of years to deal with teenagers, which have existed and behaved like teenagers since the dawn of humankind. Our civilization exists because of the systems that we put in place, good or bad, and they allowed us to not only survive, but also thrive. Our thriving included getting rid of many bad ideas and norms along the way. Whenever we want to experiment with radical changes in our systems, we need to be very careful. New radical approaches lack the test of time, and should be introduced carefully when there is potential for widespread negative impact. Today we're saying that a large number of teenagers actually would be better off with a permanent change in gender. This extraordinary claim, which goes against biology and our established cultural norms, could be true but we have to recognize it as extraordinary and approach with extreme care. Maybe one day we'll figure out how many teenagers actually would benefit from this, but right now it's clear to me that we're just going all-in on an untested paradigm with great potential for irreversible pain and suffering.
test098 3y ago
[flagged]
sverona 3y ago
[flagged]
- Georgelemental 3y ago
  I know someone, personally, who has suffered from these treatments and now regrets having ever taken them.
  - test098 3y ago
    n=1 is not a representative sample. many people suffer from medical treatments and regret having them. if you can show me that the percentage of people who regret trans treatments are dramatically higher than people who regret _any_ medical treatment, maybe then you'll have an argument.
    - joe__f 3y ago
      Yeah, I was watching a gender doctor on youtube who was saying something like 'suicide rate in trans people who don't go on HRT as a teenager is 40%, so we put teenagers on Lupron and send them to therapy until they're sure if they want to transition or not. Increased chance of osteoporosis in old age isn't much of a risk compared to 40% suicide rate' (my words from memory, not a direct quote)
      - Georgelemental 3y ago
        What's the suicide rate in people who do take the treatments?
        joe__f 3y ago
        From memory, he was saying that people who go through some kind of trans affirmative procedures have a dissatisfaction rate of 5% and this is likely to be lower than the complication rate. I think I watched the first hour, here's the video: https://youtu.be/qGuvDlYDNzU https://youtu.be/qGuvDlYDNzU, I'm sure if you're inclined to be critical of trans healthcare then it would be possible to make counter arguments to things that he says. My perspective is; There seems to be concrete evidence from neuroimaging studies that transgender people's neuroanatomy more clearly matches the identified gender than the chromosomal gender. This is corroborated by anthropological and epidemiological evidence. Clearly it's a complex issue and I think it could be quite possible to put cisgender people whose sense of gender was badly traumatised on hormone therapy as a teenager and cause them problems later in life. However 40% suicide rate in trans people is not something to be ignored
theprincess 3y ago
And yet, Lupron has been used since the 1970's to treat precocious puberty and every single ban on using it for gender affirming care still allows it to be administered for that purpose. Medical associations also approve its use, in both cases. When the people against it are only against it for one group of people, and doctors by and large disagree with them, it makes me suspicious that their motives are not based in concern for health and instead are based on personal feelings that are being projected onto an external cause.
- somedude895 3y ago
  > only against it for one group of people People aren't against any group of people, they're against administering a damaging and potentially life-ruining treatment to perfectly healthy children.
  - TRiG_Ireland 3y ago
    You're perfectly happy to give it to cis kids, but not to trans ones. Why?
  - theprincess 3y ago
    Children with gender dysphoria are not "perfectly healthy." They have a serious problem. The level of hubris in assuming that all these heterosexual parents, many of them conservative, would just up and decide to "trans" their kids is outstanding. Whatever makes people trans is immutable. Every possible way has been tried to "fix" them, by making them happy as their assigned sex. All the attempts just led to broken people, many of whom killed themselves. The gall to just insert yourself into the lives of these kids and their families, without understanding their struggles or knowing them, and trying to take away the one proven path to them having a happy successful life is really something to behold.
stubybubs 3y ago
Everything in the body is complicated. The history of medicine is rife with unintended consequences. Many body altering surgeries are entirely useless and dangerous. Over 40% of antibiotic prescriptions are off-label and fully 75% of all prescriptions in pediatric populations are off-label, all of those prescriptions being administered by definition at a time of great growth and change in the body. And yet it's only this that people are talking about. It's bad faith. If you really want to shut this particular thing down for the reasons you've given then you would shut down most of medicine, and virtually all care for pediatric populations. Edit: yes I am a doctor
- jfengel 3y ago
  Indeed. We value evidence-based medicine, especially when it comes to rejecting interventions that have been demonstrated not to work. As has been said, the name for "alternative medicine that actually works" is "medicine". But a surprising amount of "medicine" is less well evidenced than we'd like it to be. That's not the same as demonstrably-false, but nowhere near the rock-solid gold-standard of testing. But we don't stop using it, because suffering patients can't wait while we straighten out the epistemological mess. The best one to make a decision is a doctor, who has both the education required to understand the state of the art, and the details of the patient in front of them. They can combine that with their experience to make the best decision possible. It won't always be perfect, but it's got more likelihood than people guessing about what they think medicine is about.
- blecthp 3y ago
  [flagged]
anaisbetts 3y ago
For the record people that transition, AT ALL AGES, overwhelmingly stay that way and do not regret their decision. * Here is the [*APA's policy statement*](http://www.apa.org/about/policy/transgender.aspx http://www.apa.org/about/policy/transgender.aspx) on the necessity and efficacy of transition as the appropriate treatment for gender dysphoria. More from the APA [*here*](http://www.apa.org/pi/lgbt/programs/transgender/?tab=1 http://www.apa.org/pi/lgbt/programs/transgender/?tab=1) * Here is an [*AMA resolution*](http://www.tgender.net/taw/ama_resolutions.pdf http://www.tgender.net/taw/ama_resolutions.pdf) on the efficacy and necessity of transition as appropriate treatment for gender dysphoria, and call for an end to insurance companies categorically excluding transition-related care from coverage * A policy statement from the [*American College of Physicians*](http://annals.org/aim/article/2292051/lesbian-gay-bisexual-transgender-health-disparities-executive-summary-policy-position http://annals.org/aim/article/2292051/lesbian-gay-bisexual-t...) * [*Here*](https://assets2.hrc.org/files/documents/SupportingCaringforTransChildren.pdf https://assets2.hrc.org/files/documents/SupportingCaringforT...) are the American Academy of Pediatrics guidelines * [*Here*](https://www.aafp.org/dam/AAFP/documents/events/alf_ncsc/Education.pdf https://www.aafp.org/dam/AAFP/documents/events/alf_ncsc/Educ...) is a resolution from the American Academy of Family Physicians * [*Here*](https://www.socialworkers.org/assets/secured/documents/da/da2008/reffered/Transgender.pdf https://www.socialworkers.org/assets/secured/documents/da/da...) is one from the National Association of Social Workers ---- *Citations on the transition's dramatic reduction of suicide risk while improving mental health and quality of life, with trans people able to transition young and spared abuse and discrimination having mental health and suicide risk on par with the general public:* * [*Bauer, et al., 2015*](http://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-015-1867-2 http://bmcpublichealth.biomedcentral.com/articles/10.1186/s1...): Transition vastly reduces risks of suicide attempts, and the farther along in transition someone is the lower that risk gets * [*Moody, et al., 2013*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3722435/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3722435/): The ability to transition, along with family and social acceptance, are the largest factors reducing suicide risk among trans people * [*Young Adult Psychological Outcome After Puberty Suppression and Gender Reassignment*](http://pediatrics.aappublications.org/content/early/2014/09/02/peds.2013-2958 http://pediatrics.aappublications.org/content/early/2014/09/...). A clinical protocol of a multidisciplinary team with mental health professionals, physicians, and surgeons, including puberty suppression, ... cross-sex hormones and gender reassignment surgery, provides trans youth the opportunity to develop into well-functioning young adults. All showed significant improvement in their psychological health, and they had notably lower rates of internalizing psychopathology than previously reported among trans children living as their natal sex. *Well-being was similar to or better than same-age young adults from the general population.* * The only disorders more common among trans people are those associated with abuse and discrimination - mainly anxiety and depression. Early transition [*virtually eliminates these higher rates of depression and low self-worth*](http://www.jaacap.com/article/S0890-8567%2816%2931941-4/fulltext http://www.jaacap.com/article/S0890-8567%2816%2931941-4/full...), and [*dramatically improves trans youth's mental health*](https://archive.thinkprogress.org/allowing-transgender-youth-to-transition-improves-their-mental-health-study-finds-dd6096523375/ https://archive.thinkprogress.org/allowing-transgender-youth...). *Trans kids who socially transition early and not subjected to abuse are comparable to cisgender children in measures of mental health.* * [*Dr. Ryan Gorton*](https://www.ncbi.nlm.nih.gov/pubmed/3219066 https://www.ncbi.nlm.nih.gov/pubmed/3219066): “In a cross-sectional study of 141 transgender patients, Kuiper and Cohen-Kittenis found that after medical intervention and treatments, suicide fell from 19% to 0% in transgender men and from 24% to 6% in transgender women” * [*Murad, et al., 2010*](https://www.ncbi.nlm.nih.gov/pubmed/19473181 https://www.ncbi.nlm.nih.gov/pubmed/19473181): "Significant decrease in suicidality post-treatment. The average reduction was from 30 percent pretreatment to 8 percent post treatment. * [*De Cuypere, et al., 2006*](http://www.sciencedirect.com/science/article/pii/S1158136006000491 http://www.sciencedirect.com/science/article/pii/S1158136006...): Rate of suicide attempts dropped from 29.3 percent to 5.1 percent after receiving medical treatment among Dutch patients treated from 1986-2001. * [*UK study - McNeil, et al., 2012*](https://www.scottishtrans.org/wp-content/uploads/2013/03/trans_mh_study.pdf https://www.scottishtrans.org/wp-content/uploads/2013/03/tra...): "Suicidal ideation and actual attempts reduced after transition, with 63% thinking about or attempting suicide more before they transitioned and only 3% thinking about or attempting suicide more post-transition. * [*Smith Y, 2005*](https://www.ncbi.nlm.nih.gov/pubmed/15842032 https://www.ncbi.nlm.nih.gov/pubmed/15842032): Participants improved on 13 out of 14 mental health measures after treatment * [*Lawrence, 2003*](http://link.springer.com/article/10.1023/A:1024086814364 http://link.springer.com/article/10.1023/A:1024086814364): Surveyed post-op trans folk: "Participants reported overwhelmingly that they were happy with their SRS results and that SRS had greatly improved the quality of their lives * [*Reduction in Mental Health Treatment Utilization Among Transgender Individuals After Gender-Affirming Surgeries: A Total Population Study*](https://sci-hub.se/https://doi.org/10.1176/appi.ajp.2019.19010080 https://sci-hub.se/https://doi.org/10.1176/appi.ajp.2019.190...) - "*Conclusions:* "... the longitudinal association between gender-affirming surgery and reduced likelihood of mental health treatment lends support to the decision to provide gender-affirming surgeries to transgender individuals who seek them." There are a [*lot*](http://www.ncbi.nlm.nih.gov/pubmed/24344788 http://www.ncbi.nlm.nih.gov/pubmed/24344788) of [*studies*](http://link.springer.com/article/10.1007%2Fs10508-009-9551-1 http://link.springer.com/article/10.1007%2Fs10508-009-9551-1) showing that [*transition*](https://mayoclinic.pure.elsevier.com/en/publications/hormonal-therapy-and-sex-reassignment-a-systematic-review-and-met https://mayoclinic.pure.elsevier.com/en/publications/hormona...) [*improves*](https://www.hindawi.com/journals/tswj/2014/960745/ https://www.hindawi.com/journals/tswj/2014/960745/) [*mental health*](http://europepmc.org/abstract/med/25690443 http://europepmc.org/abstract/med/25690443) and [*quality of life*](http://link.springer.com/article/10.1007/s10508-014-0453-5 http://link.springer.com/article/10.1007/s10508-014-0453-5) while [*reducing dysphoria*](https://www.researchgate.net/publication/23553588_Long-term_Assessment_of_the_Physical_Mental_and_Sexual_Health_among_Transsexual_Women https://www.researchgate.net/publication/23553588_Long-term_...). Not to mention [*this 2010 meta-analysis*](http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2265.2009.03625.x/abstract http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2265.2009....) of 28 different studies, which found that transition is extremely effective at reducing dysphoria and improving quality of life. More stuff: https://www.nbcnews.com/feature/nbc-out/media-s-detransition-narrative-fueling-misconceptions-trans-advocates-say-n1102686 https://www.nbcnews.com/feature/nbc-out/media-s-detransition... https://publications.aap.org/pediatrics/article/doi/10.1542/peds.2021-056082/186992/Gender-Identity-5-Years-After-Social-Transition https://publications.aap.org/pediatrics/article/doi/10.1542/... https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8099405/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8099405/ https://www.jsm.jsexmed.org/article/S1743-6095(18)30057-2/fulltext#sec3.3 https://www.jsm.jsexmed.org/article/S1743-6095(18)30057-2/fu... https://transequality.org/sites/default/files/docs/usts/USTS-Full-Report-Dec17.pdf https://transequality.org/sites/default/files/docs/usts/USTS... https://www.researchgate.net/publication/262734734_An_Analysis_of_All_Applications_for_Sex_Reassignment_Surgery_in_Sweden_1960-2010_Prevalence_Incidence_and_Regrets https://www.researchgate.net/publication/262734734_An_Analys... https://epath.eu/wp-content/uploads/2019/04/Boof-of-abstracts-EPATH2019.pdf https://epath.eu/wp-content/uploads/2019/04/Boof-of-abstract... https://psychiatry.org/news-room/news-releases/study-finds-long-term-mental-health-benefits-of-ge https://psychiatry.org/news-room/news-releases/study-finds-l... https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8099405/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8099405/ https://www.gendergp.com/exploring-detransition-with-dr-jack-turban/ https://www.gendergp.com/exploring-detransition-with-dr-jack... https://journals.sagepub.com/doi/full/10.1177/0038026120934694 https://journals.sagepub.com/doi/full/10.1177/00380261209346... https://www.cambridge.org/core/journals/psychological-medicine/article/abs/sex-reassignment-outcomes-and-predictors-of-treatment-for-adolescent-and-adult-transsexuals/D000472406C5F6E1BD4E6A37BC7550A4 https://www.cambridge.org/core/journals/psychological-medici... https://adc.bmj.com/content/107/11/1018 https://adc.bmj.com/content/107/11/1018 https://doi.org/10.1210/clinem/dgac251 https://doi.org/10.1210/clinem/dgac251 https://www.jsm.jsexmed.org/article/S1743-6095(18)30057-2/fulltext https://www.jsm.jsexmed.org/article/S1743-6095(18)30057-2/fu...

pritambaral 3y ago

> ... are being pressured and induced into ... Citation needed.

glimshe 3y ago

Agreed. We've created societal structures and cultural norms that have survived thousands of years to deal with teenagers, which have existed and behaved like teenagers since the dawn of humankind. Our civilization exists because of the systems that we put in place, good or bad, and they allowed us to not only survive, but also thrive. Our thriving included getting rid of many bad ideas and norms along the way. Whenever we want to experiment with radical changes in our systems, we need to be very careful. New radical approaches lack the test of time, and should be introduced carefully when there is potential for widespread negative impact. Today we're saying that a large number of teenagers actually would be better off with a permanent change in gender. This extraordinary claim, which goes against biology and our established cultural norms, could be true but we have to recognize it as extraordinary and approach with extreme care. Maybe one day we'll figure out how many teenagers actually would benefit from this, but right now it's clear to me that we're just going all-in on an untested paradigm with great potential for irreversible pain and suffering.

test098 3y ago

[flagged]

sverona 3y ago

[flagged]

Georgelemental 3y ago
I know someone, personally, who has suffered from these treatments and now regrets having ever taken them.
- test098 3y ago
  n=1 is not a representative sample. many people suffer from medical treatments and regret having them. if you can show me that the percentage of people who regret trans treatments are dramatically higher than people who regret _any_ medical treatment, maybe then you'll have an argument.
  - joe__f 3y ago
    Yeah, I was watching a gender doctor on youtube who was saying something like 'suicide rate in trans people who don't go on HRT as a teenager is 40%, so we put teenagers on Lupron and send them to therapy until they're sure if they want to transition or not. Increased chance of osteoporosis in old age isn't much of a risk compared to 40% suicide rate' (my words from memory, not a direct quote)
    - Georgelemental 3y ago
      What's the suicide rate in people who do take the treatments?
      - joe__f 3y ago
        From memory, he was saying that people who go through some kind of trans affirmative procedures have a dissatisfaction rate of 5% and this is likely to be lower than the complication rate. I think I watched the first hour, here's the video: https://youtu.be/qGuvDlYDNzU https://youtu.be/qGuvDlYDNzU, I'm sure if you're inclined to be critical of trans healthcare then it would be possible to make counter arguments to things that he says. My perspective is; There seems to be concrete evidence from neuroimaging studies that transgender people's neuroanatomy more clearly matches the identified gender than the chromosomal gender. This is corroborated by anthropological and epidemiological evidence. Clearly it's a complex issue and I think it could be quite possible to put cisgender people whose sense of gender was badly traumatised on hormone therapy as a teenager and cause them problems later in life. However 40% suicide rate in trans people is not something to be ignored

theprincess 3y ago

And yet, Lupron has been used since the 1970's to treat precocious puberty and every single ban on using it for gender affirming care still allows it to be administered for that purpose. Medical associations also approve its use, in both cases. When the people against it are only against it for one group of people, and doctors by and large disagree with them, it makes me suspicious that their motives are not based in concern for health and instead are based on personal feelings that are being projected onto an external cause.

somedude895 3y ago
> only against it for one group of people People aren't against any group of people, they're against administering a damaging and potentially life-ruining treatment to perfectly healthy children.
- TRiG_Ireland 3y ago
  You're perfectly happy to give it to cis kids, but not to trans ones. Why?
- theprincess 3y ago
  Children with gender dysphoria are not "perfectly healthy." They have a serious problem. The level of hubris in assuming that all these heterosexual parents, many of them conservative, would just up and decide to "trans" their kids is outstanding. Whatever makes people trans is immutable. Every possible way has been tried to "fix" them, by making them happy as their assigned sex. All the attempts just led to broken people, many of whom killed themselves. The gall to just insert yourself into the lives of these kids and their families, without understanding their struggles or knowing them, and trying to take away the one proven path to them having a happy successful life is really something to behold.

stubybubs 3y ago

Everything in the body is complicated. The history of medicine is rife with unintended consequences. Many body altering surgeries are entirely useless and dangerous. Over 40% of antibiotic prescriptions are off-label and fully 75% of all prescriptions in pediatric populations are off-label, all of those prescriptions being administered by definition at a time of great growth and change in the body. And yet it's only this that people are talking about. It's bad faith. If you really want to shut this particular thing down for the reasons you've given then you would shut down most of medicine, and virtually all care for pediatric populations. Edit: yes I am a doctor

jfengel 3y ago
Indeed. We value evidence-based medicine, especially when it comes to rejecting interventions that have been demonstrated not to work. As has been said, the name for "alternative medicine that actually works" is "medicine". But a surprising amount of "medicine" is less well evidenced than we'd like it to be. That's not the same as demonstrably-false, but nowhere near the rock-solid gold-standard of testing. But we don't stop using it, because suffering patients can't wait while we straighten out the epistemological mess. The best one to make a decision is a doctor, who has both the education required to understand the state of the art, and the details of the patient in front of them. They can combine that with their experience to make the best decision possible. It won't always be perfect, but it's got more likelihood than people guessing about what they think medicine is about.
blecthp 3y ago
[flagged]

anaisbetts 3y ago

For the record people that transition, AT ALL AGES, overwhelmingly stay that way and do not regret their decision. * Here is the [*APA's policy statement*](http://www.apa.org/about/policy/transgender.aspx http://www.apa.org/about/policy/transgender.aspx) on the necessity and efficacy of transition as the appropriate treatment for gender dysphoria. More from the APA [*here*](http://www.apa.org/pi/lgbt/programs/transgender/?tab=1 http://www.apa.org/pi/lgbt/programs/transgender/?tab=1) * Here is an [*AMA resolution*](http://www.tgender.net/taw/ama_resolutions.pdf http://www.tgender.net/taw/ama_resolutions.pdf) on the efficacy and necessity of transition as appropriate treatment for gender dysphoria, and call for an end to insurance companies categorically excluding transition-related care from coverage * A policy statement from the [*American College of Physicians*](http://annals.org/aim/article/2292051/lesbian-gay-bisexual-transgender-health-disparities-executive-summary-policy-position http://annals.org/aim/article/2292051/lesbian-gay-bisexual-t...) * [*Here*](https://assets2.hrc.org/files/documents/SupportingCaringforTransChildren.pdf https://assets2.hrc.org/files/documents/SupportingCaringforT...) are the American Academy of Pediatrics guidelines * [*Here*](https://www.aafp.org/dam/AAFP/documents/events/alf_ncsc/Education.pdf https://www.aafp.org/dam/AAFP/documents/events/alf_ncsc/Educ...) is a resolution from the American Academy of Family Physicians * [*Here*](https://www.socialworkers.org/assets/secured/documents/da/da2008/reffered/Transgender.pdf https://www.socialworkers.org/assets/secured/documents/da/da...) is one from the National Association of Social Workers ---- *Citations on the transition's dramatic reduction of suicide risk while improving mental health and quality of life, with trans people able to transition young and spared abuse and discrimination having mental health and suicide risk on par with the general public:* * [*Bauer, et al., 2015*](http://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-015-1867-2 http://bmcpublichealth.biomedcentral.com/articles/10.1186/s1...): Transition vastly reduces risks of suicide attempts, and the farther along in transition someone is the lower that risk gets * [*Moody, et al., 2013*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3722435/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3722435/): The ability to transition, along with family and social acceptance, are the largest factors reducing suicide risk among trans people * [*Young Adult Psychological Outcome After Puberty Suppression and Gender Reassignment*](http://pediatrics.aappublications.org/content/early/2014/09/02/peds.2013-2958 http://pediatrics.aappublications.org/content/early/2014/09/...). A clinical protocol of a multidisciplinary team with mental health professionals, physicians, and surgeons, including puberty suppression, ... cross-sex hormones and gender reassignment surgery, provides trans youth the opportunity to develop into well-functioning young adults. All showed significant improvement in their psychological health, and they had notably lower rates of internalizing psychopathology than previously reported among trans children living as their natal sex. *Well-being was similar to or better than same-age young adults from the general population.* * The only disorders more common among trans people are those associated with abuse and discrimination - mainly anxiety and depression. Early transition [*virtually eliminates these higher rates of depression and low self-worth*](http://www.jaacap.com/article/S0890-8567%2816%2931941-4/fulltext http://www.jaacap.com/article/S0890-8567%2816%2931941-4/full...), and [*dramatically improves trans youth's mental health*](https://archive.thinkprogress.org/allowing-transgender-youth-to-transition-improves-their-mental-health-study-finds-dd6096523375/ https://archive.thinkprogress.org/allowing-transgender-youth...). *Trans kids who socially transition early and not subjected to abuse are comparable to cisgender children in measures of mental health.* * [*Dr. Ryan Gorton*](https://www.ncbi.nlm.nih.gov/pubmed/3219066 https://www.ncbi.nlm.nih.gov/pubmed/3219066): “In a cross-sectional study of 141 transgender patients, Kuiper and Cohen-Kittenis found that after medical intervention and treatments, suicide fell from 19% to 0% in transgender men and from 24% to 6% in transgender women” * [*Murad, et al., 2010*](https://www.ncbi.nlm.nih.gov/pubmed/19473181 https://www.ncbi.nlm.nih.gov/pubmed/19473181): "Significant decrease in suicidality post-treatment. The average reduction was from 30 percent pretreatment to 8 percent post treatment. * [*De Cuypere, et al., 2006*](http://www.sciencedirect.com/science/article/pii/S1158136006000491 http://www.sciencedirect.com/science/article/pii/S1158136006...): Rate of suicide attempts dropped from 29.3 percent to 5.1 percent after receiving medical treatment among Dutch patients treated from 1986-2001. * [*UK study - McNeil, et al., 2012*](https://www.scottishtrans.org/wp-content/uploads/2013/03/trans_mh_study.pdf https://www.scottishtrans.org/wp-content/uploads/2013/03/tra...): "Suicidal ideation and actual attempts reduced after transition, with 63% thinking about or attempting suicide more before they transitioned and only 3% thinking about or attempting suicide more post-transition. * [*Smith Y, 2005*](https://www.ncbi.nlm.nih.gov/pubmed/15842032 https://www.ncbi.nlm.nih.gov/pubmed/15842032): Participants improved on 13 out of 14 mental health measures after treatment * [*Lawrence, 2003*](http://link.springer.com/article/10.1023/A:1024086814364 http://link.springer.com/article/10.1023/A:1024086814364): Surveyed post-op trans folk: "Participants reported overwhelmingly that they were happy with their SRS results and that SRS had greatly improved the quality of their lives * [*Reduction in Mental Health Treatment Utilization Among Transgender Individuals After Gender-Affirming Surgeries: A Total Population Study*](https://sci-hub.se/https://doi.org/10.1176/appi.ajp.2019.19010080 https://sci-hub.se/https://doi.org/10.1176/appi.ajp.2019.190...) - "*Conclusions:* "... the longitudinal association between gender-affirming surgery and reduced likelihood of mental health treatment lends support to the decision to provide gender-affirming surgeries to transgender individuals who seek them." There are a [*lot*](http://www.ncbi.nlm.nih.gov/pubmed/24344788 http://www.ncbi.nlm.nih.gov/pubmed/24344788) of [*studies*](http://link.springer.com/article/10.1007%2Fs10508-009-9551-1 http://link.springer.com/article/10.1007%2Fs10508-009-9551-1) showing that [*transition*](https://mayoclinic.pure.elsevier.com/en/publications/hormonal-therapy-and-sex-reassignment-a-systematic-review-and-met https://mayoclinic.pure.elsevier.com/en/publications/hormona...) [*improves*](https://www.hindawi.com/journals/tswj/2014/960745/ https://www.hindawi.com/journals/tswj/2014/960745/) [*mental health*](http://europepmc.org/abstract/med/25690443 http://europepmc.org/abstract/med/25690443) and [*quality of life*](http://link.springer.com/article/10.1007/s10508-014-0453-5 http://link.springer.com/article/10.1007/s10508-014-0453-5) while [*reducing dysphoria*](https://www.researchgate.net/publication/23553588_Long-term_Assessment_of_the_Physical_Mental_and_Sexual_Health_among_Transsexual_Women https://www.researchgate.net/publication/23553588_Long-term_...). Not to mention [*this 2010 meta-analysis*](http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2265.2009.03625.x/abstract http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2265.2009....) of 28 different studies, which found that transition is extremely effective at reducing dysphoria and improving quality of life. More stuff: https://www.nbcnews.com/feature/nbc-out/media-s-detransition-narrative-fueling-misconceptions-trans-advocates-say-n1102686 https://www.nbcnews.com/feature/nbc-out/media-s-detransition... https://publications.aap.org/pediatrics/article/doi/10.1542/peds.2021-056082/186992/Gender-Identity-5-Years-After-Social-Transition https://publications.aap.org/pediatrics/article/doi/10.1542/... https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8099405/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8099405/ https://www.jsm.jsexmed.org/article/S1743-6095(18)30057-2/fulltext#sec3.3 https://www.jsm.jsexmed.org/article/S1743-6095(18)30057-2/fu... https://transequality.org/sites/default/files/docs/usts/USTS-Full-Report-Dec17.pdf https://transequality.org/sites/default/files/docs/usts/USTS... https://www.researchgate.net/publication/262734734_An_Analysis_of_All_Applications_for_Sex_Reassignment_Surgery_in_Sweden_1960-2010_Prevalence_Incidence_and_Regrets https://www.researchgate.net/publication/262734734_An_Analys... https://epath.eu/wp-content/uploads/2019/04/Boof-of-abstracts-EPATH2019.pdf https://epath.eu/wp-content/uploads/2019/04/Boof-of-abstract... https://psychiatry.org/news-room/news-releases/study-finds-long-term-mental-health-benefits-of-ge https://psychiatry.org/news-room/news-releases/study-finds-l... https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8099405/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8099405/ https://www.gendergp.com/exploring-detransition-with-dr-jack-turban/ https://www.gendergp.com/exploring-detransition-with-dr-jack... https://journals.sagepub.com/doi/full/10.1177/0038026120934694 https://journals.sagepub.com/doi/full/10.1177/00380261209346... https://www.cambridge.org/core/journals/psychological-medicine/article/abs/sex-reassignment-outcomes-and-predictors-of-treatment-for-adolescent-and-adult-transsexuals/D000472406C5F6E1BD4E6A37BC7550A4 https://www.cambridge.org/core/journals/psychological-medici... https://adc.bmj.com/content/107/11/1018 https://adc.bmj.com/content/107/11/1018 https://doi.org/10.1210/clinem/dgac251 https://doi.org/10.1210/clinem/dgac251 https://www.jsm.jsexmed.org/article/S1743-6095(18)30057-2/fulltext https://www.jsm.jsexmed.org/article/S1743-6095(18)30057-2/fu...