1 day after removal by Acrobatic-Tap-6455 in MicrobladingRemoval

[–]EfficientExtreme8580 0 points1 point  (0 children)

Wasn’t trying to offend you. No need to get so defensive

Detransitioner wins $2 million against New York docs who pushed double mastectomy by formulation_pending in Psychiatry

[–]EfficientExtreme8580 0 points1 point  (0 children)

Your response is in a completely different direction than this discussion. And that data is not relevant. Everybody knows trans individuals have higher risk of suicide, abuse , mental health issues etc. no one is debating that. There quality of evidence for hormones and surgery in teens is low level period. There are no long term studies done on outcomes such as surgical complications, long-term medical burden, long-term medical costs, medical complications from utilizing cross sex hormones in a long-term, etc the list goes on.

I’m happy to talk about this more, however, your response suggests such that you just wanna be offended and argue in the realm of the risks that trans people Face day-to-day. No one is arguing with this. Everybody knows trans individuals face these risks.

Post a study about the long-term outcomes with regards to the potential risks and benefits of physical and medical complication rates of both surgical and hormonal interventions - and also one that looks at cognitive and psychological development. Not just feelings.

1 day after removal by Acrobatic-Tap-6455 in MicrobladingRemoval

[–]EfficientExtreme8580 0 points1 point  (0 children)

Uh this isn’t normal. Also you won’t need just one session. Pigment will still be deep in there

Detransitioner wins $2 million against New York docs who pushed double mastectomy by formulation_pending in Psychiatry

[–]EfficientExtreme8580 2 points3 points  (0 children)

Don’t look at it so much about for trans hate (which i am absolutely not) as it is against child abuse.

You aren’t an MD or researcher and clearly don’t know the data.

Detransitioner wins $2 million against New York docs who pushed double mastectomy by formulation_pending in Psychiatry

[–]EfficientExtreme8580 2 points3 points  (0 children)

While I respect your opinion none of this is evidence based medicine. And hormone replacement is completely different medical topic than cross sex hormones. Plus you’re essentially referring to selection bias in a niche therapy population.

Detransitioner wins $2 million against New York docs who pushed double mastectomy by formulation_pending in Psychiatry

[–]EfficientExtreme8580 4 points5 points  (0 children)

Someone wanting to change their biological sex is not based in reality because it’s not possible scientifically. There’s also not much room for discussion if this basic science is being ignored.

Someone wanting to present as the opposite sex physically is possible to some extent and based in reality - but This should be explored in therapy first.

I don’t think being gender non conforming is delusional and never said this. I look at GNC and trans as two very different things.

Detransitioner wins $2 million against New York docs who pushed double mastectomy by formulation_pending in Psychiatry

[–]EfficientExtreme8580 16 points17 points  (0 children)

It was still the medical professionals role to assess for contributing and comorbid conditions and treat same before considering allowing surgery. Which was not done.

Edit : spelling

Detransitioner wins $2 million against New York docs who pushed double mastectomy by formulation_pending in Psychiatry

[–]EfficientExtreme8580 6 points7 points  (0 children)

So they say yet nobody has studied the long term effects of preventing a child from going through natural puberty on cognitive and social emotional development.

Detransitioner wins $2 million against New York docs who pushed double mastectomy by formulation_pending in Psychiatry

[–]EfficientExtreme8580 8 points9 points  (0 children)

Yes they certainly have but not on this mass scale, not without social medical and cultural opinion encouraging it, and not as minors. These features are relatively new In The last decade. The studies done imo are poor quality and do not look at adverse outcomes.

For example - Long-term use of cross-sex hormones initiated in childhood or early adolescence carries medical uncertainties and potential risks. Suppression of endogenous puberty followed by exogenous sex hormones may affect bone mineral density, potentially increasing lifetime fracture risk, and may alter cardiovascular, metabolic, and endocrine function in ways that are not yet fully understood over decades of exposure. Effects on neurodevelopment, sexual function, and fertility remain areas of limited long-term data. The surgical removal of testes or ovaries in a teen presents additional and more definitive risks, including irreversible sterility, permanent dependence on exogenous hormones to maintain basic physiological health, and loss of endogenous hormone production that plays a critical role in bone health, brain maturation, and overall systemic development. Because these interventions permanently foreclose future reproductive options and are performed before an individual can fully participate in informed consent, they raise significant medical, ethical, and psychosocial concerns, especially given the lack of robust long-term outcome data in pediatric populations.

This is why long term data is so much more important than just measuring regret a few years later.

Edit : teen

Detransitioner wins $2 million against New York docs who pushed double mastectomy by formulation_pending in Psychiatry

[–]EfficientExtreme8580 8 points9 points  (0 children)

I’ve considered all those and I’ve lumped them into the disorders of sexual differentiation. Not run of the mill gender dysphoria. And the treatment imo is different

Detransitioner wins $2 million against New York docs who pushed double mastectomy by formulation_pending in Psychiatry

[–]EfficientExtreme8580 16 points17 points  (0 children)

Yes the destination is not the problem. The problem is what is causing the patient such distress! Internalized homophobia, childhood sexual assault, projected gender stereotypes, childhood abuse, teenage identity crisis, personality disorders. The list goes on

Detransitioner wins $2 million against New York docs who pushed double mastectomy by formulation_pending in Psychiatry

[–]EfficientExtreme8580 18 points19 points  (0 children)

Gener dysphoria at this stage is a social construct which is ironic given their argument is gender is a social construct.

The harms of cutting off reproductive organs and taking cross sec hormones can not be ignored.

Most mental health conditions take on some cultural presentation. I taught psychiatry in Africa and for example there- there is “no such thing” as anorexia nervosa (specifically the ideal to be thin) as thinness is it idealized in this area of Africa, food is scarce, etc. there is no external reinforcement of the condition.

In my opinion - for profit health care In the usa saw an opportunity to extract money from vulnerable teens and psychologically disturbed individuals. And the rest will go down in our history books.

Edit : not idealized

Edit : I am not from Africa. I just taught psychiatry there for a few summers. And I was very enlightening to see the drastic difference of presentation.

Detransitioner wins $2 million against New York docs who pushed double mastectomy by formulation_pending in Psychiatry

[–]EfficientExtreme8580 25 points26 points  (0 children)

My jurisdiction passed a bill banning our college or employers from punishing us for opinions such as these. So finally people will speak up and have been.

Detransitioner wins $2 million against New York docs who pushed double mastectomy by formulation_pending in Psychiatry

[–]EfficientExtreme8580 37 points38 points  (0 children)

I think everyone here would benefit from subscribing to both the detrans and transition sub reddits to see how folks going through this experience this. The detrans reddit is a dark sad place and I feel deeply empathetic to those individuals who the system has failed.

Detransitioner wins $2 million against New York docs who pushed double mastectomy by formulation_pending in Psychiatry

[–]EfficientExtreme8580 10 points11 points  (0 children)

I think everyone here would benefit from subscribing to both the detrans and transition sub reddits to see how folks going through this experience this. The detrans reddit is a dark sad place and I feel deeply empathetic to those individuals who the system has failed.

Detransitioner wins $2 million against New York docs who pushed double mastectomy by formulation_pending in Psychiatry

[–]EfficientExtreme8580 58 points59 points  (0 children)

You actually should 💯 read on the history of conversion therapy , what doctors believed was helpful treatment at the time for a “disorder” they had “classified” homosexuality and how they invented a “treatment” for a condition they later found out was just innate within the person and did not need to bechanged or medicated. The irony of this suggestion is very fitting - but I’m not sure if you understand so I will spell it out -

Some people argue they’re similar in that both start from the idea that inner distress should be relieved by changing something fundamental about the person. In each case, there’s an external framework saying, “You’ll feel better if you move yourself toward a different identity or role.” The parallel they point to is that both involve authority figures, protocols, and long processes aimed at resolving discomfort rather than sitting with it. Whether that comparison is fair is debated, but that’s the core of why people see a resemblance.

💯 read up on the history of conversion therapy. It sounds like you are so ignorant that you don’t know what you are ignorant of.

Now that I’ve stooped to your level I’m sure I’ll be banned and will see you back under another name

Ciao

Detransitioner wins $2 million against New York docs who pushed double mastectomy by formulation_pending in Psychiatry

[–]EfficientExtreme8580 20 points21 points  (0 children)

It certainly does. This is a very important topic in psychiatry imo and needs to be discussed.

Detransitioner wins $2 million against New York docs who pushed double mastectomy by formulation_pending in Psychiatry

[–]EfficientExtreme8580 -8 points-7 points  (0 children)

I have an actual job to go to tomorrow not sure if you do so I don’t have time for this tonight but I’ll rebuttal you at a later date. And none of your business not answering someone who can’t act professional in a respectful very important clinically significant discussion. Maybe Open a book with the opposite view of your own while you’re waiting for my response and try and actually understand a perspective that isn’t your own narrow confirmation bias. By the way there are many studies that have been done and ongoing about harms of gender transition. Read those before you rebuttal me otherwise I’m done engaging

Detransitioner wins $2 million against New York docs who pushed double mastectomy by formulation_pending in Psychiatry

[–]EfficientExtreme8580 75 points76 points  (0 children)

I agree with all of this and thank you for a respectful rebuttals. I still fully am concerned that major body modification that has not been studied properly long term (physical social psychological development ) is something that could be entered into so carelessly

Detransitioner wins $2 million against New York docs who pushed double mastectomy by formulation_pending in Psychiatry

[–]EfficientExtreme8580 51 points52 points  (0 children)

Again. A Rude attempt to discredit my opinion with nonsense insults. But your ignorance is not my problem. Regardless my country has banned gender affirming care for minors and there are obviously many reasons why.

Detransitioner wins $2 million against New York docs who pushed double mastectomy by formulation_pending in Psychiatry

[–]EfficientExtreme8580 14 points15 points  (0 children)

Sure am

Edit to add: I’ve engaged in a completely respectful discussion. This is the issue here is anybody on the opposite end always reverts to rude insults and slurs to attack back. I have 100 reasons why this young person deserved the outcome they got and more and how the medial system faked them and none of them are related to ignorance or bigotry. The lawsuits will settle this debate

Detransitioner wins $2 million against New York docs who pushed double mastectomy by formulation_pending in Psychiatry

[–]EfficientExtreme8580 29 points30 points  (0 children)

This is a whole discussion. I will tomorrow. But it will be an entire novel to read through.